HomeMy WebLinkAboutH2023-0540 - Permits.�°PEyaPo T City of Newport Beach
,3p4 (E@in Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
'a. newportbeachca.gov/civic
Mechanical Permit : H2O23-0540
Plan Check No: PC2022-2668
Work Class : Other
Issued Date : 08/23/2023
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: 869 SANDCASTLE DR Legal Dose: N TR 6228 BLK LOT 54
Description: MECH INSTALL (2) MINI -SPLIT UNITS @ THE SIDE YARD `*TAMPER RESISTANT CAPS REQUIQED"` (XR2022-2807)
Owner: CRISTINECOHEN
Address : 1718 PORT MARGATE PL NEWPORT BEACH, CA 92660
Phone: (714)393-6692
Applicant: D L S HEATING & A/C
Address: 8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646
Phone: (714)231-8002
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Fire Hazard Zone : NO
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS: SCOPE UPDA D 04/18/24
Contractor : D L S HEATING & A/C
Address :
8542 LARTHORN DRIVE HUNTINGTON BEACH, CA 92646
Phone:
(714)231-8002 ,•
Con State Lie
: 584220
Lie Expire :
01/31/2026
Bus Lie:
BT98040420
Bus Lie Expire: 12131/2024
Workers' Compensation Insurance - • '
Carrier :
STATE FARM FIRE AND CASUALTY CO
Policy No:
92-KN-Z567-4 ,
W. C. Expire:
1/6/2025
Manufacturer: AC PRO
Model#: AUD60W/A1-D(U)
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmarkjsj i );ave placed next to ore quires the applicant
(Section 7031.6,. Business and'. Professions Cade: 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 that he or she is licensed pursuant to the provisions of the Contractors' State 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 fora.. permit subjects the applicant to a civil penalty of
not more than five hundred dollars. ($50D).
[11, 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 thestructure Is notintended 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 the properly, provided that 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 sate).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does noL
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).
app
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 or the improvements covered by this permit I.cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed In Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, isavailable uponrequest when this application is submitted orat.the following Web site:thttp:!l%n v.leginfo.ca..govicalaw.htmi. ,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION x/
I hereby affirm. under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect n 7000) of D(vr tan of the Bu Ill ss and Proles ' opndm i an a is in full force
and effect. License Class License.No Dr to �- Contc[o Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE, TV d-CURE WORKERS' COMPENSATION COVERAGE.IS UNLAWFUL, AND SHALL SUadEC7 AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T U8 DOLLARS (51�U,4eU), IN ADDITION TO THE
COST OF c❑MPENSA9K]N, OSMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm I.rdw penalty of perjury one of the following dedarat ons:
1 f,ave and wh; .Ta'ntain 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 Ihi
pertjumance of tho work for which this permit is issued. Policy No.
1� have and pill Ti 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' compensation
Autance carrier and policy number are:
Policy Number -- —
Date
ame of Agem ""`
JI certify that, in the performane of a w for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensatlon laws of California, and agre
iat It I should be erne suhjgicI t e c pereabon provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions.
iOrre tare a` 4opllL•a�It
oECL.ARATIONEGARDIN CO UCTION LENDING AGENCY
hereby affirm onaer penal( of pe ry thatihere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
enders Name Lender's. Address
.y 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 informalion I have provided is correct. r
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 ernter� i e ab vie-ideptified property for Inspection purposes. (�
ticnature of PfoDertv Owner or Aulhorized Agent // lll�l (1(Y/- r/12f'✓�/r Print Property Owner's or Authorized Agenk y N�tne �^_ _ Date
ACTION DATE �Y DEC{ARATION OF COMPLIANCE WITH CODE OF FEDEI
RFGUtAT10NS PART St OF TITLE 40 AND AQNLD RULE
PERMrr EXPIRED ( I //J /3T W I SUBMXED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
QM'.DPEPoMITFINALEST05
NOTIFICATION I5 NOT APPLICABLE TO
CERTIFICATE r3E
'
SF.p DEMOLITIDN
rSIGNATEJIRE:
OCCUPANCY rSSL"ED
y
FOR OFFICE USE ONLY