The URL can be used to link to this page

Home My WebLink AboutH2023-0635 - Permitso��gwPoRr City of Newport Beach III I II III II IIIIII I!� CommunityDevelopment Department - BuildingDivision F, 100 Civic Center Drive, Newport Beach, CA 92660 u 2 Permit Counter Phone: (949) 718-1888 w newportbeachca.gov/civic C9<IFDRN`P Mechanical Permit ?hn C'1e k N� Work Class : Other Issued Date : 09/29/2023 Jnspe-.tion Area : t , . H2O23-0635 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 : 1712 OCEAN FRONT E Legal Desc : N TR 518 BLK C LOT 3 Description: MECH -NEW HEAT PUMP (3) TAMPER RESISTANT CAP REQUIRED Owner: THOMASVANDORPE Address : 10915 OSTERMAN AVE TUSTIN, CA 92782 Phone: Contractor : OASIS AIR CONDITIONING Address : 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA 92675 Phone: (949)420-1321 Con State Lic : 767272 Applicant: BRIAN BALDRIDGE Lic Expire : 08/31/2025 usLic: 13197027460 Phone: (949) 542-4274 Bus Lic Expire:11/30/2023 Workers' Compensation Insurance Owner/Builder : Carrier: INSURANCE COMPANY OF THE WEST Address : Policy No : WSD504539303 Phone: W. C. Expire: 12/31/2023 Code Edition: 2022 Type of Construction Occupancy Groups: Fire Hazard Zone : NO Building a ac s : ron : 10, Side: 3, Side: 3, Rear: Flood Zone : X IAZ S Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: VAC Gf(�N � L�4-L Manufacturer : MITSUBISHI Model# : MXZ-SM60NAM (2) / PKA-Al2NKA7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exemp, from 41e Contractors Sale I icanse Law for the reasons) Indicated below by the checkmark(s) I have placed next to the applicable itern(s) Section 7031.6, Business and Professions Code: Any ally ,�r Coil, Ity, thd( raquire� a permit to construct, alter, improve; 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 liconsid oufsupnt .o Me'provis:ons 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 for a permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wrens aF. their sots compensation, will do (_) all of or ( ) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law hoes not apply to On c,wner 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, Lowever, the bu;:cing or improvil cent is ,:old within one year of completion, the Owner -Builder will have the burden of proving that it was not bull 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 apply 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). 1 am exempt from licensure under the Contractors' Stale License Law for the following reason ly 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 ell a structure that I have built as an owner -builder If 11 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:tlw .leginfo.ca,govlcalaw.html, iignalum of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) �yDt vis(y� 3 0( the Business and P essl s Co d-my licen is in full force Ind effect, License Class License No 1 Z 'S (I iT ifiTthi7fltf� PORKERS' 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 ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, "a ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I 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 IN lorformance 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: TO of Agent certify that. in the performance of the work if I should beco su iect-i—o fhk work' Policy Number Date 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 agree ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ECL.ARATION 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 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 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 this city or coin n r the above -identified property for inspection purposes. (� se c,Ahra nr Pmhmdv ��ma..nr A. rthod,ed:Ar,ent ..Print Prooartv.Owners or Authorized Aoenl's Name ACTION DATE BY i DECLARATION Or COMPLIANCE WITH CODE OF FEDERAL 1 REGULATIONS PART 610E TITLE 40 AND AOMD RLILF 1403 PfRMIF EXPIRED I SIIBMITTFO ASBESTOS NOTIFICATION TO PERMIT CANCEUED -- EPA PEWA CXTENDED ❑Ar1MD PERMIT FINAL ❑ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF /19/Z - PROPOSED DEMOLITION OCCUPANCY ISSUED //// �,JL IGNATURE; Civil Code).