HomeMy WebLinkAboutH2023-0575 - Permitsy,r"rEWPO�r City of Newport Beach
III I I I I III II III
o, 4o Community Development Department- Building Division
> �' 100 Civic Center Drive, Newport Beach, CA 92660
�h { r Permit Counter Phone: (949) 718-1888
bi 4. newportbeachca.gov/civic --x
�.... s
N� ORN
Mechanical Permit : H2O23-0575
Plan Check No : PC2023-0785
Work Class : Other
Issued Date : 09101/2023
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 : 326 L ST Legal Desc : N TR 518 BLK M LOT 10
Description: MECH INSTALL 1 A/C UNIT AT DECK "TAMPER RESISTANT CAPS REQUIRED" (XR2023-1168)
owner: 2 18 E OCEANFRONT PARTNERS LLC Contrautul . SOLSTICE 1 EATING & AdC
Address : 250 NEWPORT CENTER DRIVE, 200 NEWPORT BEACH, CA 92660 Address : 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone: (626) 385-6582 Phone : (949) 573-3607
Con State Lic: 938888
Applicant: SOLSTICE HEATING & A/C
Address: 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672
Phone : (949) 573-3607
Owner/Builder:
Address
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
2022
Front: 10, Side: 3, Side: 3, Rear: 0
X
R-1 - Single -Unit Residential
PROCESSED BY: V
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Fire Hazard Zone : NO
Lic Expire : 10/31/2023
Bus Lic: BT30041721
Bus Lic Expire:02/28/2024
Workers' Compensation Insurance
Carrier : EMPLOYERS PREFERRED INSURANCE COMPANY
Policy No: EIG520830800
W. C. Expire: 3/19/2024
Manufacturer: AC PRO
Model# : AULD36W2/A-D(U)
NO CONST9iU:C`TIOW WORK
ON S4TORDAYS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exarripL from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(s)
Section 7031.5, Business and Professions Code. Any Ctly or county that requires a pairmlt to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
in 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 be or she is exempt from licensors 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
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation. will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Cede: 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
nprovements 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
nproved for the purpose of sale).
3 I, as owner of the property, am exclusively contracting with licensed Cont1'acters to construct the project (Section 7044. Business and Professions Code: The Contractors Slate License Law does nol
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).
3 1 am exempt from licensors under the Contractors' State License Law for the following reason: _
ly 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
ell a structure that I have built as an owner-buildor 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
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw:html,
signature of Properly Owner or Authorized Agent _ ....... ._._._..._._.. ...�_ ..........._..._._..__. Dale
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 )) of Division 3 of the Business and Prof sion • Co and my Iieense is In full force
nd effect. License Class License No Date 1 Z3 Contractor Signature
VORKERS' COMPENSATION DECLARATION
PANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HONORED THOUSANU DOLLARS IS100.000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 371M OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have 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 III
erformanco 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'
ranee carrier and policy number are:
Policy Number
me of Agent Phone N
Dale
I certify that, in the pert rmence 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 agml
to the r
nature f Al REGA IEd-ICON5TRUC r ON L6NDINIG AGENCons of Section 3700 of the Labor Code, I shall forthwith comply with Ihotia irroSlslDns.
I T comp p -_--
CLAR
.nature ul Apphcanl Dale
Y
�reby affirm under penalty of pqr -ry Ihat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code).
ider's Name Lenders Address
my signature belnw,`I certify to rack of the fallowing:
I am the property owner or afthorlred to act on the properly owner's behalf.
I have read this application and the Information I have provided is correct.
I agree to comply with all app.ica:)le city and county Ordmanc sand state laws relating to brllding construction.
I authorize representatives of this city or county tt enter theyyg�Iiova-identified property for inspection purposes. C1
nature of Propert, vnr.r;: or Authorized Agent /�/ r�"'1_,� Print Properly Owners or Authorized Agent's Name JJynN GL, IJA,0,4 Oat, c7hfi j
ACTION ,)
DATE BY DECLARATION OF COMPLIANCE WITH CODE Or FEDERAL
' I� L, RF(,UTATIONS PART Fl OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PERMITEXPIR£D
L1 I SUBMITTED ASRFSTOS NOTIFICATION TO
PFRM7T CANC'EHE6
CPA
PERMITEXTENDED
....... ( I DAQMD
PERMIT FINAL
(
�B��Qy QL 70 V ❑ASBESTOS NOf LICAl ION IS NOt APPLICAHLE 10
CERTIFICATE OF
CM5 PROPOSED DEMOLITION
OCCUPANCYISSUFD
_
SIGNATURE: