HomeMy WebLinkAboutH2022-0399 - Permits�EWPORTFF
City of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport
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Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.govrinspections
Mechanical Permit
Plan Check No:
Work Class: Other
Issued Date : 08/03/2022
Inspection Area : 6
H2O22-0399
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: 2678 BUNGALOW PL Legal Desc : N TR 15829 BLK LOT 1 TRACT 15829, POR OF LOT 1.
Description: MECH A/C CHANGE OUT
Owner: LEGACY THOMAS TR 2007 T Contractor : ALISO AIR INC
Address: 2678 BUNGALOW PL CORONA DEL MAR, CA 92625 Address: 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA
92688
Phone : Phone : (949) 589-2021
Con State Lic: 526420 .....
Applicant: Aura Energy Compliance
Address: 5186 SANDBAR COVE WAY San Diego, CA 92154
Phone: (714)804-8886
Owner/Builder :
Address:
Phone:
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone: X
Use Zone: RM - Multiple Residential
PROCESSED BY: 9q
FireHazard Zane : N
Lic Expire :
03/31/2024
0
Bus Lic:
BT30019236
Bus Lic Expire:02/28/2023
0
Workers' Compensation Insurance
00
Carrier:
LIBERTY MUTUAL INSURANCE COMPANY
0
Policy No:
WC2Z61036218092
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W. C. Expire:
7/1/2023
Manufacturer: CARRIER
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Model# : 24AHA4
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License taw 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
he 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
professions 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
iot more than five hundred dollars (S500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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' State License Law for the following reason:
3y 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 legal)
;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
professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.m.govlcalaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION /
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectioyo o Di,Yq'sinn 3 of the Business and o s ' tense is in full force
and effect. License Class License No Dat 2/!_ L Contractor Signa
tt(ORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm uae*r penalty of perjury one of the fallowing declarations:
�,jVA and will Main 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 the
3erfgfmartce of Ilia work for which this permit is issued. Policy No,
—JI(L_lyavband 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' compensation
nSuraMde carrier apt pglicy number are:
C§Itigr • ` • Policy Number Expiration Date
Wme bf Agent Phone #
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I ceI••t _y at, ir►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 la of California, and agree
that li i should becovie b' th co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
SiQnA"4T RI•ant• `• Dat C ✓ -�
DFCI ATION ON R06ARDIN NSTRUCTI DIN ENCY
FrereDY affirm under penalty of perjury tion gency for the performance of the work for which this permit is issued (Section 3097, rvil Coda}.
Lenders Name • • Lender's Address
By my signature below, I certify to each of the fallowing:
I am the property owner or authorized t0 act on the property owners behalf.
I have read this application and the information I have provided is correct. 7
I agree to comply with all applicable city,county aid' cos a state laws Ming to building construction.
I authorize representatives of this cityor coon ter t v property for inspection purposes. I ✓�//� `�
Signature of Property Owner or Authorized R Print Property Owner's or Authorized Agent's Name / ✓'��� Da
ACTION DATE BY IARATION Q—MPUANCENNITH CODE OF FEDERAL FOR OFFICE USE ONLY If
REGULATI T 6 TfyT_� ND AQMD RULE
1403
PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED MFPA All required alarms, latches gates and fences which Serve as part of a pool/spa barrier, shall
PERMIT EXTENDED LIAQMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for. the
PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool.
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: