HomeMy WebLinkAboutH2023-0444 - Permits�,EWPoRT City of Newport Beach III I I I II I III II II II II II II Mechanical Permit : H2O23-0444
o� @ •-7omm, -.ty Development Department- Building Division
�' ' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Work Class : Other
u >. newportbeachca.gov/civic Issued Date : 07/10/2023
Cq�' OP�`P 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 : 403 BOLERO WAY Legal Dose: N TR 4692 BILK LOT 60 TR 4692 LOT 60 TOGETHER WITH
Description: MECH - INSTIL NEW MINI -SPLIT AT THE REAR YARD W/ 3 WALL MOUNTED UNITS, TAMPER RESISTANT CAP REQUIRED
Owner:
SEAN GREGORY
Address:
403 BOLERO WAY NEWPORT BEACH, CA 92663
Phone:
(714)742-2269
Applicant:
BEN MEDINA
Address :
31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone:
(818)735-7876
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard 'Zone
Contractor : COMMAND AIR CORP
Address : 18259 MOUNT BALDY CIRCLE FOUNTAIN VALLEY, CA 92708
Phone : (714) 952-3900
Con State Lic : 942279
Lic Expire : 01/31/2024 i g� r s bead t�i
Bus Lic: BT30077640
Bus Lic Expire:01/31/2024
Workers' Compensation Insurance
Carrier : NORGUARD INS CO
Policy No: COWC473961
W. C. Expire: 5/4/2024
NO Manufacturer: AMERICAN STANDARD
Model# : NTXMMX30A132A
OWNER -BUILDER
I hereby affirm under penally Of perjury that I am exempt from the ContractorsState 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 r::yulres 10 applicant for
he 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
'rofessions Code) or that he or she is exempt from fieensure 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
lot 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 U portions of the Work, and the structure is notintended or offered for sale (Section 7044,
iusiness 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 property, provided that the
Tiprovements are not intended or offered for sale. If, however, the building or improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that if was not built or
nproved for the purpose of sale).
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
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 Lai
f am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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 legalll
ell a structure that I have )ufn as an owner -builder If It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable few, Section 7044 of the Business and
Irofessions Code, is available upon request when this application fs submitted or at the following Web site:htip:/twww.leginfo.ca.govlcalaw.html.
i gnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SeO 0 f Nit 3 of the Business and P �Coeelt7f� de, and my license is in full force
nd effect. License Class License No D Ccn a nature
PORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($7DD.000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES.
hereby affirm under penalty of perjury one of the following declara0ons:
] I have and w4l 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 IN
arfopance of the work. for which this permit is issued. Policy No.
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 and policy number are:
Agent
y that, in the performance of the work
kould become subject to the worklilra'
Policy Number Expiration Date
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
!ticnLprOvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I t
hereby affirm under pei
enders Name lty -grr� at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 Information I have provided is correct..
I agree to comply with all applicable city and county ordinance and slat
I authorize representatives of this city o L, y to enter t b entifiec
ionature of ProDertv Owner or Authorized AdG.1
es-Telating to building construction.
property for Inspection purposes.
__.... Print Property Owner's or
DATE. I BY / RAT€ON OF COMPLIANCE WITH [ODE OF FEDEl
BY
PART 61 OF TITLE 40 AND AQMD RULE
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LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERNItT EXTENDED
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PERMITFINAL
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ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
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FOR OFFICE USE ONL