HomeMy WebLinkAboutH2024-0184 - Permits (2)City of Newport Beach
o Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
G a Permit Counter Phone: (949) 718-1888
a.newportbeachca.gov/civic
C'aC/F00.N`P
Mechanical Permit : H2O24-0184
Plan Check No:
Work Class : Other
Issued Date : 0410212024
Inspection Area : 5
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: 2601 WAY LN Legal Desc : A TR CORONA DEL MAR BILK 32 LOT 7 CORONA DEL MAR LO
Description: MECH R/R HEAT PUMP AT SIDE. **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED"
Owner: GOLD PHILIP JOHN TR
Address : 2601 WAY UN CORONA DEL MAR, CA 92625
Phone: (310)850-7873
Applicant: ALICIA A/C & HEATING INC
Address: 26824 VISTA TERRACE LAKE FOREST, CA 92630
Phone: (949)770-2495
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks: Front: 20, Side: 3, Side: 3, Rear: 10
Flood Zone: X
Use Zone: R�-11 - Single -Unit Residential
PROCESSED BY: W
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Fire Hazard Zone : NO
Contractor : ALICIA A/C & HEATING INC
Address:
26824 VISTA TERRACE LAKE FOREST, CA 92630
Phone:
(949)770-2495
Con State Lic
: 525314
Lic Expire:
02/28/2026
Bus Lic:
BT20102054
Bus Lic Expire:09/30/2024
Workers' Compensation Insurance
Carrier :
A I U INSURANCE COMPANY
Policy No:
WC034279306
W. C. Expire:
7/1/2024
`RIMERS P I IfED
ON HEAT PUMPS
Manufacturer: CARRIER
Model# : 38MURAQ60AB3
NO CONSTRUCTION NOISE
ON SrpjU DAYS
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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)
iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
io 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 fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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 contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply 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).
7 I am exempt from licensors 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 permit, I cannot legall'
ell a structure that 1 have built as an owner -builder if it has not been 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:http:tAw .leginfo.ca.govlcalaw.html.
signature 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 7000) of 91vi ion 3 of the Business and Professions Cite, �� license Is in full force
nd effect. License Class License No Date Y(/ Z L L Contractor Signature
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS r$100,0001, IN ADDITION TO T
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
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
erformance 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:
ne of Agent
certify that, in the performance
, if 1 should become subject to)
of
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 provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Date_ ,��2 S"
IECLARATION REGARDING CONSTRUCTION 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's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have rend this applicaton and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to ent!Ptjhe a4gve-identified property for inspection purposes.
t ION
PERMITEXPIRFD
PE1,Y11TCAk-E ED
PFR IT£XTENCED
PERMITFINAL -
CERTIFICATE CT
OCWPANCv KSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
TO
QG Zyt1 rJ LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
J CJf� PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
C�
Date