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HomeMy WebLinkAboutH2022-0205 - PermitsCity of Newport Beach IIIIIrII Community Development Department- Building Division IIIIII IIIIIIIIIII I IIiIIIIi�II II! �lli�Il IIIII �'®iViB permit : HL®6.2®2®5 100 Civic Center Drive, Newport Beach, CA 92660 Pian Check No : 2064-2021 Permit Counter Phone: C949 7 8--'F8-88 Issued Date. 04/21/2022 newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Expired Work Class - Other Inspection Area: 4 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: 77 SEA ISLAND DR Legal Desc : TR 8444 LOT 1 UNIT 1 OF PROJECT LOCATED ON AP 442-251-01 TOG ETHER WITH AN U ND 1/83 INT IN LOT 1 Description: MFR MECH: REPLACE (1) HEAT PUMP. *'"TIMERS PROHIBITED" Owner: Address Phone: Applicant: URBAN MECHANICAL Address: 10621 BLOOMFIELD #25 LOS ALAMITOS, CA 90720 Phone: (714) 614-2446 Owner/Builder : Address : Contractor: URBAN MECHANICAL Address : 10621 BLOOMFIELD #25 LOS ALAMITOS, CA 90720 Phone (714) 614-2446 Con State Lic 594181 Lic Expire: 05/31/2026 Bus Lic: BT30005613 Bus Lic Expire : 08/31/2024 Workers' Compensation Insurance Carrier: PACIFIC COMPENSATION COMP. Policy No: 1028251 W. C. Expire: 9/9/2024 Architect : Address: Phone : State Lic Engineer: Address Phone INSURANCE Designer: Address : Phone: Phone: Code Edition : Fire Sprinklers : NO Construction Valuation : $0.00 Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups: No of Units : Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : Add/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks: Flood Zone: AE; X Use Zone: PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: OWN FIR-BUILQUIR-DECLARATION I hereby affirm tinder penalty of perjury that I am exempt from the -Cotitr-aotors'State -Lioense Law for the reason(s) Indicated below by the checlunark(s) I have placed next to the applicabla-itorn(s)- (Section 7031.5, Business and Professions Cody: Any city or courity-thatrequires aspermitConstruct, -alter,- Improve, dernollsh,or repairanystructure, requires the applicantfor 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 lIconSUro and the basis for the, alleged exemption, Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), 1:11, 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 Codw 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 ttiat 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 of irn roved for the purpose of sale). 1, as owner of the property, an) exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ap 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 Law), I am exempt from licensure tinder 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 legall) sell a structure that I have built. as an owner -builder if it has not boon constructed In its entirety by licensed contractors. I understand that a copy of the applicable few, Section 7044 of the Business and Professions Code, Is available upon request when this application is submitted or at the following Web site: h ttp://www.loginfo.c;a,govlczalaw.html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I area licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUSJVCT 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 3106 OF T14E LABOR CODE, INTEREST, AND ATTORNEWS FEES, I hereby affirm tinder 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 th. performance of the work for which this permit Is Issued. Policy No., 11 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' surance carrier and policy nurriber are: Policy Number Expiration Date of Agent —Phone # —11 Certify that, in the performance of the work for which this pernilt Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and lial, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Ih comply with those provisions. Ignature of Applicant_ Date___ MECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). tinder's Name Lenders Address y nay 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 lsoorrect, I agree to comply with all applicable city and county ordinances and state laws relating to building construction, I authorize representatives of this city or county to enter the above -Identified property for Inspection purposes. lqnature of Property Owner or Authorized Aqunt Print Property Owner's or Authorized Accent's Name ACTION DAT E BY DECLARATION OF COPHANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I RE<3'UCATIONS PART 61MOr TITLE 40 AND AQIVID RULE PERMITEXPIRED U I SUBMITTED ASHESTOS NOTIFICATION TO PERMIT FA-IREELE6-- 05A �Eii�FT �AQMD SIGNATURE: Pihf FIWA _WT OTIFICATION IS NOT APPLICABLE TO 1:3 CERTIFICATEOF llh4- PROPOSED DEMOLITION OCCUPANCY ISSUEO Date JIQIPU;"�,T?�- �)1U �II J a 00 `� v w� ZO wC� 'Cc:f0 C N p -O -05 rn Q U -° t0 f0 V p N � N N m C N a tf o 3 (U Z Z � U U m z iii m tm Z m 0 15 E Q ® Q O O O O O O o Q O M O O O O O T O CD i o O O = o Z O Z O Z <C Z Q ® N O N PT T w N r1 W N � LL LL � c z LU O � c z @ Q U- (o C p z H N ® o w LEI w = Q v o Q v rr ® U U ® co a ® oL o c o U N N 000 Q ® O ® 0 r O r >f�, City of Newport Beach - Building.Division H2O22-0205 ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone 949 644-3288 Job Address: 77 SEA ISLAND DR BIdgA Floor: Suite` f Description of Work: MFR MECH: REPLACE (1) HEAT PUMP. **TIMERS PI OHI�ITL�Ih** Inspector Area:4 Code Edit: 2019 Legal Description: TR 8444 LOT-1 TOGETHER Owner: Address: Phone: BARNES LESLIE Date; 77 SEA ISLAND DR Address: NEWPORT BEACH, CA 9 60 o e• Issued Date:04/21/2022 Processed FurnacesBoilers & Compressors Up to 100K BTU/hr: 0 $0.00 Over 100K BTU/hr: 0 $0.00 VVall/Floor Heaters: 0 $0.00 Heat Pumps & Package Units Up to 100K BTU/hr: 0 $0.00 Over 500K BTU/hr: 0 $0.00 Up to 1 M BTU/hr: 0 $0.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1.75M BTU/hr: 0 $0.00 n. n St Li Expir Bus Lin: FxnelIA-fain FEES p to 1 $22.00 B . hroom Fan: 3 P to H 0� � 15 0 IST 0" rocPticQ11 : 530 HP 0 HP: 50 HP(wQ rk $,Qt rteAgwn-Draft Fan: b, $�. sidential Hood it Handling Units Comm. Hood: p1tgr1%Q, CFM: 0 $0.00 Repair/Alter/Add: AV Box: TOTAL: $131.14 MECHANICAL Permit: H2O22-0205 Project No : 2064-2021 Inspection Requests Phone (949)644-3255 if applicable: Worker's Comp Insurance - OVv N/pgc 5 5 /o refund Expire :09/09/2022 to whom: ON 0 rN �„�,, per 0 ain 0 ��I Face: 0 0 0 Metal $ 0 $0.00 (IRGcW"j( r'%'' rted) $o.00 0 $0.00 Additional Fee : $0.00 0 $0.00 04 C O O O L 0 0 0 1 () O r, O O 0 0 0 0 0 0 0 0 ©o(�G $0.00 $0.00 gation: $0.00 heck: $19.14 ce: $38.00 0`-$Tb0 —Supplemental Fee: $0.00 Manufact rer: 0 $0.00 _ __ _- .einsp• I�itc'�1• oni Ig PC: $52.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $131.14 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. �►` :1P OWN ER-BUILDEWDECLARATION 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 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 ($500). 'I ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or im _. ve , the property, provided that the improvements aiLrnat intended or offered for sale. If, however, the building or improvement is sold within one year of complet e the,Q oar B ritdet rvfl9 IiaW e urden of"roving that it was not built or improved for the:Nuxpose of sale). au ownerrcf , e property, am excl ' entraoting3wtth1MC096d C'o tractors to/onstruct the project (Section 7044, Bu iness ar� dXp §§�ssons Code: The Contractor State License Law does not apply to' an owner o nrDperty who build or improves thereon, n w. o co,tr ct for�tp t�jot witha licensed Contractor plist�#i t�`1114e't�aetors' State License Law)I any exem t fs om licensure under t Con rQ.' State Lce a se a foth11 2P�°as:Coi3ymy'signature belowl acknowledge th t, ext�Pdr°m$ personI resl,ence in whi must have resided for at least one ye rrift��ernjti of �b e cove d by this permit, I cannot legal �dll,a structure"tltat`I hj ve built as an o er-builder if it has not been constructed in its entirety by licensed contractors. I and 3 t'and at a copy of the applicable law, Sectio 7044 of the Business and nrofossions Code, is available upon req st w licatio itte at tha,following Web site:http://www.leg!nfo,ca.gov/calaw.htm1. S'cn 'ure of Pry �c�rky (:)weer or Auth0riz . Age t r. s ; �_tGF13ED CONTRACTOR'S DvV EC RA ON y Y (ha.,rPl7)( affirm under penalty of perjury th t I a license der p s Cha r� (co�mencing with Section 7 M100) f Division 3 of the Business and Professions de . d i ns Is i f f ce �nd effect. icense Class License No Contractor Signature ` ?RICERS' 9OKPq NSATION DECI RNING: FAILURE70 SECURE WORKERS' COMI 3T OF COMPENSATION, DAMAGES AS PROVIDE 3reby affirm under penalty of perjury or I h e nd will maintain a certificate r e of the work for which this pei eve and will maintain workers' com urance carrier and policy number are: rrier me of Agent I certify that, in the performance of the t. if I should become subject to the oi FOR of tl consent to self -insure for workers' compensation, issued by the Dlrectgr of Industrial Relations asprovidedJhqn for by Section t is issued. Policy No. s 70: an erVs req ' e Se ti, n w, f�he Labor Co a fo e e r�a g of •ti v6or r w t ermit is iss rk P� i )�I�t�m r (r10 wo�cp�'Il'�fi�h t�a� one # it is issued, I shall not employ any person in any manner so as to become s IsiamCo -gection-3700 of the Labor Code,shaU.forthwith-eomfrlTWith`t'hosI ignatu re of Applicant sr,-1'-4 ,ECLARATION REGARDIN CONSTRUC ON LENDING AGEITCY hereby affirm under penalty of perjury that ere is a construvcti� o� n Let1l�iDg ogee ender's Name _ y my signature below, I Certify to each of t-Ii0wirrg 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 ordinances a d a I authorize representatives of this city or count t enter the a v b I G ignature of Property Owner or Authorized Agent rmance of provisions. atbEals: ( ection 3097, Civil Code). g construction, ion purposes. 'roperty Owner's or Authorized Agent's Name ✓' ($100,000), IN ADDITION TO THE of the Labor Code, for My workers' compe laws of California, and ag - D\ ACTION DATE BY DECLARATION 'OFCOr4P N7E777CODEOF FOR OFFICE USE ONLY ® FEDERAL REGULATIONS P:ART61 OF TITLE40ANt3 AQMD RULE 1403, © 1 SUBMITTED ASBESTOS NOTIFICATION TO,: ❑ EPA 0 AQMD PERPAITEX fRED �� An PERPAIT CANCELLED F I V PERMITE TENDED, © ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERA41T €IN'AL CERTIRC.4 TE OF OCCUPANCYfSSUE SfGdWATtIPE.