The URL can be used to link to this page

Home My WebLink AboutH2023-0484 - PermitsCity of Newport Beach II II I III III II II III I II II Mechanical Permit: H2023-04$4 Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Work Class : Other newportbeachca.gov/civic Issued Date : 07/28/2D23 qG cORN\ Inspection Area : 5 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 : 4601 CAMDEN DR Legal Desc : N TR 3357 BLK LOT 134 Description: MECH R/R 4 FAU AND 4 A/C UNITS "TAMPER RESISTANT CAPS REQUIRED** Owner: JENNIFERSIMPSON Contractor: Address: 4601 CAMDEN DR NEWPORT BEACH, CA 92625 Address : Phone: (949)836-4015 Applicant : Aura Energy Compliance Address : 4370 Palm Ave., Ste. D250 San Diego, CA 92154 Phone: (714)804-8886 Owner/Builder: Address Phone: Phone: Con State Lic ALISO AIR INC 29736 AVE DE LAS BANDERAS RANCHO SANTA 92688 (949)589-2021 526420 Lic Expire 0313112024 Bus Lic: BT30019236 Bus Lic Expire:02/28/2024 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 : CARRIER Type of Construction : Model# : 34SCA5 Occupancy Groups : Building Setbacks: Front: 6, Front: 30, Side: 6, Side: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: IJ SPECIAL CONDITIONS: CA OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableiteme) .action 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 me permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 o€ more than five hundred dollars ($500).. 3 I, 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 or offered for sale (Section 7044, Wsiness 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 properly, provided that the 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 nprovedfor the purpose of sale). 3 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 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason. _-,_, _- ly my signature below II 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 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:httpalwww.leginfo.ca.govlcalaw,html, signature of Property Owner or Authorized Agent bate .ICENSED CONTRACTOR'S DECLARATION hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coda, arld my License is in full force nd effect. License Class License. No Date7-ZL5- Z3 Contractor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS (St00,000), IN ADDITION TO THE OST 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 wit 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 the erformance of the work for which this permit is issued. Policy No., 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' carrier and policy number are: Policy Number of Agent Date 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 , it I should become subject to the workers' compensation provisions or Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date % 1Z 2 1 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 ender's Name Lenders Address Iy my signature below, I certify to each of u; 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 to building construction. I authorize representatives of this city or county to enjRLIbe apove-identified property for inspection purposes. �i nature of P)pErty Owner or Authorized Agent Print Property Owner's or Authorized A �. ACTION DATE BY !. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r.. REGUtATI0N5 PART 61 OF TITLE. 40 AND A41MD RULE _ 1403 PEttr5A7r EXPPRED € I SUBMITTFD ASBESTOS NOTIFICATION TO PFPAAITCAA'CELi EO UEPA °CF,.t:l-.-INAL ( L I --I ASBESTOS N01 LPICATION 15 NOT APPLICABLE TO `ERTIFICTTE OF ? PROPOSED DEMOLITION OrCLrP4vCV ISSUED ( i SIGNATURE: Civil Code). F co in 3 v co C o o F 30 Z o `o R! W ) V Z Z Fy Azom O m-� H zrA�� a, aa� O w Z, uU a c��; co0)❑LL aLo W 14 m� w�92 COL 3 U W ID o O F ~ D W U F y y 0 G O ' / N W CO v o ° o U 5 U y o o N o E L.L ., m �' y m O E N h U 2 N L O N (D f6YU) U 1 O ID�' ` O 3 m co �.+ U N a) a)� cn Q m tlj Na N _0 em+ ° .L O- C C Q C `• 'O -Nm ..-i OX (nm Qa)> V 0 O O a) p m X O C cy- O co O C 0 CL o aj ,C o �k E U cm O ai "O�_ O 3O m O �° m � 0) Ca) N E m s J N0 'O C O4 °E . ° wO yO �.0 a c ° �Lo �o m 3 -0m�w �'3 xN 0— C -O CM U U Gi aOi m d_ o m o cn y° aa)M L 2 a) M�'� ° om ° °E-0 EE° Y �O a� 3 Omm mid o; Y O m yw� O E �.) wm' c m cn — m 1 Cl)a a E a)Oc -O scam O U Y m m a y m'N C °n Cn m C)-0 d a m q) m co o .0 CL m o aDz :D w .x E U N C O U A = C O a 3 3 o oU m en m Tg'n= �>.w yy C U V� �' y O .fir m m 2 m O m E N I' U C a 0) Q N E i— En L� C m a) M C m m [n Y CO o `O-o c a� \ 3 Q a) Y S o-E�.° m `m ° w° l U magi 'a 0) mmEN E a)-0� `--0 rntw a� m o m �° N.c U O) U 2 3 O.O. m m U _- - c o m m w. 3 E 3° o m 3 0 (CL D r -0 ° aIL— �- C m U c :a "D U -0 -0 ° U tin "m O ❑ a) L m a s d J I .0 0 X0 0 O_ U) rG = O. O. (n 2 C U