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Home My WebLink AboutH2024-0717 - PermitsCity of Newport Beach �g Community Development Department - Building Division r y 100 Civic Center Drive, Newport Beach, CA 92660 Q Permit Counter Phone(949) 718-1888 _ newportbeachca.gov/civic Mechanical Permit mnmm�innnminiunimninunnniuunnmi Plan Check No : Work Class : Other Permit Status: Issued Issued Date : 11/05/2024 Inspection Area : 1 H2O24-0717 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 : 5506 SEASHORE DR Legal Desc : N TR 17194 BLK LOT 1 UN 4 LOT 1 OF TRACT 17194 OF Description: MECH CHANGE OUT HEAT PUMP *TAMPER PROOF CAP REQ* Owner: SORENSEN SCOTT K TR S K Contractor : ALISO AIR INC Address: 5506 SEASHORE DR #6 NEWPORT BEACH, CA 92663 Address : 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone: (801)419-4875 Phone: (949)589-2021 Con State Lic : 526420 Applicant: AURA ENERGY Address: 4370 PALM, D250 SAN DIEGO, CA 92154 Phone: (714)804-8886 Owner/Builder : Address Phone : Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2022 X RM - Multiple Residential SPECIAL CONDITIONS: S (0U- Lic Expire : 03/31/2026 Bus Lic: BT30019236 Bus Lic Expire: 02128/2025 Workers' Compensation Insurance Carrier : LIBERTY MUTUAL INSURANCE COMPANY Policy No : WC2Z61036218093 W. C. Expire: 7/1/2025 Fire Hazard Zone : NO Manufacturer: CARRIER Model# : 36MURA 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 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 applicant 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 properly 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). ❑ I 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 -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 or at the following Web sRe:http://www.leginfo.ca.gov/calaw, html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affmn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio, 0 O) f vision 3 of the Business and Prof ions Co . a my irce^nse in full force and effect. License Class License No Dat 2 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRDBNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 16100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Trance of the work for which this pennit 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 pernit is issued. My workers carrier and policy number are: Policy Number Expiration Date of Agent Phone # _ JI 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 rat. if I should becom bj�ec7l ,to/t le workers' cem nsalion provi inns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / G signature of Applicant_�Y/ Dale 1/// )ECLARATION REGAVDIMG CONSTRUCTION LENDING AGENCY 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, Avil Code) ender's Name Lenders Address ly 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and countyordinances and state laws relating to building construction. I authorize representatives of this city or countAtq enje&ghee 0ov9e-identified eW22 for inspection purposes. of PrODertv Owner or Authorized ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY DECHARAT ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE 'JSE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1Z-3-2%( U I SUBMITTFD ASBESTOS NOTIFICATION TO _7� 1E �1-7L�JAOMD n OASBESTUS NOTIFICATION 15 NOT APPLICABLE PROPOSED DEMOLITION SIGNATURE: TO h t6irh