HomeMy WebLinkAboutH2024-0228 - PermitsCity of Newport Beach
p - Community Development Department- Building Division
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� � y 100 Civic Center Drive, Newport Beach, CA 92660
•' S Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 04/22/2024
Inspection Area: 2
H2O24-0228
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 : 2635 WAVERLY DR Legal Desc : N TR 1014 BLK LOT 49
Description: MCH - R/R HEATPUMPS (2). TAMPER RESISTANT CAP REQUIRED
Owner: PERKINS JOHN S TR
Address : 2635 WAVERLY DR NEWPORT BEACH, CA 92663
Phone : (562) 708-0161
Applicant: COMFORT CARE HVAC
Address: 21030 GRESHAM ST, 409 CANOGA PARK, CA 91304
Phone: (818) 489-9309
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY
Front: 1 D, Side: 4, Side: 4, Rear: 10
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
INSPECTOR
Contractor :
COMFORT CARE HVAC ••
Address :
21030 GRESHAM ST, 409 CANOGA PARK, CA 91304
Phone :
(818) 489-9309
Con State Lic:
1097550
Lic Expire :
10/31/2024
Bus Lic:
BT30084052
Bus Lic Expire:04/30/2025
Workers' Compensation
Insurance
Carrier :
CLEAR SPRING PROPERTY
Policy No:
CWC01471801
W. C. Expire:
1/4/2025
Manufacturer: BOSCH
Model#: BRCA-36HWD1N1-MI5
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 applicableitem(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
: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
�rofesslons Code) or that he or she is exempt from hcensure 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
mt more than five hundred dollars ($500).
11. as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved for the purpose of sale).
I. as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
a 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).
IrI am exempt from licensure under the Contractors' State License Law for the following reason. _�..-___.__.-.�........_ .,r—,..._.,... .......... ....._,.�.—...____ — ._.._--._. _ — .__
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, 1 cannel legall)
sell 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
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:// w leginfo.ca.govycaiaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjyLy(y th t I am licensed under provisions of Chapter 9 iTmencing with Section 7000) of Division 3 of the Business and Profession�Co ,�.(hd my license is in full farce
and effect. License Class G 2O License No !0? WSJ b Date dtJ -2?- tOZ'/ Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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 1$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
El 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
�perfprmance of the work for which this permit is issued. Policy No.
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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' compensatioi
insurance carrier and policy number are:
Policy Number `----- '---
Date
fame of Agent - '""`11
71 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
hat, if I should become subject to the workers' comp sation provision of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
gnalure of Applicant Date
)ECLARATION REGARDING CONSTRUCTION LE DING AGENCY
hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.enders Name Lender's Address
ly my signature below, I certify to each of the following
1 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 ent r " eve -identified property for inspection purposes.
31nature of Pro art Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name JfC CT4 pAkoll'� _Date dY'%zz'ru
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
PERMITCANC&.LEU
PERMIT EkTENliFO
PERMIT FINAL
CERTIRCATE Of
OCCUPANCY ISSUED
I SUBMITTED
TO
P'-^{�BESTOS NOTIFICATION IS NOI CABLE TO
I PROPOSED DEMOLITION ` `��� "~ '• - "
fff. SIGNATURE: APPLICABLE