HomeMy WebLinkAboutH2024-0593 - Permits��EWPORr City of Newport Beach III I I I II I I II II IIII IIII II Mechanical Permit: H2O24-0593
A Community Development Department- Building Division
1' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
u ' ? Permit Counter Phone: (949) 718-1888 Work Class :Other
newportbeachca.gov/civic Permit Status: Issued
C9C/FORN`P Issued Date : 09/1612024
Inspection Area : 8
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 : 24 CAPE WOODBURY Legal Desc : N TR 15012 BLK LOT 61
Description: MECH - R/R HEAT PUMPS & FAU'S (2). TAMPER RESISTANT CAP REQUIRED
Owner: PATRICKWILKISON
Address : 24 CAPE WOODBURY NEWPORT BEACH, CA 92660
Phone:
Applicant:
HAVEN AIR CONDITIONING
Address:
2075 N SHAFFER ST ORANGE, CA 92865
Phone:
(714)998-7879
Owner/Builder
:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Front: 10, Side: 5, Side: 5, Rear: 10
PC - Upper Castaways
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Contractor : HAVEN AIR CONDITIONING
Address :
2075 N SHAFFER ST ORANGE, CA 92865
Phone:
(714)998-7879
Con State Lic
: 748387
Lic Expire :
01/31/2026
Bus Lic:
BT30084929
Bus Lic Expire:08/31/2025
Workers' Compensation
Insurance
Carrier :
FALLS LAKE FIRE AND CASUALTY COMPANY
Policy No:
PSIC0701329801
W. C. Expire:
10/1/2024
Manufacturer: LENNOX
Model#: VPC060H4M-3P
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
to 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 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
of 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,
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
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).
7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does 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).
3 1 am exempt from licensure under the Contractors' Slate 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 -builder 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.govlcalaw.html.
ilgnature 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 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
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSAMON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$IH,0001, IN ADOmON TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 In(
erformance 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
of Agent
Date
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
, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date_
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I 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).
Lenders Name Lender's Address _
By 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 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.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A enfs Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT EXTENDED
PERMIT FINAL y
CERTIFICATE OF
OCCUPANCYISSUED
SUBMITTED ASBESTOS NOTIFICATION TO
LI ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION