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Home My WebLink AboutH2023-0135 - PermitsCity of Newport Beach ��EWPORT p ,• Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqC/popN�P newportbeachca.gov/inspections II III II II II Mechanical Permit Plan Check No : Work Class : Other Issued Date : 02/23/2023 Inspection Area : 6 H2O23-0135 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: 22 COVENTRY Legal Desc : N TR 9588 ELK LOT 2 UN 19 TR 9588 LOT 2 UNIT 19 OF PROJECT L OCATED ON AP Description: MECH - R/R F.A.U./COIL, & A/C CONDENSER. TAMPER -RESISTANT CAP REQ'D Ownev�.ALLAN ❑RIDGF^RD Contractor: ALISO-AIR ING Address: 22 COVENTRY NEWPORT BEACH, CA 92660 Address : 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone: Phone: (949)689-2021 Con State Lie : 526420 Applicant: ALISO AIR INC Lie Expire : 03/31/2024 Address: 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA Bus Lie: BT30019236 92688 Phone : (949) 589-2021 Bus Lie Expire:0212812023 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups : Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Workers' Compensation Insurance LIBERTY MUTUAL INS CO o: WC2Z61036218092 t"'t'Q+O O C Expire: 7/1/2023 FirQ,�ard ffin� I�V , • `� Manufacturer : AC PRO Model# : AULD36W2A , r^• `�' r, 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 -Items) iection 7031.5, Business and. Professions Code: Any city or county that requires a permit to eonslttrct, after, Improve; demolish, or repair any structure, prior tc its issuance, also requires the applicant for to permit to file a signed statement thathe 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 Tofessions Code) or that he or she is exempt from ficensure 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). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or I portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Coda: 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, ftowever, 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). 3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ppfy to an owner of property "be builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 I ant exempt from Iicensure under the Contractors' State License Law for the following reason: y 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 legallt all 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 fallowing Web sits:tlhp:/Mww.leginfo.ca.govtcalaw.html, ignature 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 Sectio 7 00) of Division 3 of the Business and PrpQF�p qCode, ppnnd n y nse is in full force nd effect. License Class License No Dot 1' ^ 13 Contractor 5ignafu � �) K- CA�.z JORKERS' COMPENSATION DECLARATION 'ARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 to Erformance of the work for which this permit is issued. Policy No, have 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' compensatku trance carrier and policy number are: her Policy Number Expiration Date no of Agent Phone if 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 agre , If I should be a subjec to the rkers' ompensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1 halure of Applio nt mm��. •, ncennu non_ennwr_ rnucrminrinu r cunrMn nn_eury `" � 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 Lenders 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 t0 building construction. I authorize representatives of this city or count tE�" the ayp�ove-�yt 1'ypfled property for inspection purposes. I I p f innahlre of PmnRriv Owner or Authori�erl ADent7ti tAe�„e� . 0 A_ Print Prooertv Owner's or Authorized ADenCs Name TfC IN R S ll • �d ` ACTION ( DATE BY V \ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART fit OF TITLE 40 AND AOMD RULE 1408 PERMIT EXPIRED PERMIT EXTENDED V I SUBMITTED ASBESTOS NOTIFICATION TO PERMrTFINAL 1MOM DL,r`Or � LJASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF I PROPOSED DEMOLITION OCCUPANCY ISSUED tip SIGNATURE: