HomeMy WebLinkAboutH2023-0565 - PermitsCity of Newport Beach
o - Community Development Department- Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 08/3012023
Inspection Area : 2
H2O23-0565
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 COLLINS AVE Legal Desc : A TR BALBOA ISLAND SEC 2 BLK 1 LOT 18
Description : MECH - INSTALL HEAT PUMP'TAMPER-RESISTANT CAP REQ'D. 1 AIR HANDLER
Owner: CHARLES DURNIAN
Address : 2 COLLINS IS #&124 NEWPORT BEACH, CA 92662
Phone: (310)835-9058
Applicant: OPPOSITE WEATHER HTG & A/C
Address : 14609 BENFIELD AVE NORWALK, CA 90650
Phone: (562)868-0736
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Owner/Builder :
Address
Phone :
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups:
Building Setbacks: Front: 5., Side: 3, Side: 3, Rear: 5
Flood Zone : X; AO 1
Use Zone: R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor :
OPPOSITE WEATHER HTG & A/C
Address :
14609 BENFIELD AVE NORWALK, CA 90650
Phone:
(562)868-0736
Con State Lic :
840683
Lic Expire : 06/30/2024
Bus Lic: BT30082492
Bus Lic Expire:08/31/2024
Workers' Compensation Insurance
Carrier: CLEAR SPRING PROPERTY & CASUALTY CO
Policy No: CWC01895800
W. C. Expire: 4/12/2024
Manufacturer: AC PRO
Model# : AUD36W/A -
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OWNER -BUILDER DECLARATION
I hereby affimr 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 applicable Barris)
(Section 7031.5. Business and Professions Code: Any city or county that requires a permlt to construct, alter, Improve, demolish, or repair any structure, Odor to its issuance, also requires the applicant for
the permit to file a signed statement thathe 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 ponalty of
not more than five hundred dollars ($500).
[11. as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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
improved 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
ra�rply to an owner of property who bullds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law).
LJ I am exempt from licensure 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 legally
sell a structure that. I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a 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:htip:llwww.leginio.ca.gov/calaw,html,
Signature of Property Owner or Authorized AgentDale
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000�-0 wis n 3 of the Business and Pro ssior Gode, and my lie pse-isyn full force
and effect License Class License No D ft S%b Contractor Signatur
WORKERS' COMPENSATION DECLARATION C / /' '
WARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SRALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANb OLLARS I$I00,000), IN ADDITION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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
grmance 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'
carder and policy number are:
Policy Number
of Agent
Date
DI 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
that, it I should become subject to the workers compensation provi in effort 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
DECLARATION REGAT _ - - NCYw�� �o W
I 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).
Lenders Name _ �__ Lender's Address _
By 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 read this application and the Information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relatln ufiding construction.
I authorize representatives of this city or county to an above-idenlifi perty for inspection vurpr+ses, _ f
Si nature of Pro ort Ownar or Authorized A ant Print PropertyOwrlars or Authorized Agent's Nam ,b 7 �`� Date
ACTION DATE BY U i ECLARATION 0 PLIANCE WIT'R cnDE OF FEDERAL I FOR OF°I& llSE ONLY
REGULATIONS PART 61 OF TITLE 40 AND ACiNiD RULE
1403
PERMrr EXPIRED I SUBfAITTFDASBFSTOS NOTIFICATION TP
PERMIT CANCEL!! ED OEPA -
PERMITEXTENDED -0AQMID —_----_ —
PERMITF/NAL DIL.r`^ ASBESTOS NDTIFICArION 15 NOT APPLICABLE 70
CERTIFICAfir -oF IZol�sb it— PROPOSED DEMOLITION
OCCUPANCY ISSUED 1 SIGNATURE: