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Home My WebLink AboutH2023-0363 - Permits�EWP R, Uty of Newp-?rt 13&al:;i C� '+o Corrmunity Dev lop net, it Ltpart neat - Building Division 100 Civi£ eent r 17n ,e, Newport 3e�ch, CA 92660 j S Pe n'L CoUnter Phone. (94d) i 18-1888 w newportbeachca.gov/civic Mechanical Permit : H2O23-0363 Plan Check No: Work Class • Simnle \,2.Q iywe_o^ Issued Date : 12/06/2023 Inspection Area : 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 : 303 CARNATION AVE Legal Desc : Description: MECH -REMOVE AND REPLACE EXISTING 4-TON AIR HANDLER LIKE FOR LIKE SAME LOCATION Owner: JILL KAUFMAN Contractor : ALICIA AIR CONDITIONING AND HEATING, INC. Address : Address : 26824 VISTA TERRACE LAKE FOREST, CA 92630 Phone: (561)352-5572 Phone: (949)770-2495 Con State Lic: 525314 Applicant: ALICIA AIR CONDITIONING AND HEATING, INC Address: 25474 Morningstar Rd Lake Forest, CA 92630 Phone: (949)702-0584 Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: �x SPECIAL CONDITIONS: Fire Hazard Zone : NO Lic Expire : 02/29/2024 Bus Lic: BT20102054 Bus Lic Expire:09/30/2024 Workers' Compensation Insurance Carrier : Policy No: WC034279306 W. C. Expire: 7/1/2024 Manufacturer: Model# : OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmaC:(s; I hav p'acsd nerl to ll`e 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, pror to ns 'ss, pan•;e, at o requi-es the applicant for the 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( qo(h So.,Limi 700u) of Gvision - of the Business and Professions 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 not more than five hundred dollars ($500). ❑ 1, 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 the structure :s rot iCended o- offered for sal9 (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effor, builds or Improves lha property, prul,ided 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 bu:ael, of proving mat it was not built or improved for the purpose of sale). ❑ 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 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). ❑ I am exempt from licensure under the Contractors' Slate 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 legalil sell a structure that I have built as an owner -builder if it has not been 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 orat the following Web site:httpa/www.leginfo.ca.gov/calaw.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) o ivision 3 of the Business and Professii Code, nd in " ense is in full force and effect. License Class License No Date Contractor Signature V WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S1DD,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370U OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will 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 th, paEle ttlance of the work for which this permit is issued. Poiicy 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 Expiratic of Agent Phone ff Date Ul 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 agre that, if I should become subject to the wor omperealion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f /' Signature of Applicant _ _ 21�12.� �(j� -- - —-- -_.- - _ Date REGARUIRG O TR ON LENDING AGENCY 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, Civil Code). Lenders Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. 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 cou ty t enter the e-identified property for inspection purposes. _ ` v�) y, Signature of PropertyOwner or Authorized Agent Print PropertyOwner's or Authorized A enVs Name ry J rl 1 u %� Data ACTION DATE BY LARA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j r _GIIIATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PER,btITCANCEILED— — EPA _ PERMIT EXTENDED_ _ _ _ AOMD PV WWI FINAL ��Z-_Za—'` I f 13 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF / PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: