HomeMy WebLinkAboutH2022-0514 - Permits�EWPORT
City of Newport Beach
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H2O22-0514
Community Development Department- Building Division
Mechanical Permit
:
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No
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Permit Counter Phone: (949) 644-3288 _ _ ' t
Inspection Requests Phone: (949) 644-3255 .•
Work Class : Other
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Issued Date :
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newportbeachca.gov/inspections
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 : 1724 PORT MARGATE PL Legal Desc : N TR 6621 BILK LOT 38
Description: MECH SFR REPLACE L/L (2) 60K FURNACE AND INSTALL (2) 3 TON AC UNITS
Owner:
ILIE ARDELEAN
Contractor : ALISO AIR INC
Address :
1724 PORT MARGATE PL NEWPORT BEACH, CA 92660
Address : 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA
92688
Phone:
(818) 519-7061
Phone: (949) 589-2021
Con State Lic: 526420
Applicant :
ALSO AIR INC
Lic Expire : 03/31/2024
Address :
29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA
Bus Lic : BT30019236
92688
Phone:
(949) 589-2021
Bus Lic Expire:02/28/2023
Workers' Compensation Insurance
Owner/Builder
:
Carrier : LIBERTY MUTUAL INSURANCE COMPANY
Address :
Policy No: WC2Z61036218092
Phone:
W. C. Expire: 7/1/2023
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Front: 20, Side: 5, Side: 5, Rear: 10
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PC - Harbor View Hills
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Manufacturer: AC PRO
Model# : AULD36W2/A-D(U)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iterate)
(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve; demolish, or repair any structure, poor to its issuance, also requires the applicant for
the permit to file a signed statement that he or sho 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 liconsure 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).
711, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work., and the structure is not intended oroffered 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 [list 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
a ply 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 liconsure 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 feast 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 itsentiroty by licensed contractors. I understand theta copy of the applicable law, Section 7044 of the Elwdnoss and
Professions Code, is available upon request when this application is submitted or at the following Web site.http:llw .leginfo.ce.gov/calaw.html,
Signature of Property Owner or Authorized Agent Data
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of Diyj ion 3 of the Business and Prof@sue de,. an¢�my I(�Mt is in full force
and effect. License Class License. No Date aO, Contractor Signatures {S Ik5J/��
WORKERS' COMPENSATION DECLARATION
NANNING: FAILURE to SECURE WORKERS' COMPENSATION COVERAGE 1S UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES.
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 ih
or ante of the work for which this permit 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 permit is issued. My workers'
carrier and policy number are:
Policy Number
Agent
Date
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 10 the workers' compensation laws of California, and
, if I should become subject to the workers cojrnp"gation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lure of Applicant
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I 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).
Lender's 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.
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 t t r the above 'fled property for inspection purposes.
Signature of Property Owner or Authorized A ant Print PropertyOwner's or Authorized A ent's Name ti C�J L 1 �5 Date-4 t^a�
ACTION DATE RY DECLARATION OF COMPLIANCE WITH CODE, OF FEDERAL FOR OFFICE USE ONLY
RFC3L1t.AT1ONS PART Ft OF TITLE 40 AND AQMD RULE
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PERMIT EXPIRFD LJ I sUBMITTED ASBESTOS NOTIFICATION To
PERM.ITCANCELLED EIEPA
PEPoViIT EXTENDED CIAQ
PERMITF(NAL 03/1y/Z3 DL Po. DR Ll ASBESTOS NOT 111CATION 15 NOT APPLICABLE To
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: