The URL can be used to link to this page

Home My WebLink AboutH2024-0047 - PermitsaEvuao� City of Newport Beach p`� @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 _- Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic CqG/FORN�P III I I I II I II II II II I II II Mechanical Permit : H2O24-004% Plan Check No: PC2022-3175 Work Class : Other Issued Date : 01/29/2024 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 : 208 COLLINS AVE Legal Desc : A TR BALBOA ISLAND SEC 2 ELK 11 LOT 14 Description: MECH - (N) INSTL AC CONDENSERS (2). TAMPER RESISTANT CAP REQUIRED Owner: ARDR REALTY LLC Address : 318 AMETHYST AVE NEWPORT BEACH, CA 92662 Phone: (949) 433-1424 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: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 9/?7 SPECIAL CONDITIONS: Contractor : SOLSTICE HEATING & A/C Address : 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone: (949)573-3607 Con State Lic : 938888 Lic Expire: 10/31/2025 Bus Lic: BT30041721 Bus Lic 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) 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 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 the 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 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 more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_„) all of or (_) portions of the work., and the structure is notintended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑. I am exempt from licensure under the Contractors' State License Law for the following reason• _..____.. By my signature below i aeknowiedge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall Sall a structure that I have built as an owner-buiidar if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ce,gov/colaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70D0) of Div' ion 3 of the Business and PFOfeS$IO s Code nd my licenses in full force and effect. License Class License No Date t`♦ Contractor Signature WORKERS' COMPENSATION DECLARATION WARRING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ 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 the performance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, asrequlred by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: 1e of Agent certify that, in the performance If I should become s bjecl to Wore of AuDlicant Policy Number Date of AIG 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 agree hB--orkers Gompensdtion provisions of SeCtioo 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale/79 %7 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 Lenders Address iy my signature below. I certify to each of the following: I am the property. owner or authorized to act on the property owner's behalf. I have road 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 budding construction. I authorize representatives or this city or county t ante the a -identified property for Inspection purposes, iionature of Property Owner or Authorized Agent ov/ Print Property Owner's or Authorized Agent's Name -su'7'4 L, G42 IL DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403 I EXPIRED I I L:I SLIBM:TTL.D ASKSTOS PERMITEXTENDED ... I_LAQrYI D PERMITFINAL ❑ASBESTOS NOIIFICATH]N IS NOT APPLICABLE TO CERTIFICATE Or PROPOSED DEMOLITION OCCUPANCY ISSUED SIG,tATLEE.