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HomeMy WebLinkAboutH2023-0553 - PermitsJ ��WPo r City of Newport Beach C Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 e.. newportbeachca.gov/civic c"9CrFORN�P LZ ri Mechanical Permit : H2O23-0553 Plan Check No : PC2022-2933 Work Class : Other Issued Date : 08125/2023 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 : 124 APOLENA AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 6 LOT 18 Description: MECH INSTALL 2 A/C UNITS IN 3RD FLOOR MECH WELL. **TAMPER RESISTANT CAPS REQUIRED** (XR2022-3062) Owner: ARDR REALTY LLC Contractor : SOLSTICE HEATING & A/C Address: 318 AMETHYST AVE NEWPORT BEACH, CA 92662 Address : 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone : (949) 433-1424 Phone : (949) 573-3607 Con State Lie : 938888 Applicant: SOLSTICE HEATING & A/C Address: 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone : (949) 573-3607 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone: AO 1; X Use Zone: R-BI - Two -Unit Residential, Balboa Island Lie Expire : 10/31/2023 Bus Lie: BT30041721 Bus Lie Expire:02128/2024 Workers' Compensation Insurance Carrier : EMPLOYERS PREFERRED INSURANCE COMPANY Policy No : EIG520830800 W. C. Expire : 3/19/2024 Manufacturer: AC PRO Model# : AULD36W2/A-D(U) NO CONSTRUCTlOi NOISE PROCESSED BY: ON THE yyEEKENG SPECIAL CONDITIONS: H GH DENSITY ZONE �V l VV OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(%) indicated below by the checkmark(s) I have placed next to the applicable itern(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 file applicant for Per 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). 11, as owner of the property, of my employees with wages as their sole compensation, will do (J all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, trainees 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). I, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not poly 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 I am exempt from licensure under the Contractors' Slate 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 the improvements covered by this pormit, I cannel legall ell 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 law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hdp:/iwww.leginfo.ca.gov/calaw.html., dgnature 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 700W of Dyviston 3 of the Business and Proles ions Cod . • d my license is in full force rid effect. License Class License No Date 2 S1 Z3 Contractor Signature VORKERS' COMPENSATION DECLARATION IV ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100.000), IN ADDrr10N TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ARE ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing 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 the arfortnance 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 Date area of Agent enone a 11 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 tat. if (should became $U ject to lh workers' compensation previsions of Section 3700 of the Labor Coda, I shall forthwith comply with OtasD provisions. ignature of Appkcanl,_, Date 'ECLARATION REGARDIN CONS'f TION 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). enders Name __ ___ Lender'a Address y my signature below, I cerflfy taaach of the following: I am the property owner or authorized to act on the property owner's behalf. I have read d bpolication-anri the information I have provided is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize repr .5volatives of this city or county It the"Ic ve-identified property for inspection purposes. ,1 1nnAII iIU of Prune rtv ow-, Fir a Authorized Arent Print Property Owner's or Authorized Agent's Name �r'A'IN fit° I6�6P,r;, Dale /2. ACTION PERMIT EXPIRED PERA47EXTENDED PERMITFINAL CERTIFICATEOF OCCUPANCY155UED DK E - • [' BY i DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY [ i RFGOI.ATIONS PART 61 OF TITLE 40 AN( AOMD RULE SUBMITTED ASBESTOS jl_2 F4 j L.,IASBEST03NOTIPICAT'IONI5NOTAPPLICA13LE To I PROPOSED DEMOLITION