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HomeMy WebLinkAboutE2023-0268 - Permits,�EWPO,gT City of Newport Beach y0' d Community Development Department - Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 - a Permit Counter Phone: (949) 644-3288 c9< ronN�r,, Inspection Requests Phone: (949) 644-3255 -�-"' newportbeachca.gov/inspections II�IEIII�II�I 0�I� III�I�II0I6 I� II Electrical Permit : E2023-0268 Plan Check No : Work Class : Other Issued Date : 0312812023 Inspection Area: 4 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 : 2223 FIESTA Legal Desc : N TR 5740 BLK LOT 61 TR 5740 (L.L.84-214028) PAR 61 Description: ELEC - INSTALL (1) AC DISCONNECT FOR NEW A/C UNIT Owner: MARION PALLEY IRREVOCABLE TRUST Address : 121 VIA FIRENZE NEWPORT BEACH, CA 92663 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 : 2022 Type of Construction : Building Setbacks Flood Zone: Use Zone : PROCESSED BY: SPECIAL CONDITIONS: X R-1 - Single -Unit Residential Contractor : ALSO 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:02/2812024 ,. .. Workers' Compensation Insurance - Carrier : LIBERTY MUTUAL INS CO Policy No : WC2Z61036218092 W. C. Expire: 7/1/2023 ce Fire Hazard Zone : NO Occupancy Groups: R3 301, Wi.DE X 36" DEPTH o REQUIRED FOR A/C DISCONNECTS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Slate License Law 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 appttcanl for the 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 Ilcensure 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 not more than five hundred dollars ($500). ❑ 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 or offered for sale (Section 7044, Business 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 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 or 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' 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' 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 cannot legall sell a structure that I have built as an owner-buildor if it has not boon 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:htip:tlwww.legfnfo.ca.govlcalaw.html. 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 7000)) of the Business a1' t�'� fep�cs' de. ,1 'C n,f area and effect. License Class License No Date L Contractor Signature JVORKERS' COMPENSATION DECLARATION _ IARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP iG'O UNDREa THOUSAND DOLLARS {53UU,U09j,`N DDITION TO DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA90R CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and win 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 onnRnce of the work for which this permit is fssuad. Policy No. ,have and will-rw..'. in workers' compensation insurance,. as required by Section 370D of the Labor Code, for the performance of the work for which this permit is issued. My workers' compense va^.ce rander and policy number are: Policy Number to of A3ent rertif,, that, in the Da,formance of the work for which this if I sh.,uld becc: iv rubiect to the workeTs^snitfltensatio Date I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire sign 3\700 of the Labor Code I shall forthwith comply Wlth those provisions %% 2 Lg.v'rc cf Applicant \� Data �,�^ w IE:LA.RA(ION RFOASoCMG CONSTR ON LENDINGG. - Y hnrehv affirm undo, pencity of pe ` that there is a constmction ie ens e1,derf a Name y my signature bvfow I certify � of the followin I am the property owner or authorized to not on the property owner's behalf. I have read this: application and the information I have provided is correct. I agree to comply withall applicable city and county or Cos and I authorize representatives of. this. city or ca ACTION PERMIT EXPIRED DATE I By 1403 of the work for which this permit Is issued (Section 3097, Civil Code). Lender's relating to building construction. �� ,_fo�r ins Laf purposes. � � t --�"—W'.ftLProperty Owner's or Authorized. Agent's Namey" "" vlA i- - ""'Oate E WITH CODE OF FED RAL 1 FOR OFFICE USE ONLY TO PERMIT EXTENDED QMD PERM'FFINAL %1 , RE5rOSNOTIFI APPIICABL_ CERTIFICATE OF PRQP�anN_ OCCUPANCY ISSUED SIGNATURE: _