HomeMy WebLinkAboutH2023-0287 - Permits�EWPORT City Of Newport Beach III I I I II I III II II I II I II II
Community Development Depart m enr- ❑wlding Division
100 Civic Center Drive �,<ewport Beach, CA 92660
.i. Permit Cei,-i1iz;��'i ione:(949) 644_3288
U %tea, Inspection Requests Phone: (949) 644-3255
�'q��p❑pN�P newportheachca.gov/inspections
Mechanical Permit : H2023-0287
Plan Check No!
Work Class : Other
Issued Date : 05/02/2023
Inspection Area : 2
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: 5 SEABIRD CT Legal Desc : N TR 8835 BLK LOT 1 UN 1 TR 8835 LOT 1 UNIT 1, P-1, G-1, CP- 1 OF PROJECT
Description: MECH CHANGE OUT A/C; TAMPER PROOF CAP REQUIRED
Owner: FLOYD HARDEN
Address : 5 SEABIRD CT NEWPORT BEACH, CA 92663
Phone : (916) 300-2161
Applicant: JERMAINEMAEWEATHER
Address : 3675 RUFFIN RD. SAN DIEGO, CA 92123
Phone : (619) 677-8487
owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY
X
PC - Newport Terrace - UP 1621
SPECIAL CONDITIONS:
Contractor :
KLONDIKE AIR INC
Address :
1308 LOGAN STE E COSTA MESA, CA 92626
Phone :
(714) 979-2070
Con State Lic
: 754456
Lic Expire :
09/30/2024
Bus Lic :
BT30080447
Bus Lic Expire: 01131/2024 '
Workers' Compensation
Insurance
LAKE FIRE & CASUALTY CO ,
Carrier :
FALLS
Policy No :
FLA01974800
W. C. Expire:
10/10/2023
Fire Hazard Zone : NO
Manufacturer : AC PRO .
-
AULD36W2/A-D(U)
Model# :
OWNER -BUILDER DECLARATION -
f hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the resson(s) indicated below, by L.... _,Neckmark(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 consli uct, alter, improve; demolish, or repair any structure, prior „ 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 So 'often ,000) 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 permit subjects the i,l„'„"„'.`..- a crv%I 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 L) portions of the work, and the structure is not. intended or offered for sale (Section 7044,
3usiness 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 mat the
mprovements 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
mproved for the purpose of sale).
1 I, as owner of the property, or, exclusively Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State LicenseLawdoes 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).
1 am exempt from licensure Under tfle Contractors' State License LOW for the following reason;
3y 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
all a structure that I have built asan owner -builder if it has not been. constructed In Itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
>rofessions Code, is available upon request When this application is submitted or at the following Web sits:http.Uwvnv.leginfo.ca.govlcalaw.htmL signature of Property Owner or Authorized Agent
_ICEN'SED CONTRACTOR'S (DECLARATION Date
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) ok Dlvps'�W�3 of the Business and�gfessions Code, an my license is in full force
Ind effect. License Class License. No Date,-'_ Contractor Signatu f
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN
OST OF COMPENSAT'CN, CAMAGES AS PROVIDED FOR IN SECTION 3795 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, DRED THOUSAND DOLLARS (St P9,999), IN AD DrrION TO THE
hereby affirm Uri penalty of perjury one of the following declarations:
"I
ai.. , navy. 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 ih
rmance of €Ba wcrl. for which this permit is. issued. Policy No.,
ti
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`
carrier anu policy number araI
IT of Agent
-a. ti'y that. in the performance of the
•;hould become suhect to the we
Policy Number
Date
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
compensation provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provistons.
tiynatureof AppGc.inI lx'�. _
)LCLtiF.r,7tQN REGAf;;DING CONSTRUENDIfJ,; AGENCY Date
hereby 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).
ender's Name _ Lender's Address
;y my signature below. Tcirl 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 ordlnance4 and state laws relating to building construction.
I authorize representatives of this city or coon' t�}enter the ab e-identified property for inspection purposes.
ig,nature of Property Owner or Authnrzed nnanl ) _ . _ _ _ I _ L k
ACTION I DATE i BY
PPRMrf fXFiHED
DECLARATION OF COMPLIANCE WITH CODE OF PEOCI
REGUTATIONS PART bl OF TITLF. 40 AND AQMD RULE
1403
SUBMITTED ASBESTOS NOTIFICATION TO
CERTIFICATE OF u'71L7G3 Ul, }oH LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
OCCUPANCY 55!/ED I I GH5 PROPOSED_DEMOLiTION
FOR OFFICE USE ONLY