HomeMy WebLinkAboutH2022-0531 - Permits�agWPp',T City of Newport Beach I I II I II I II III
Community Development Department - Building Division
Z ` 15,
1 OD Civic Center Drive, Newport Beach, CA 92660
C = Permit Counter Phone: (949) 644-3288
o- Inspection Requests Phone: (949) 644-3255
FOnewportbeachca.gov/inspections
Mechanical Permit : H2O22-0531
Plan Check No : 0809-2021
Work Class : Other
Issued Date: 09/30/2022
Inspection Area : 5
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 : 412 HELIOTROPE AVE Legal Desc : A TR CORONA DEL MAR BLK 335 LOT 14
Description: MECH: INSTALL (2) ROOF MOUNTED HEAP PUMPS ***TIMERS PROHIBITED & TAMPER RESISTANT CAPS REQUIRED*** (X2021-0875)
Owner: PARMJIT GREWALCOOWNER:GREWAL GURINDER K
Address : 16576 S FOWLER AVE SELMA, CA 93662
Phone :
Applicant: COMFORT HEATING & A/C
Address: 21962 COSALA MISSION VIEJO, CA 92691
Phone : (714) 335-7055
Owner/Builder:
Address
Phone :
Contractor : COMFORT HEATING & A/C
Address :
21962 COSALA MISSION VIEJO, CA 92691
Phone :
(714) 335-7055
Con State Lie :
632774
Lie Expire :
12/31/2023
Bus Lie:
BT30005700
Bus Lie Expire:08/31/2022
Workers' Compensation Insurance
Carrier :
Policy No:
EXEMPT
W. C. Expire:
Code Edition : 2019 Fire Hazard Zone : NO Manufacturer: AC PRO
Type of Construction : Model# : AUD36W/A-D(U)
Occupancy Groups :
Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone: R-22Two-Unit Residential V N O CONSTRUCTION
NOISE
PROCESSED BY:
65 ! ,
SPECIAL CONDITIONS: HIGH DENSITY ZONE ON THE WEEKEND
TIMERS PROHIBITED
ON HEAT PUMPS
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, Business end Professions Code: Any city or county that requires a permit to construct, alley, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the
Improvements are not intended or offered for sale. 11, however, the building or improvement is sold within one year of completion, the Owner-Buflder will have the burden of proving that it was not built or
improved for the purpose of safe).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
rffa ly 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).
Lf I am exempt from licensure under the Contractors' State License Law for the following reason
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
sell a structure that I have built as an owner -builder 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:hip:/iwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby afflnm ns under penally of perjury that I am Ilcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof od d. license is in full force
and effect. License Class License No Date(�G Ll,%i Contractor Signalur
WORKERS' GOMPEN .SATION. DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISIEOA001, IN AODmrDN TO THE
COST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for th
performance of the work for which this permit is issued. Policy No.,
have 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'
Fence carrier and policy number are:
ae of Agent
certify that, in the performance of
, if I should become subject to the
islure of Applicant „.
Policy Number
Date
for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre
compensation provisipns of Sao on 3700 of the Labor Code, I shall forthwith comply with those provisions-
Ireby 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)
Ides s Name _ _ _ Lender's Address _R
my signature below, I certify to each of the following:
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 rep essntatives of this city Or county to�yW/�/t/7�e �b ve-identified, rop/e�rty for inspection purposes.
rah Ire of Pronartv Owner or Aulhortzet AORnf / // /' 8 /11t FP/ 1� Print Pmoertv Owner's or U io izfld A I Z Name
ITT -ON
DATE By i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
II 9 REGULATIONS PART 67. OF TITLE 40 AND AQMD RULE
1 1403
FOR OFFICE USE ONLY
_
PERM IT EXPIRED__
ISUBMRTTED ASBESTOS NOTIFICATION TO
; .O _.._.
_ _
PfRN TCANCEl tG
_____
C�LPA
PERMIT EXTENpEu
iJAQM_D _
FERM,T FINAL
_ _ __ _ _
s Zc -"% I ❑ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
J
CERTIFICATE OF
i PROPOSED DEMOLITION
OCCU'ANCYISSIIED
° SIGNATURE:
Date