HomeMy WebLinkAboutH2023-0671 - Permits (3)�EWPp City of Newport Beach III II I II I III II IIII III I II
Rr Mechanical Permit
o� :) ' @ro Community Development Depadment- Budding Division
e ,, Y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
N� - ? Permit Counter Phone: (949) 718-1888 Work Class : Other
e.. newportbeachca.gov/civic
CgG�FORN`P Issued Date : 10/18/2023
Inspection Area : 4
H2O23-0671
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 ANDHOLIDAYSIN ALL AREAS
Job Address: 1941 PORT CHELSEA PL Legal Desc : N TR 6565 BLK LOT 17
Description: MECH REPLACE (2) A/C UNITS @ THE REAR YARD, *TAMPER RESISTANT CAPS REO* ' a�
Owner: PORT CHELSEA LLC
Address: 2350 PRAIRIE RD EUGENE, OR 97402
Phone :
Applicant:
MCMASTER HEATING & AC INC
Address:
2 MCLAREN #C IRVINE, CA 92618
Phone:
(949)481-7995
Owner/Builder
:
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
av enter' fee
"Contractor : MCMASTER HEATING & AC INC
Address : 2 MCLAREN #C IRVINE, CA 92618
Phone: (949) 481-7995
Con State Lie : 726607
Lie Expire: 12/31/2023
Bus Lie: BT30041972
Bus Lie Expire:01131/2024
Workers' Compensation Insurance
Carrier: HARTFORD CASUALTY INS CO
Policy No: 72WECZU8138
W. C. Expire: 2/2/2024
Fire Hazard Zone : NO Manufacturer: CARRIER
Model# : 24TPA7
TIMER REQUIRED ON EQUIPMENT
TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M.
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for [he 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
is permit to (Ile 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
'rofessions Code) or that he or she is exempt from ficensure 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 1, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Wetness 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
amovemenls 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).
1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors` State License Law does not
ly 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).
J I am exempt from ficensure under the Contractors' Slate License Law for the following reason:
ly my signaturo 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 legalil
all a structure that I have built as an owner-buiider 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:!lwww.loginfo.ca..govlcalaw.html.
'iignahrm of Property Owner or Authorized Agent Onto
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secf o 000) C ion 3 of the Busing s and Professions Code, and my license is in full force
nd effect. License Class License No to Cc ct r Sign@
VORKER& COMPENSATION DECLARATION
,ARNING; FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO RINI AL PENALTIES AND CIVIL. EWES UP T HUNDRED THOUSAND DOLLARS t$100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, ANDATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a cedifcate 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 On
griotLllance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3100 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
Dale
1e of Agent Phone if
certify that. in the perfor ante 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
R I should $ atom ubjecl Igthe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignalure of Appli t
cECLARATION e ' DING CONSTRUCTION L DING AGENtl
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
ender's Name _ _ Lenders Address
y 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 relating to building construction.
I authorize representatives of jty'Is cityer county tgente,I the above -identified proms Inspection purposes,
compensation laws of California, and
, civil code).
im
ACTION DAY BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY V \ �L
REGr11. ATIONS PART 61 OF TITLE 40 AND ACLMD RULE /\
1403
PERMIT EXpwD I SUBMITTFD ASBESTOS NOTI FICATION TO
PERMIT EM€NOEO
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PERMIT FINAL
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DL-FoI^ ASBESTOSNOTIFICATIONISNO1"APPLICABLE 10
CERTIFICATFOr
PROPOSED DEMOLITION
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OCCUPANCY ISSUED
SIGNATURE: