HomeMy WebLinkAboutH2024-0389 - Permits�Ev voR City of Newport Beach
4 p Community Development Department- Building Division a
100 Civic Center Drive, Newport Beach, CA 92660
_. Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit: H2O24-0389
Plan Check No : PC2023-2835
Work Class : Other
Permit Status: Issued
Issued Date : 07/0112024
Inspection Area : 6
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
: 35 OVERLOOK DR Legal Desc
: N TR 15400 BILK LOT 49 TR NO 15400 LOT 49 AND POR O
Description:
MECH INSTALL (3) A/C CONDENSERS. 'TAMPER -RESISTANT
CAP REQUIRED*
Owner:
PATRICK BOLTER
Contractor :
AIRSMITHS INC
Address:
35 OVERLOOK DR NEWPORT BEACH, CA 92657
Address :
1474-A POMONA ROAD CORONA, CA 92882
Phone :
(949) 246-1117
Phone :
(951) 735-5225
Con State Lic
: 783449
Applicant: AIRSMITHS INC
Address: 1474-A POMONA ROAD CORONA, CA 92882
Phone: (951) 735-5225
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
PC - Newport Coast
SPECIAL CONDITIONS:
M
Lic Expire : 08/31/2024
Bus Lic: BT95002015
Bus Lic Expire: 10/3112025
Workers' Compensation Insurance
Carrier : INSURANCE CO OF THE WEST
Policy No: WSA506136801
W. C. Expire: 7/1/2024
Fire Hazard Zone : YES Manufacturer: AC PRO
Model# : ACAT24F/ACAT26F/ACAT60H
1A
d
IMERS PROHIBITED
ON HEAT RUMPS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors Stdie Uce ise Law for the rm_ason(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 reqi , ire3 a Fermis to construct. alter,-mprove, demolish, or repair any structure, prior to its issuance, also requires the applicant for
to permit to file a signed statement that he or she is licensed pursuant to therpmvisior.s of the Contractors' :S,ate 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 :ha alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole Compensation, will CD (I all of or IL) potions of the work, and the structure is not intended or offered for sale (Section 70",
usiness and Professions Code: The Contractors' State License Law does not epp:y tu an owner cl p, ofearty who, thraugh employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building o, improvement is sold whin 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).
11. 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).
I am exempt from licensure under the Contractors' State 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 legalll
ell a structure that I have built as an owner -builder i1 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
professions Code, is available upon request when this application is submitted or at the following Web she:http://www.leginfo.ca.gov/Galaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby at<nn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of Divisio 3 o the Business and Professio C . an y lice, �PfCrCe
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
DARNING: 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 t5100,0001, IN ADDITION TO THE
DST 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:
1 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 th
er*-rn`fpnce 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:
Policy Number
ne of Agent
certify that, in the performance of the work for which this
. if I should become subject to,ttp' kern' cooRensalio
of Applicant
Date
issued, I shall not employ any person in any manner so as to become subject to the workerscompensation laws of California, and agrE
ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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)
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 stale laws relating to building construction.
I authorize representatives of this city or county to enter tJFBbove-identifietyproperty for inspection purposes. r v
signature of Property Owner or Authorized Age
ACTION 1 DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
OF COTdPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
ASBESTOS NOTIFICATION TO
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Name
PERMIT FEE DETAILS FOF PERMIT H2O24-0389
Fee Name Fee Amount Fee Paid Amcsnt
Transaction Date Payment Method
Building
Trans. Paid Amount Paid By
Boilers and Compressors 0-3 HP Fee
$46.00
$0.00
Boilers and Compressors 4-15 HP Fee
$42.00
$0.00
Building Plan Check Fee
$76.56
$0.00
Hourly Plan Check Fee - Planning
$55.50
$0.00
Issuance Fee - Mechanical
$41.00
$0.00
GRAND TOTAL: $261.06
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