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Home My WebLink AboutH2023-0214 - PermitsCity of Newport Beach �aEWPp�T ' @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °gcicoaH�P. newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 0312812023 Inspection Area : 4 H2O23-0214 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 BILK LOT 61 TR 5740 (L.L.84-214028) PAR 61 Description. MECH - INSTALL (1) A/C UNIT, (1) FURNACE LIKE FOR LIKE NO CHANGE IN LOCATION, (1) AC DISCONNECT & DUCT CHANGE 'PROVIDE TAMPER -PROOF CAPS AS REQ'D Owner: MARION PALLEY IRREVOCABLE TRUST Address: 121 VIA FIRENZE NEWPORT BEACH, CA 92663 Applicant: ALISO AIR INC Address: 29736 AVE DE lAS 92688 Phone : (949) 589-2021 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: BANDERAS RANCHO SANTA MARGARITA, CA X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Fire Hazard Zone : NO 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 INS CO Policy No: WC2Z61036218092 W. C. Expire: 7/1/2023 - Manufacturer: CARRIER ° Model# : 34SCA536W ° ° Lo OWNER -BUILDER DECLARATION I hereby alftml under penalty of perjury 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 Item(s) (Section 7031.5. Business and Profession$ 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 the permit to file a signed statement thathe 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 licansure and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to a civil penalty of not 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 (_,) portions of the work., and thestructureis notintended 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 Gods: The Contractors' State License taw does not epply 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 icensure under the Contractors' State License Law for the following reason. T_—.—.�,__ .��.....__ 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 legal sell 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 Professions Code, is available uponrequest when this application is submitted or at the following Web site:http:tlwww.leginfo.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 70p o ' ' i the Business and Profess nd. din I and effect. License Class License. No =DRts + -Contractor-Signature` - NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORRERs' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU SRN DOLLARS (S100.000), IN ADDITION TX COST 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 fallowing declarations: I have and will mairdr in 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 )erformance of the work for which this permit is issued. Policy No. Shave and will ma.rdaio 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' compensatio nswance carrier and policy number are: "arrier _ _ Policy Number Expiration Data Vame of Agent _ - _ Phone # -1I certify that, in ife Fertormance of the work for which this permit is issue< shall not employ any person in any manner so as to become subject to the workers` compensation laws of California, and agre .hat, if I should become subject to the work a n V, ectf 00 of the Labor Code J shall forthwith comply with those provisions. 3Lrr9'I'1e ofAppltoahY Date M-CLARATION REGACCING CON TION LENDIN NCY hereby affirm under penalty of rJury that there is a construction ding agency o erformance f the work for which this permit is issued (Section 3097, Civil Code).. -ciders Fame Lender's s 3y my signature Leicw, I certify to eac o 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 count. cos an t.� _Idin istruction. I authorize representatives of this CH er county to en = _ - d cotton urposes. /I ✓�(J�'/l 3i nature of Property Owner or Authorize A an- ---- _ Pnnl Pro nets or Authorized Agent's Name 6 Date _ ACTION DATE Fly --'DECLARATION OF CO ITH CODE OF FEDERAL R OFFICE USE ONLY I REGULATIONS PART fit OFT-E40ANDAQMDRULE Pamir£XPIPtO I I I I -_I I St1RMI77FD ASRE.STO.S NOTIFICATION To rettmn rrrvAl SBESFOS NOIIFICA NOT �PeP\LI E TO CERTIFICATEOF ?' PROPOSED OLNIOUTION vp, OCCUPANCY ISSUED I sHN --- ��""»y1