HomeMy WebLinkAboutH2023-0517 - PermitsCity of Newport Beach III I I I II I III II III
7t� @ Community Development Department- Building Division Mechanical Permit: HZO23�OJ� /
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
y. Permit Counter Phone: (949) 718-1888
rh Work Class : Other
�x* newponbeachca.gov/civic
cq4 pp ft�\P' 7` ^ Issued Date : O8115/2023
n�f"� P"� Inspection Area : 6
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: 2718 HILLTOP DR Legal Desc : N TR 8787 BLK LOT 4 UN 50 TR 8787 LOT 4 UNIT 50 50
Description: MECH INSTALL A/C AT SIDE. R/R 60K FURNACE AND DUCTWORK.
Owner: GLEASON JAMES A TR
Address: 31 CROOKED STICK DR NEWPORT BEACH, CA 92660
Phone
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
Flood Zone
Use Zone:
PROCESSED BY:
X
PC - Harbor View Hills
SPECIAL CONDITIONS:
R
Fire Hazard Zone : NO
Contractor : ALISO AIR INC
Address :
29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA
92688
Phone:
(949)'589-2021
Con State Lic
: 526420
Lic Expire :
03/31/2024
Bus Lic:
BT30019236
Bus Lic Expire:02/28/2024
Workers' Compensation
Insurance
Carrier :
LIBERTY MUTUAL INSURANCE COMPANY
Policy No:
WC2Z61036218093
W. C. Expire:
7/1/2024
Manufacturer : A/C PRO
Model#: AULD36W2/A-D(U)
I hereby StBrzn 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 (a)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, alte€. improve, demolish, or repair any structure, prior toits issuance, also requires the applicant for
to permit to file a signed statement chat 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 S by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars IWO).
1 1, as owner of the property, or my employees with wages as their sole compensation will do (_) all of or L� portions of the work, and the structure is not intended proffered for sale (Section 7044,
iusiness 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 theproperty, 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).
I, as owner of the property, are exclusively contracting with loaned Contractors to Construct the project (Section 7044, Business and Professions Code: One Contractors' State License Law does not
ply 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 Contrectors' State License Law for the following reason , _____...... _ _........ _ _ ..... ._..----------- .,.,-.___ __. --------- w._.-..-.---..._-..
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
oil 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 request when this application is submitted or at the following Web site:http:H7 w.leginfo_ca.govlcaiaw.html.
,ignature of Property Owner or Authorized Agent �___m_______�a___________�. ®___.®_Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under previsions of Chaptei (commencing with Section 7000 of Division 3 of the Business and Fir of scarp u e. ad my license is In {u ice
Ind effect. License Class License No Date Z. Contractor Signatur6/✓✓1�'
VORKERS' COMPENSATION DECLARATION
NOVHNG: fAiLURE TO SECURE WORKERS' COMPENSATION COVERAGE a UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRf611NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS N,100,0000N ADDRION TO THE
:OST OE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IRTEREST, AND ATTORNEI'S PEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 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,
performance of the work for which this permit is issued. Policy No,
and will maintain workers' compensation insurance, as required by Section 37M of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carder and policy number are.
Policy Number
Date
To of Agent Phone 0
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 Califam a, and agre
if I should become subject to the workers compeer sati�on-,prrrovissions of Section 370D of the Labor Code, I shall forthwith Comply with those provisions,
tature of Applicant __.. . ,�Y V ...V.�! _....._._.-_..._� Datem� Z`"'_-........_._.,._..
reby 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),
tiler's Name _ � Lender s Address
my Signature below, I certify to each of the following,
I am the property owner or authorized to set on the property owner's behalf.
I have read this application and the Information I have provided Is carrect.
I agree to comply with all applicable city and county ordinances and state laws relafing to building construi
la authorize orize ,ep esentatives of this city or county a ter a-bo=Jdoven
.�U7hted� property for Inspection purposes
'Ita
Prube,ta Chimer or Authorized Agent �IJ i (/rr v �— Print Property Owner's or Authorized. AgenI'S Name
ACTION
DATE
BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMR RULE
I SIl03
FOR OFFICE USE ONLY
PERMIT EXP1R€C
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
"'FR17TC4NGfLLE17
EPA
FEFMrT EXTEY.GE,J
P-r
M OW
PERlv,;TFINAL _
�2]x 47
f�
�L YOr 11ASBE91O5.NOIIFICATION 15 NOTAPPLICABtE TO
CERTtFtCATF qF
PROPOSED DEMOLITION
'tCCU^ANCY lS91Ep
GMS SIGNATURE;