HomeMy WebLinkAboutH2025-0113 - Permits�2EWPoRr City of Newport Beach
o A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
IFOH
Mechanical Permit
Plan Check No :
Work Class : Alteration
Permit Status: Issued
Issued Date : 02/11/2025
Inspection Area : 9
H2O25-0113
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: 25 VIA AMANTI Legal Desc : N TR 16266 BLK LOT E
Description: MECH -REPLACE SIDE YARD MOUNTED A/C UNIT, TAMPER RESISTANT CAP REO, REPLACE FURNACE
Owner:
JIM CHEUNG
Contractor : TRITON AIR INC
Address :
258 1ST ST BENICIA, CA 94510
Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, GA R2573
Phone:
(707)816-7697
Phone: (949)492-0290
Con State Lic : 774877 -
Applicant :
SAUL MARTINEZ
Lic Expire : 06/30/2026
Address :
2075 N SHAFFER ST ORANGE, CA 92865
Burs Lie:
Phone :
(714) 998-7879
Bus Lic Expire:04/30/2025 ,o
Workers' Compensation Insurance
Owner/Builder
:
Carrier : A I U INSURANCE COMPANY
Address :
Policy No: WCO20396019
Phone:
W. C. Expire: 4/1/2025
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone : PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Manufacturer: LENNOX
Model# : EL18XCV-048
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Stale License Law for the mason(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
the permit to file 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 licensors, 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).
❑ I, 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 70",
Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or Improves the properly, 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
im 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' 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).
I am exempt from licensure under the Contractors' State License Law for the fallowing 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, 1 cannot legallt
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 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:htlp:/Avww.leginfo.ce.gov/celaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED COKTf ACTOR'S DECLARATION
I hereby affirm unCEr ;):nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SeC 00) f2 q Division 3 of the BLIGnes a d Profess) nd my license is In full force
a.1d Zfcc1. Licen^e Class License No D e - / I - Contractor S nature
WORKERS' COMPENSATION DECLARATION
AARI.ING! 7AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S100.0001. IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm u,nJLr pa:Ialty of perjury one of the fallowing declarations:
U 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 Ih
�pp�ppyy,rrf^^f��))rmence of the wo,k for which this permit is issued. Policy No.
L)1!V0aY6 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' compensatiol
. sL.anca carrier ind �rlicy number are:
GJarrier Policy Number Expiration Date
I Jame o: Agent Phone #
❑I certify that. In the performance of the work for which this permit is Issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Callfomia, and afire
that, if I shouKNR
a sublec th worke Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Siynature of J//M al
_ ._._—_
DECLARATIARDI C UCTION LENDING AGENCY
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).
Lender's Name Lenders Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the Information I have provided is Correct.
I agree to comply with all applicable city d county ordf s d stale laws relating to building construction.
I authorize representatives of this city r county to ant e o de ad property for inspection purposes. I 1 %
Signature of Property Owner or Authori d ant Print Property Owner's or Authorized A amBSA L Oa
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED I U I SUBMITTED ASBESTOS
PERMITCANCELLED I UEPA
PERMIT FINAL UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF (7Z.rL�• PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: