HomeMy WebLinkAboutH2022-0648 - Permits.� E`wPC", City of Newport Beach
O� 1 Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
i Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
CgGIFn RN�P newportbeachca.gov/inspections
71
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Mechanical Permit : H2O22-0648
Plan Check No : 1782-2021
Work Class: Other
Issued Date: 11/15/2022
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 : 1900 SEADRIFT DR Legal Desc : N TR 2813 BLK LOT 8
Description: MECH: INSTALL (2) HEAT PUMPS @ REAR (X2021-2056) ***TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED***
Owner: TNG SZ LLC
Address : 11720 EL CAMINO REAL STE250 SAN DIEGO, CA 92130
Phone :
Applicant:
RC A/C & HEATING
Address:
169 N MAPLE ST STE D CORONA, CA 92880
Phone:
(951)735-8046
Owner/Builder
Address
Phone :
Code Edition :
2019
Type of Construction
Occupancy Groups:
Building Setbacks:
Front: 10, Side:4, Side: 4, Rear: 10
Flood Zone:
X
Use Zone:
R-1 -- Single -Unit Residential
PROCESSED BY:
Fire Hazard Zone : NO
Contractor : RC A/C & HEATING
Address :
169 N MAPLE ST STE D CORONA, CA 92880
Phone:
(951) 735-8046
Con State Lie :
657924
Lie Expire :
06/30/2023
Bus Lie:
BT30066849
Bus Lie Expire:04/30/2023
Workers' Compensation Insurance
Carrier :
STATE COMPENSATION INSURANCE FUND
Policy No:
1354374
W. C. Expire;
7/1/2023
Manufacturer: AC PRO
Model# : AUD60W/A-D(U)
SPECIAL CONDITIONS:
TIMERS PROHIBITED
ON HEAT PUMPS
y,0l8
\��D2
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 pormil to construct, Hirer, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to NO a signed statement that he or she is licensed pursuant to the provisions of the Contractors* Slate 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 U 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
i�m 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' Stale License Law does not
ia�ptply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
u I am exempt from licensers under the Contractors' Stale 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 legail,
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submittedor at the following Web site:http:tiw .leginfo.ca.govlcalaw.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 70 of 'visiiQn $ of the Business and Prate ode, a n full force
and effect. License Class License No Date �'G Z- Contractor Signature -- p
COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE M UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000L IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
hav wig maintain n 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
plinlance 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 workfor which this permit is issued. My Workers' compensa
ranee carrier and policy number are:
is of Agent
certify that, in the p,
if I should become
lalure or Al?cll;ant '
Policy Number
Date
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
work s' c pensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
Dale__-,. �/ ���' 2 1—,
hereby affirra 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).
enters Name Lender's Address
ly my signature below, I certify to each of the following:
I am the propedv owner or authorized In act on the property Owner's behalf,
I have rcHd 1.6 dpplicafimn and the information I have provided is correct.
I agree to comply with all applicable city and county ord' c s and st laws relating to building construction.
I authartre rapre-entatives of this city or county to eL�above-i ifi ropedy for inspection purposes.
or Authorized Agent 4 Ynp[ Yf0 art vYmef 5 Of Hllmorizea H
DATE ! BY DECOATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i I REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMT EXPIRE[, IN2.s2-11 DL-4-1 E3 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT FINAL I U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF 1 PROPOSED DEMOLITION
OCCUPANCY ISSUFO SIGNATURE: