HomeMy WebLinkAboutH2024-0288 - Permits (3)k�EWPoRr City of Newport Beach
D p Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u ¢ Permit Counter Phone: (949) 718-1888
e. newportbeachca.gov/civic
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Mechanical Permit: H2O24-0288
Plan Check No : PC2024-0806
Work Class : Other
Permit Status: Issued
Issued Date : 05/21/2024
Inspection Area : 1
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 : 3309 SEASHORE DR Legal Desc : A TR NEWPORT BEACH CITY BILK 33 LOT 9
Description: MECH INSTALL (N) HEAT PUMP AT SIDE **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** (XR2024-1068)
Owner: RICHARD AMERIAN
Address : 5166 N BRODY AVE MERIDIAN, ID 83646
Phone: (949)500-0852
Applicant: AB CUSTOMS BUILDS
Address: 1835 WHITTIER AVE, A-1 COSTA MESA, CA 92627
Phone: (949)683-4442
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Front: 3, Side: 3, Side: 3, Rear: 10
X
R-2 - Two -Unit Residential
�—s
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Fire Hazard Zone : NO
Contractor : AB CUSTOMS BUILDS
Address :
1835 WHITTIER AVE, A-1 COSTA MESA, CA 92627
Phone:
(949)683-4442
Con State Lic :
1031869
Lic Expire :
05/31/2026
Bus Lic:
BT30080169
Bus Lic Expire:
12131/2024
Workers' Compensation Insurance
Carrier :
STATE COMPENSATION INSURANCE FUND
Policy No :
9364161
W. C. Expire:
8/23/2025 _
Manufacturer: DAIKIN
Model# : f 5MXS48TVJU
REW I
yiQnLye
TIMERS PROHIBITED
ON HEAT mrUMPS,;
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(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 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 Iicensure 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' State License Law does not apply to an owner of property who, through employees' ar personal effort, builds or improves the property, 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 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 t0 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).
❑ 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 Iegalll
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:httpJlwww.leginfo.ca.govlcalaw.html.
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) MOM ion 3 of the Business and Profess in full force
and effect. License Class License No Date44 Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100.000). IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury One of the following declarations:
Id 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
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'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #_
JI 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
ial, if I should become subject/workers' wmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )
signature of Applica.✓ Date_
IECLARATION REPA G A
hereby affirm under penalty of perjury that there Costruction lending agency for the performance of the work for which this permit is issued (Secfion 3097, Civil Code).
enders Name Lenders Address
ry my signature below- ( certify to each of the following:
I am the properV owner or authorized to act on the property owner's behalf.
I have read this application and th-6701b iriation I have provided is correct.
I agree, to comply vUh all applicable city and county ordinances and slate laws relating to building construction.
I autl.orize representatives of this city or county to eittalhe above-ider Lad property for inspection purposes. %/
limratu.c of PrODertv Owner or Authorized Agent / _ Pnm Property Owner's or Authorized Agent's Name/-'' n /�2 �//, '-/— Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
I
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PE.T /.'T EXPIRED
I SUBMITTED ASBESTOS NOTI FICATION TO
PEd,A,7 CANCELLED
I
LJEPA
PERMIT E)FFENDED'
LIAQMD
PERMIT FINAL )Q/t 312'1
DL Ov
0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CER,V),QkTEOF
CM5
PROPOSED DEMOLITION
OCCUPANCYISSUED I
SIGNATURE: