HomeMy WebLinkAboutH2022-0359 - Permitso��EWPoRT City of Newport Beach
@ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
r+ _ Permit Counter Phone: (949) 644-3288
e. Inspection Requests Phone: (949) 644-3255
Cq</FppN�P newportbeachca.gov/inspections
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 07/18/2022
Inspection Area : 2
H2O22-0359
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 : 4308 PATRICE RD Legal Desc : N TR 4692 BILK LOT 37 TR 4692 LOT 37 TOGETHER WITH AN UND 1/9 8 INT IN
Description: MECH - R/R FAU. INSTALL NEW A/C CONDENSER. TAMPER -RESISTANT CAP REQUIRED
Owner: BLAKE FRENKIEL
Address : 4308 PATRICE RD NEWPORT BEACH, CA
Phone:
Applicant: ROCKLIN HEATING & AIR
Address : 5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765
Phone: (916)626-5151
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks:
Flood Zone : X
Use Zone: RM - Multiple Residential
PROCESSED BY: V l
Fire Sprinklers : NO
Fire Hazard Zone : Y
Contractor : ROCKLIN HEATING & AIR
Address :
5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765
Phone :
(916) 626-5151
Con State Lic :
959466
Lic Expire :
09/30/2023
Bus Lic :
BT30074728
Bus Lic Expire
03/31/2023
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Manufacturer: BRYANT
Model# : 105ANA
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 items)
(Section 7031.5, 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 fife 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 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 i_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Coda: The Contractors' State. License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements arenot intended cr 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).
I, 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
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).
u 1 am exempt from licensors under the Contractors' Slate 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 legally
sell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that a Copy of the applicable taw. Section 7044 of the Business and
Professions Code, Is available upon request when this application is submitted or at the following Web site:http:lA•Nw.leginfo.ce.gov/calow.fitml,
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 Division 3 of the Business and Profess Ionsfode, a my license Is In full force
and effect. License Class License No Date 6l2'L Contractor Sgnatur
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATnON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000),1N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation. issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
gmanpe of the work for which this permit Is issued. Policy No.
91i'd. 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'
carrier and policy number are:
Policy Number Expirati(
of Agent Phone #
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
Tat. If I should become Beef acl to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ilgnalure of Applicant
-
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for /he performance of the work for which this permit is issued (Section 3097, Civil Code).
enders Name _ Lenders Address
ly 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.
1 agree to comply with all applicable city and county ordinances and state lawns relating to building construction.
[authorize representatives of this city or county to enter th atgcIve--Identified property for inspection purposes.
ionalure of Prooertv Owner or Authon: Print Prooertv Owner's or Authorized AGent's Data 7/�/Z
ACTION DATE r BY \DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY )
RFGULATION5 PART 51 OF TITLE 40 AND AQMD RULE
1403
PER1vr7T EXPfRED
PERMIT CANCELLED
PERMITCXTFNDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY155UEO
A5BES105 NOTIFICATION 15 NOT APPLICABLE TO
PROP05ED DEMOLITION
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.