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: _