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Home My WebLink AboutH2023-0501 - PermitsCity of Newport Beach r�FWPo�T p - @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 dr) �4u T Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Mechanical Permit Plan Check No : Work Class : Other Issued Date : 08/013/2023 Inspection Area : 6 H2O23-0501 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 : 10 JARDEN Legal Desc : N TR 15540 BLK LOT 18 Description: MECH CHANGE OUT A/C UNIT *TAMPER PROOF CAP REQ* Owner: MATTHEW ZEHNER Address : 10 JARDEN NE PW�PORT COAST, CA 92657 Phone : 714 - 7N3 —L 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 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone: PC - Newport Ridge PROCESSED BY: E/ � 69 a x8 /_1li96161I I Id 11111111U 1603 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:02/28/2024 Workers' Compensation Insurance Carrier : LIBERTY MUTUAL INSURANCE COMPANY Policy No : WC2Z61036218093 W. C. Expire: 7/1/2024 Manufacturer: AC PRO Model#: AULD36W I hereby affirm under penalty of penury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable remits) 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 is 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 Irofessions Code) or that he or she is exempt from iicensure 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 of 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, lusiness 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 (he 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, am exCiUsivilly Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not ly 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 Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided total least one year prior to completion of the improvements covered by this permit, I cannot legall, ell 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 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:/Iw .leginfo.ca..gov/calaw.html. iignature 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 Section 0 frDi "� n of the Business Ions Code,. an i in i II force. nd effect. License Class License No Dail Contractor Signature VORKERS' 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 THOU s 1$100.000), IN N TO THE car OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th fildormance of the work for which this permit is issued. Policy No. rave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensatiol Isurance carrier and policy number are: :artier Policy Number Expiration Date lame of Agent Phone t1 ]I certify that, in the performance of the ork for whic this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen •ation ws of California, and agre met, it I shoulrbeoaH ut to the Wr s a sation arov' `ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \�--`"}'(/7/ r ECLAre of Applicants _ _ Dat A rECLA.RATION R • N � 'ONST�L'N ING AGENCY hereby affirm under p t there Is - nstruction lending agency for the performance of the work for which this permit is Issued ($action 3097, Cf I Code). ander's 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 rears this application and the information i have provided is correct.. I agree to comply will) all applicable city and county dinances and state laws relating to building construction. I authorize representatives of this city or county he abov enBFl d roperty for Inspection purposes. // \� nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agents Name q,"I JD 1CT1ON I DATE 11 BY DF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPUL:O FERMI? EXTENOFO PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED PART 61-0kTTt)F 40 AND AQMD RULE TO 111- 25I ' U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION