HomeMy WebLinkAboutH2024-0079 - Permitsa��WPoR' City of Newport Beach
d Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
C9CiF00.N�P
Mechanical Permit : H2O24-oo79
Plan Check No: 2412-2021
Work Class: Other
Issued Date : 02/1412024
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: 1813 E BALBOA BLVD Legal Desc : N TR 518 BILK LOT 19 TR 518 LOT 19 BLK L(AND E112 - _ Description: MECH R/R (2) ROOF MOUNTED A/C UNTS WITH (2) HEAT PUMPS, INSTL (2) AIR HANDLING UNITS, TAMPER RESISTANT CAPS REQ
Owner: MARK OSTOICH
Address : 660 PALISADES DR PALM SPRINGS, CA 92262
Phone: (951)288-5828
Applicant: ASARO BUILDERS INC
Address : 42220 GREEN WAY #H PALM DESERT, CA 92211
Phone : (760) 776-0043
Owner/Builder :
Address
Phone:
Code Edition : 2022 Fire Hazard Zone
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 9, Side: 4, Side: 4, Rear: 0
Flood Zone : X
Use Zone: OR-11 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor'. ASARO BUILDERS INC
Address : 42220 GREEN WAY #H PALM DESERT, CA 92211
Phone:
(760)776-0043
Con State Lie
: 588920
Lie Expire:
05/31/2025
Bus Lie :
BT30080028
Bus Lie Expire:11/30/2024
Workers' Compensation
Insurance
Carrier :
STATE COMPENSATION INSURANCE FUND
Policy No :
3000164
W. C. Expire:
2/1/2025
NO Manufacturer : MITSUBISHI
Model# : SUZ-KA36NAH2
30" W DE X 36" DEP?H
REQUIRED FOR
A/C DISCONNECTS
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate 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
,ho permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chaplar 0 (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 morethan flve hundred dollars ($500).
❑ 1, 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' Stale License Law does not apply to an owner of property who, through employees or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for safe. 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).
D 1, 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
arp� 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),
u I am exempt from licensors under the Contractors' Shale License Law for the following reason.
By my Sig natoTo 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 legal
sell a structure the[ I have built as an owner -builder if it has not been constructed in its enbroty by licensed contractors. I understand that a copy of Ilia 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:hdp:pwww.leginfo.ca..gov/calaw.html.
Signature of Property Owner or Authorized Agent Onto
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 7000) of Divisien 3 of the Business a rofessioJ�s Code, and m license is in full force
and effect. License Class License No D e -t ZOi�f Contractor Sign re /—� S
WORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMIEN.ALTIES AND CIVIL FINES UP TO ONE HUN NAL ED THOUSAND DOLLARS (5100,000), IN ADDITION TO TH
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY$ FEE&
hereby affirm under penalty of perjury one of the following declarations_
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 11
eirformance of ita work 'of which this permit is issued. Policy No.
Ad 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'
carrier and poFcy number are:
Policy Number
Date
a of Agent _ _ ♦'none Is
Graf/ that. in the performance of the work for which this permit Is issued. I shell not employ any person in any manner so as to become subject to the
it I shoo bennr'wsubje t to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
a'rre o(Ap and
�- '• aS� O
CI-ARATION RL�GABIDING CONSTRUCTION LENDING AGENCY -
I,eby .affirm unie pevalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
tdefs Name _ Lender's Address
my ssgnature below, I certify to each of thefollowing:
I am the propert. owner or authorized to act on the property owner's behalf.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable ov and .aunty Ordinances and state laws relating to building construction.
I authorize representatives of this city o unty to nter the abov09nfifiedproperty for inspection purposes.
ii nature of Pro a Owner or Authorize enl L—iI Print Property Owner's or Autlionz
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AC1MD RULE
PERMITEXPIRED
NOTIFICATION TO
PERMIT EXTENDEO L,IACLMD
PERMITFINAL r. ASBEST05 NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF T ? ' ROPOSED DEMOLITION
OCCUPANCY ISSUED IV Zai
I SIGNATURE.
compensation laws of California, and agre
Code).