HomeMy WebLinkAboutH2023-0729 - PermitsQ �EWPORT City of Newport Beach -
p d Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
! i Permit Counter Phone: (949) 718-1888
.M newportbeachca.gov/civic
CqC/F00.N�P
III I I II I II II II II I I Mechanical Permit : H2023-0%29
Plan Work Class k 526-2021
Other
Issued Date: 11/15/2023
Inspection Area : 2
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 : 522 VIA LIDO NORD Legal Desc : N TR 907 BILK LOT 502
Description: MECH INSTL ROOF MOUNTED HEAT PUMP, TAMPER RESISTANT CAP REQ
Owner: INTER -PRO PROPERTY CORPORATION
Address : 3699 MILLWOODS RD NW EDMONTON, T6K3L-6
Phone: (780)918-0015
Applicant: MAYO MECHANICAL INC
Address: 33392 CORAL REACH STREET DANA POINT, CA 92629
Phone: (949)494-5036
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 10, Front: 4, Side: 3, Side: 3
Flood Zone : AE, 8 FT; X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Fire Hazard Zone
Contractor : MAYO MECHANICAL INC
Address: 33392 CORAL REACH STREET DANA POINT, CA 92629
Phone: (949)494-5036
Con State Lic : 472592
Lic Expire: 04/30/2025
Bus Lic: BT30019941
Bus Lic Expire:07/31/2024
Workers' Compensation Insurance
Carrier : TRANSVERSE INSURANCE COMPANY
Policy No : FORWC0000002231
W. C. Expire : 1/1/2024
NO Manufacturer: AC PRO
Model# : AUD36AH2/A1-D(U)
TIMERS PROHIBITED
ON HEAT PUMPS
tV'IE,W AND AI'rIWVAL
I hereby affirm under penalty of perjurythat 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)
ction 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
permit to file a signed statement thathe 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
fessions Code) or that he or she is exempt from licensureand 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
more than five hundred dollars ($500)..
I, as owner of the property, or my employees with wages as their sale compensation, wlll do (_) all of or U portions of the work., and the structure is notintended or offered for sale (Section 7044,
;'vness 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
Irovements are not intended or offered for sale. I r, 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
,roved for the purpose of sale).
I, 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
Ily to an owner of property %he 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 Iicensure under the Contractors' State License Law for the following reason: _
y 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 tl
all a structure that I have built as an owner -builder If ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the
'rofessions Code, is available upon request when this application is submitted or at the following Web sita:http://w .leginfo.ca.gov/ca(aw.html.
ignalure of Property Owner or Authorized Agent
ICENSED CONTRACTOR'S DECLARATION \
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Sect, n 7 00) of Qivls'on 3 of the Business
no effect. License Class License No Da i t 1 •t r1 I%7. Contractor
VORKERS' COMPENSATION DECLARATION J N
'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
rents covered bytnis permit I.Cannot
law, Section 7044 of the Business and
Date
is in full force
THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for
rmance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
to of Agent _
certify that in the
If I should decor
lature of An
Policy Number
Date
of the work for which this permit Is issued; i shall not employ any person in any manner so as to become subject to the wcrkprs' compensation laws of California, and
he workela'`compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \
hereby affa.T, bKdar penally of perjury that there is a construction lending agency for the performance of the, work for which this permit is issued'. (Section
Pader's Name _ Lender's Address _
Iv ,ny signature below, I certify to each of the following:
I am th= oropelty owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct..
I agree lu ,:ornnly wits) all app able city and county ordinances and state laws relating to building construction. '
i autho,ize rapresentative f this city or county to e r the eve%).dentiged property for inspection purposes. l\ )
VianeWra of P+ooertv Owne r uthonzed Anent N�f Print Property owner's or Authorizz>_e8 r�geni's Name)
AC1 SON / DAT@ BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
_ 1403
PE$Mt7FXP::7«D —[— I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED 1 LIAQMD
PERMITFINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTfftCATF OF I (V �i .PROPOSED DEMOLITION
OCCUPANCYISSU€D SIGNATURE;
Code).
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