HomeMy WebLinkAboutH2022-0680 - Permits (3)City of Newport Beach III II I IIIIIIII III IIIII I II II Mechanical Permit : H2O22-0680
Commundy Development Department - Building Division
100 Civic CePlan Check NO
nter Drive, Newport Beach, CA 9266D
Permit Counter Phone: (949) 644-3288 Work Class :Other
Inspection Requests Phone: (949) 644-3255 Issued Date : 12/01/2022
newportbeachce.gov/inspections Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 25 MONACO Legal Desc : N TR 9858 BLK LOT 3 UN 5 TR 9858 LOT 3 UNIT 5 OF PROJECT LOC ATED ON AP
Description: MECH CHANGE OUT A/C UNIT & FURNACE W/ DUCT WORK 'TAMPER PROOF CAP REQ'
Contractor :
TITAN AIR CONDITIONING INC
Owner: ESAYIAN HARRY TR
Address :
407 W IMPERIAL HWY H144 BREA, CA 92821
Address : 25 MONACO NEWPORT BEACH, CA 92660
Phone:
(714)706-9987
Phone :
Con State Lic
: 1040403
Applicant: TITAN AIR CONDITIONING INC
Lic Expire:
Lic :
06130/2024Bus
ST30080149
Address : 407 W IMPERIAL HWY H144 BREA, CA 92821
Bus Lic Expire:12/31/2023
Phone: (714)706-9987
Workers' Compensation
Insurance
Carrier :
owner/Builder:
Policy No :
CWC00797700
Address :
W. C. Expire:
6/1/2023
Phone:
0
Code Edition : 2019 Fire Hazard Zone : NO
t ., 7Ma"hufacYureu'
,A `-JNed�l# : AULD60W2/A-DU
Type of Construction
y
Occupancy Groups:
Building Setbacks
Flood Zone : X
Use Zone : PC - Harboj View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Bantle)
.(Section 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
the permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500)..
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work., and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves theproperty, provided (hat the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Secfon 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
11 1 am exempt from licensure under the Contractors' State License Law for the following reason:8y my signature below I acknowledge that, except for my personal residence in which I must have r_
esided for at least one year prior to completion of the Improvementscovered by this permit, I.cannot legail�
sell a structure that I have built as an owner-buider If It has not been constructed in its entirely by licensed contractors- I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://wwwJeginfo.ca,gDVICalaw.html,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivisfon 3 of the Business and Professions Co e, and my license is in full force
and effect. License Class License. No Date 't- D ( t_ Contractor Signature " I
NORKERS' COMPENSATION DECLARATION / 0 /
NARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, "a ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
I ave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th,
)a rmance of the work for which this permit is issued. Policy No.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers` compensaUor
riI
d nre carrier and policy number are:
Policy Number
Agent
Date
I certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
It, if I should become subject to the worker' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lnLARA !Applicant Datel
naure o ION REGA 1NG CONSTRUCTION LENDING AGENCY /
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
)der s Name Lenders Address
my signaturebalcw, [ certify to each of tilefollowing:
I am the property owner or authorized to act on the property owner's behalf,
I have read this application and the information I have provided is correct,
I agree to comply with all applicable city and county ordinances and state laws relating to building. construction.
I authorize representatives of this city or county to enter iheabove-identifi property for inspection purposes. J /` 1 Q I )
nature of Pre ed Owth ner or Auorized Agent Prrnl Pro art Owner's or Authorized A ent'a Name d i` nr_ee,
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
I REGULATIONS PART fit OFTITLE AO AND AQMD RULE
11403
PEHMtT EXPIRED
1 SUBMITTED ASBESTOS NOTIFICATION TO
EPA
t:
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO f
PEHM(TCANCEf1ED
PERMfT EXTENDED
PERMIT FINAL
CCHTfFICATE0F
6
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: