HomeMy WebLinkAboutH2023-0272 - PermitsFwPo�T: City of Newport Beach
d Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
�,� Inspection Requests Phone: (949) 644-3255
'gi.'�1�oaN`P newportbeachca.gov/inspections
IIMechanical Permit : H2023-0272
Plan Check No : 2598-2019
Work Class : Other
Issued Date : 04/26/2023
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 : 106 ABALONE AVE Legal Desc : A TR BALBOA ISLAND SEC 5 BLK 2 LOT 26
Description: SFR -INSTALL (2) A/C UNITS *PROVIDE TAMPER -PROOF CAP AS REQ'D
Owner:
KEVIN BROGAN
Address :
1778 OAK GROVE AVE SAN MARINO, CA 91108
Phone:
Applicant:
SKY HEATING & COOLING INC
Address :
769 N GLASSELL ST ORANGE, CA 92867
Phone :
(714) 883-0623
Owner/Builder
:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups :
Fire Hazard Zone : NO
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY:
SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE
Contractor : SKY HEATING & COOLING INC
Address :
769 N GLASSELL ST ORANGE, CA 92867
Phone :
(714) 883-0623
Con State Lic
: 1045281
Lic Expire:
12/31/2023
Bus Lic:
BT30065983
Bus Lic Expire:02/28/2024 - • -
Workers' Compensation
Insurance
Carrier :
NORGUARD INSURANCE COMPANY
Policy No:
SKWC473964
W. C. Expire:
2/1/2024
Manufacturer: AMERICAN STANDARD -
Model# : 4A76049J1000A
NO CONSTRUCTION NOISE
ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicablettem(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
the permit torts a signed statement that he or she is licensod pursuant to the provisions of the Contractors' State License Law (Chapter 9 (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 fora.. permit subjects the applicant to a civil penalty of
not morethanfive hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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' 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
improvements 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
Im 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
a ply 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 am exempt from licensors under the Contractors' Slate License Law for the following reason:_..___...,_..—..
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, I cannot Iegalll
sell a structure that I have built as an owner -builder if It has not been constructed in itsentirety by licensed contractors. I understand that 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:/Iwww.leginfo.ca..govicalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of D' 's' n 3 of the Business and Professle >e is in full force
and effect. License Class License No Date Contractor Sigesture ✓
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED H SAND DOLLARS ($100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
Ihereby affirm under penalty of perjury one of the following declarations:
D I have and will ,Y,a.r. ain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided far by Section 3700 of the Labor Code, for th,
performance of the ^ror't for which this permit is issued. Policy No.
have end will mamiain 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 pals/ number are:
rle._ _
as of Agent
can't,, that. in the performance of the
If I should boromo aubjept to lbp-=
Policy Number
Date
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
compensation previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ry'�
ligndiw b of Applicant / Vv Date" /�� �
IEC:..l'1A7ION REGAR G CONSTRUCTION LENDING AGENCY
hereby mf irm under pZ54y 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).
ender'.s Name Lenders Address
ly my signature IIJow, I certify to each of the following:
I am the propE,ly awoer 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 or Dances a state laws relating to building construction.
I authorize representatives of this city or county tee y6o�e }Alatffled property for inspection purposes.
ACTION DATE RV 6 pECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ] FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE. 40 AND AOMD RULE
PEtf.MITENPIRfD I I I LII SUHMITTF.O ASBESTOS NOTIFICATION TO
PERMIT EXTENDED OMU
PERMIT FINAL LkAsBESTOS NOTIFICATION IS NO 'MLPPLICABLE TO
CERTIFICATE OF 11—I-1� piL.-1PROPOSED DEMO19
OCCUPANCY ISSUED SIGNATURE: ��' U/`