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HomeMy WebLinkAboutH2022-0514 - Permits�EWPORT City of Newport Beach III I I I II I II I I�IIIII I II II H2O22-0514 Community Development Department- Building Division Mechanical Permit : 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No • - yn. } Permit Counter Phone: (949) 644-3288 _ _ ' t Inspection Requests Phone: (949) 644-3255 .• Work Class : Other 1 ZX// °9ciFoaN`P Issued Date : / Zi✓ 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 X 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 1403 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: