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Home My WebLink AboutH2023-0532 - Permits04 City olf NDewport Beachnt- Building Division III I I I II I III II III I I III Plan Check No Comm Mechanical Permit : H2023-05J32 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1868 ®tn, P p <.. , "•" Work Class : Other newportbeachca.gov/civic 6 A 1 4 w «.,9 �' 7 _g Issued Date : 08/22/2023 °pt�eonr'`r 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: 16 SPANISH BAY DR Legal Desc : N TR 15332 BLK LOT 59 Description : MECH R/R 1 FURNACE AND 1 A/C UNIT AT SIDE **TAMPER RESISTANT CAPS REQUIRED ** Owner: ELAINE ORNITZ Address: 16 SPANISH BAY DR NEWPORT BEACH, CA 92660 Phone Applicant: RABECCAJOHNSTON Address : 4370 PALM, D250 San Diego, CA 92154 Phone: (714)804-8886 Owner/Builder : Address Phone: 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: 02/2812024 Workers' Compensation Insurance Carrier : LIBERTY MUTUAL INSURANCE COMPANY Policy No : WC2Z61036218093 W. C. Expire: 7/1/2024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer : AC PRO Type of Construction : Model# : AULD60W2/A-D(U) Occupancy Groups: Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: .... I hereby affinn under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) Indicated below by the checkmark(s) I have placed'. next to the applicable item(s) jection 7031.5, Business and Professions Code: Any city or county that requires a permit toConsttuOt, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for le permit to file a signed statement that he or she is Iicensed pursuant to the provisions of the.CGntractors' State License Law IChapter 9 jcommeneing with Section 7000) of Division 3or the Business and rof lsslons Code) or that he or she is exempt from licensure 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). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do(_) all of or U portions of the work, and the structure Is not intended oroffered for solo (Section 7044, us)ness 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 oprovements 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). 1 1, 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 pply 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 leensure under the Contractor State License Law for the following reason ____ ________ —_------ y my signalu ro 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, oil a structure that I have built as an owner-brdldor If It has not been constructed In its entirety by licensed contractors. 1 understand that copy of the applicable law, Section 7044 of the Business and 'rofessions Code, Is available upon request when HIS application is submitted or at the following Well site:http:llwww.leginfo.oa,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 Section 7000 f DWI ton 3.of the Business and Professi as Code, an my 115pries S in fuPi fume nd effect. License Class License No Date Contractor Signature a VORKERS' COMPENSATION DECLARATION IARNING: fALURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cl FREE UP TO ONE HUNDRED THOUSAND DOLLARS (Sur),Pe6), IN ADDITION TO THE DST OF COMPENSATIDN, DAMAGES AS PROVIDED FOR 1N SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby am Zand er penalty of perjury one of the following declarations: I I have and will maintain a carllflcate 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 odformance of the work for which this permit is issued. Policy No. and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Date to of Agent rnuna v certify that, in the performance of the work for which this permit. is Issued, I shall not employ any person in any manner so a$ to become subject to the workers' compensation laws of COIBOD ia, and agre if I should become subject to the workers Do Ippe�nsabon provrsions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. nature of Applioenf Date raby affirm under penalty of perjury, that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), )der's Name _ Lender's Address my signature below, I certify to each of the following_ I am the property owner or authorzed to out on the property owner's behalf. I have read this application and Lila Information I have provided is correct I agree to comply with all applicable city and county ordinances and state laws. relating to building construction. I authorize mvmseritatives of this arty or county in ante the above -id fife property for inspection purposes. mature of Prauarh° Owner or Authnrzed AUent Print Property Owner's or Authorized Agent's Name DATc BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 46 AND AQMD RULE S4g3 i. 'I SORMITTFD ASBESTOS NOTIFICATION TO P[RM1TFlNAi /r i UASRLSTOS NOTIFICATION 15 NOT APPLICABLE TO CEPriWCArt OF j _ c/ ( PROPOSED DEMOLITION D }. OCCUPANCY ISSUE, _f, j I �J' i SIGNATURE::