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Home My WebLink AboutH2022-0378 - PermitsQ ��WPORT City of Newport Beach D @ 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 C9CIFp0.N�P newportbeachca.gov/inspections kle ha»iipal Permit °eci No: WorV6a's's:Other Issued Date : 07/25/2022 ®.Inspection Area : 6 a} - H2O22-0378 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: 29 DORIAN Legal Desc': N TR 14895 BLK LOT.17 Description: MECH A/C CHANGE OUT 8: FURNACE *TAMPER PROOF CAP REQ''s Owner : ALBERT SCHILDWACHTER Contractor :. ALISO AIR INC Address : 29 DORIAN NEWPORT COAST, CA 92657 Address : 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone : Phone : (949) 589-2021 Can State Lie: 526420' Applicant: ALISO AIR INC Lie Expire 03/3112024 Address : 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA Bus Lie: :. BT30019236 92688 Phone: (949) 589-2021 Bus Lie Expire 02/28/2023 Workers' Compensation Insurance Carrier : LIBERTY MUTUAL INSURANCE COMPANY Policy No: WC2Z61036218092 W. C. Expire: :.7/112023 Code Edition : 2019 Fire Sprinklers : NO Manufacturer: AC PRO Type of Construction : Fire Hazard Zone : Y Model# : ACAT48H Occupancy Groups: - Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: OWNER -BUILDER DECLA hereby affirm under penalty of ;Bon 7031,5, Business and Prc permitfo fife a signedstatemei essions. Code) or that he or sh more than five hundred dollars 1, as owner of the property, or I ness and Professions Code. T 'ovements are not Intended or oved. for the purpose of sale).. I, as owner of the property, am y to an owner of property who I am exempt from licensureun ny signature below I acknowlat a structure that I have built as :jury that I am exempt fDDinthe on(raGfor's $tafe'LjDeA¢8 Lawforlhe reasons) indicated below by the checkmark(s) I have placed next to the applicable Remo) dons Code' Any city orZodnty ihpt Noires'a permitto construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for tort he or she isiiCenssd'gtQsl. njr�to•te pfiv$fons of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and exempt from ifoensureand the basis- for the alleged. ens letion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 00). employees with wages es their sole ctr?;rtlpongafion, iyi j rjo (y} ailof or U portions of the work, and the structure is not intended or offered for sale (Section 7ti44, - Contractors' State Lictnse Qvvfdges npra*lirtoa n•ownerof property who, through employees' or personal effort, builds or improves the property, provided that the red for sale. If. howavdr�the'blrildintyo rimprovement 1s seIr':vithin one year of completion,'tha Owner -Builder will have the burden of proving that it was not built. or slusively contracting with fioensed Contractors to construct the project (Section 7044, Business and.Professions Code, The Contractors' State License Law does not ds or improves: thereon,' and who contracts for theprojects with a licensed Contrjactor pursuant to the Contractors' State License taw). the Contractors' Slate License Law fort he foltowing reason: 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. rvmar-buitdor 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 Businessand !quest when this application is submitted orat the following Web site:h"p,.ftwvrvr,leginfo.ca.gov/cai4w.fitmi. Yzed Agerit. _.. I__— Date Tn under penalty of perjury: that I am licensed under provisions of Chapter9. (Commencing with License Class License No P COMPENSATION DECLARATION EMPLOYER OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION-a?D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: "r I have and will. maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire: erformance of the work for which this permit is issued, PolicyNo. 11-have and will maintain workers' compensation insurance,. as required by Section 370D of the Labor Code, for isurance carrier and policy number are: :enter Policy Number 0) of Division 3 of the Business and Pro 'i�s Code,.a d m li a Iseis in full force Contractor Signature' NALTIEff AND CIVIL FIRES OPTO ONEHUNDREDTHOu&ANe OOLLAaSISrD4,600), IN ADDITION TO THE of Industrial Relationsas provided for by Section 3700 :of the Labor Code, for performance of the work for which this permit is issued. My workers' Date Tie of Agent i Phone# 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 L if I should becomeuOse to the. rker ' Amaensationprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature ofApplica < DatXv, — .�" CLARATION RE I G CONSTRUC71 LE DING AGENCY veby.Shinn under na rjury that there is a construction landing agency for the performance of the work for which this. permit is issued (Section 3097,Code).. iders Name Lender's Address my signature below,. t 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 of and a u1 ordinances and state laws relating to building construction.. I authorize representatives of this city or coup r the d``uove-�e ed property for Inspection purposes. nature of Property Owner or Authorized A en �A4vro t� Wtil�v Print Prope Owner's or Au[harized Auent's. Nam. 11 / — S—a2 � Dat FION T DATE RYD WTION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT CER77FICATE —PR OCCUPANCY IISSSUED I s GNATtU v All required alarms, latches gates and fences which serve as part of a pool/spa barrier,. shall be in place priorto approval to fill pool/spa &shall remain in place & be maintained for the TO Ife of the pool.