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Home My WebLink AboutH2023-0502 - Permits�EWPOR, City of Newport Beach p� s Community Development Department- Building Division q 100 Civic Center Drive, Newport Beach, CA 92660 '++ S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic �P 9ltFpFiN Mechanical Permit Plan Check No: Work Class : Other Issued Date : 08/08/2023 Inspection Area : 4 H2O23-0502 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 : B ANONDALE Legal Desc : N TR 15409 BLK LOT 108 Description: MECH CHANGE OUT 2 A/C UNITS *TAMPER PROOF CAP REQ* Owner: WEINBERG EVA L TR Address: 8 ANONDALE NEWPORT BEACH, CA 92660 Phone: -lER — 376 -g433 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: BANDERAS RANCHO SANTA MARGARITA, CA Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone: PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : ALSO 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#: AULD036 OWNER -BUILDER DECLARATION I hereby crime under penalty of perjury that I am exempt from th Contractors` Slate Licence Law for the reason(s) ve indicated, or re lei the r anystructure prior i I have placed next to the applicable item(a} action T031.5, Business and Professions Cade: Any city or county that requires oFh construct, Catom' staterLick se Law (Chapter 9 (commencing with r$act on 7000) of DivisionaGant to a Civil Penalty od 3 permit to yIO a signed statement that. he or she is licensed pursuant tote provisions ofessions Code) or that he or she is exempt from licensors and the basis for the alleged axamPtior. Any violation of Section 703i.5 by any applicant fora. permit subjects Pp it more than time hundred dollars ($500). all of or portions of the work, and the structure is not intended oroffered for sale (Section 7044, I, as owner of the property, of my employees with %Vegas as their solo compensation, will do (_.) P provided that the .rseess and Professions Cade: The Contractors' Stale License Lew does not apply to an owner of property who, through smpfoythe or personal effort, builds a improves the property, p tprovements are not intended or offered for sate If, however, the building or improvement is sold within one. year of completion, the Owner -Builder will have the burden of proving that n was not built or mroved for the purpose of sale). f to an owner s Owner of theof property, builds oireimp Dues thereon,and who GontraGts for the projects Contractors to construct twth a licensed Contractor pursuant to he Contractors' State License Project (Section 7044, Business and Professions Code: The rLCaw)s" Siao License Law does not .A p property following reason.must have ,,sded for at __�__....__.—_ jy l am exempt from licensurs under the Contractors' State License residence in the y my signature below I acknowledge that, exc4�pt for my if it has not Openconstructedconstructed which its lentirety by licensed contractors. I understalnd that copy of the applicable aw,tSQCdOn 044tof the Business and ego all a structure that I have built as an awner-h Id roeessoons Coda, Is available upon request when this application is submitted or at the following Web sfta:http./1wwwAe9mfO-Ca.gOv/calaw,fitml Date �- ignature of Property owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION r the Business and Pr sin , an f e hereby affirm under penalty of perjury that I am licensed under gravel at Chapter 9 (commencing with SeGDo P a Convector Signaor ;nd effect, License Class License No VORKERS' COMPENSATION DECLARATION iARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE is UNLAWFUL., AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL PINES UP TO flNE HUNDRED TN. O DOLLARS tYt OS,s80), r. N TO :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST„ AND ATTORNEY'S FEES. -hlereby affirm under penalty of perjury one of the following decorations_ I have and will maintain a. Certificate Of consent to self -insure for workers' compensation, issued by the Director of industrial Relations as providers for by Section 3700 of the Labor Cade, for )arformance of the work for which this permit is issued. Policy Na his Labor Cade, for the performance of the work for which this permit is issued. My Workers' compensa! 4Lhave and will maintain workers' compensation insurance. as required by Section 3700 of # nsuranca carrier and policy number are: Expiration Date �. �.:. Policy Numberphnnn # is of Agent certify that, in the performance of the work for which this permit is issued, f shall not employ any person in any manner so as to become subject to the workers' compensation a}"s alifomia, and afire it I should became sutajact to ilia workers' G Bnsatiai provisions of Section 3700 Of the LaYJOT Code., f shall. forthwith comply with those provisions. Date(Jyr� / Tature of Apollo ----- ON LE NCY vLARATION RE G Ct may affirm under analty perjury that there is a conshoctlo ding agency fo Lthe performance ender's Address of the work for which this permit is issued (Section 3flg7, CivilCode), Eder s Name my signature below, t certify to each I Are he property owner or authorized to act an the property owner's behalf. I have read his application and the information t have provided is correct. I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction. !✓(f I authorize representatives of this m. r th a -id iged for inspection purposes, re, ate `- rt Owner's or Authorized Agent's Name C nature of Pro ertOwner or Authorized A ant EDERAL FOR OFFICE USE ONLY ` TON GATE R ECLARAT4ON OF LlANC - C REGULATIONSP NRTB1OF OANDAQMDA _r __ i PERM)7'FINAL q A56EST05 NOTIFICATION IS NOT APPLICARtE TO CERTIFICATE Of IO,Z PROPOSED DEMOLITION OCCUPANCY ISSUEP ///�//yJ�j siCNATURE;