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Home My WebLink AboutH2024-0597 - Permits�e�*Pak; City of Newport Beach Vic, e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic III I I I II I I II II IIII I I II II Mechanical ecC enk Not Permit: H2O24-0597 Plan Work Class : Other Permit Status: Issued Issued Date : 09/16/2024 Inspection Area : 9 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 : 14 ROCKSHORE BLUFF Legal Desc : N TR 16428 BLK LOT 7 Description: MECH - R/R HEAT PUMP. TAMPER RESISTANT CAP REQUIRED Owner: JULIE NGUYEN Contractor Address: 14 ROCKSHORE BLF NEWPORT COAST, CA 92657 Address : Phone Applicant: ALISO AIR INC Address: 29736 AVE DE 92688 Phone: (949) 589-2021 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Occupancy Groups: LAS BANDERAS RANCHO SANTA MARGARITA, CA Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast Fire Hazard Zone : NO PROCESSED BY: SPECIAL CONDITIONS: Phone: Can State Lic Lic Expire Bus Lic : ALISO AIR INC 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 (949)589-2021 526420 03131/2026 BT30019236 Bus Lic Expire:02/28/2025 Workers' Compensation insurance Carrier : LIBERTY MUTUAL INSURANCE COMPANY Policy No: WC2Z61036218093 W. C. Expire: 7/1/2025 Manufacturer: CARRIER Model#: 38MURAQ48AA3 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ilem(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 .he permit to filo 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 iot 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 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 mprovements 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 mproved 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 ContractorsState 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 legally 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 upon request when this application is submitted or at the following Web site:http:l/ww'w.leginfo.ca.gov/calawhtml. 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 70001 of DSion 3 of the Business and Professions e. and my licens is in n full force and effect. License Class License No Date / W 6- Z Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS I61D0,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of the work for which this permit is issued. Policy No. LJfrave 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' compensatioi insurance carrier and policy number are: Policy Number Date lame of Agent- 71 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 iat. if 1 should become subject]tto, the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (J/ lignature of Applicant '`�"^'C%E°��_ - -_ _ Dale )ECLARATION REG DING 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, Civil 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 owners behalf. I 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 county to enter the above -identified property for inspection purposes. 3ionature of PrODertv Owner or Authorized Aqent ''c �"t��-Y'' - Print Property Owners or Authorized Agent's Name `�`0£~� ' h Date C� lei ACTION i DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE 1403 PERMIT EXPIRED U I SUBMITTFD ASBFSTOS NOTIFICATION TO PERMIT CAN(;EEL UCPA PER MiTE,YFEA!}^D i OMD PERMIT FWAJ. , . L�ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFI%ATEOF q PROPOSED DEMOLITION OCCUPANCY ISSUED O'' 'IL°' Z SIGNATURE: