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Home My WebLink AboutH2022-0637 - PermitsCity of Newport Beach o�aEwaoRr Community Development Department - Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 U Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cg4pORN�P newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 11/09/2022 Inspection Area : 6 H2O22-0637 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 : 8 TELESCOPE Legal Desc : N TR 14037 BLK LOT 58 Description: MECH -INSTALL (1) NEW A/C UNIT *PROVIDE TAMPER -PROOF CAPS AS REQ'D Owner: JOHN DAHL Address: 8 TELESCOPE NEWPORT BEACH, CA Phone Applicant: ALISO AIR INC Address: 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone: (949) 589-2021 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY : X PC - Newport Coast Fire Hazard Zone : YES Contractor : ALISO AIR INC Address : 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone : (949) 589-2021 Con State Lie: 526420 Lie Expire: 03/31/2024 ° Bus Lie : BT30019236 - Bus Lie Expire:02/28/2023 Workers' Compensation Insurance Carrier: LIBERTY MUTUAL INS CO Policy No : WC2Z61036218092 W. C. Expire: 7/1/2023 ' Manufacturer : AC PRO Model# : 4AC16L59P-50 SPECIAL CONDITIONS: 1 N (P EUS-TOR OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that t am exemptfrom the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ltern(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 thathe or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of tho Businass 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 fora 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 U portions of the work, and the structure is notintended or offered for sale (Section 7044, Business and Professions Code: The Contractars' 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 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 of improved 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' Slate 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' Stale License Law). 11 1 am exempt from licensure under the Contractors' State License Law for the following 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, I.Gannet legall, sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:httpalvvww.leginfo.ca.gov/calaw.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 Section 7 of N' ion 3 of the Business and Pr f sale a d my license is in full force and effect. License Class License No Date 7ZZ- Contractor Signatuw" WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO 66CURE WORMERS' 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 5706 OF THE LABOR CODE, INTEREST, Me ATTORNEYS FEES. ^htereby v;fi,m under penalty of perjury one of the following declarations: ...t 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 is rt)jn anco of the wc,k for which this permit is issued. Policy No. ve and will maima,n 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' .ce carrier ant rcll.�y number are: _ Policy Number of Agent Date ]I - i`y Vial, 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 agre iat it I should hecome subject to dfig workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iguatureorApplicant -,Q! IECI.l r:l,TION RLGAf?D:NG C NSTRUCTION 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, Civil Code). 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 county to enter the IlLove-i entitled property for Inspection purposes. 1..f D., n.-,s61 /' De1 o..... e, n,., '• , AAev4- n�ej/1-77 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMIT EXTENDED NOI IFICATION 15 NOT APPLICABLE TO CERTIFICATE OF OCCUPANCY ISSUED FOR OFFICE USE ONLY