HomeMy WebLinkAboutH2025-0636 - PermitsCity of Newport Beach
Permit: H2O25-0636
6
Community Development Department- Building Division III I I I II
I III II II IIII II II Plan No
y
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949) 718-1888
Work Class :Other
newportbeachca.gov/civic
Permit Status: Issued
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Issued Date : 0912912025
Inspection Area: 5
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: 404 HELIOTROPE AVE Legal Desc : P BK 387 PG 1 PAR 1 UN 1 PARCEL 1 OF PM 387-1 OF C
Description: MECH -INSTALL (1) HEAT PUMP ON ROOF PATIO. TAMPER -RESISTANT CAP REQUIRED.
Owner:
PATRICIA PISARKIEWICZ
Address:
Phone :
(203) 969-4789
Applicant:
AURA ENERGY COMPLIANCE
Address:
4370 PALM AV, D250 SAN DIEGO, CA 92154
Phone :
(714) 804-8886
Owner/Builder:
Address
Phone:
Code Edition :
2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY: 7P
SPECIAL CONDITIONS:
Contractor : ROCKLIN HEATING & AIR
Address :
5706 LONETREE BLVD ROCKLIN, CA 95765
Phone :
(916) 626-5151
Con State Lic
: 959466
Lic Expire :
09/30/2027
Bus Lic:
BT30074728
Bus Lic Expire:03/31/2026
Workers' Compensation
Insurance
Carrier :
OMAHA NATIONAL CASULATY COMPANY
Policy No :
ONCCO701438502
W. C. Expire :
6/1/2026
Fire Hazard Zone : NO Manufacturer: CARRIER
Model# : 37MURA48K
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the 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
ie permit to file a signed statement that he 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 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
of more than five hundred dollars ($500).
3 I, 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 not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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).
J 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
poly 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' State 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 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
'rofessions Code, is available upon requestwhen this application is submitted or at the following Web site:http:L/www.leginfo.ca.gov/calaw. html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of ivision 3 of the Business and Prof on Code,, e, and m��e is in full force
nd effect. License Class License No Daie Contractor Signature �/�/-dF/'J`�Jy_�G
VORKERS' COMPENSATION DECLARATION
IARNING: 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 0000,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 th
eEtormance 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
Date
Tie of Agent `•none R
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
CIARATION REG RDING CO�EULE'sation provisions of Section 3700 of the labor Code. I shall forthwith comply with those provisions. �r
L it I should Pecame�u ect to ----Datenature of A titan /-e'' _ING AGENCY
veby 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).
ides s Name Lenders Address -
my signature be.CA, ; certify to each of the following
I am the propel ly uwner or authorized to act on the property owner's behalf.
i ,idve read this ..ppli. ation and the information I have provided is correct,
I agree to cOIT .11 ,vTh all applicable city and county ordinances and state laws relating to building construction.
I auth.xize repre3entatives of this city or county r the 3bQ/v�identified�roperty for inspection purposes.
S�nature of ProPe�C_c,er or Authorized A end e ,ujVr ��� _ Print Property Owner's or Authorized Ag
A,.TIUN DATE BY v DECLARATION OVICOMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART GI OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
0 1 SUBMITTED ASBESTOS NOTIFICATION TO
PdRM1T CANCELLED
PERMIT EXTENDED _
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PERPMT KWAL
CERTIFICATE OF
OCCUPANCY6SUEO
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ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
Ail
Name rl'I