HomeMy WebLinkAboutH2025-0587 - PermitsSEW nor> City of Newport Beach III II I III III II IIIII I II II
Permit: H2O25-0587
Community Development Department -Building Division
,m 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
_ Permit Counter Phone: (949) 718-1888 Work Class : Alteration
_ newportbeachca.gov/civic Permit Status: Issued
Issued Date : 09/1012025 _ -
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. AREF.S
Job Address : 26 HILLSDALE DR Legal Desc : N TR 11785 BLK LOT 1 UN 8 TR 11785 LOT 1 UNIT 8 OF - -
Description: MECH -REPLACE A/C UNIT @ THE SIDE YARD, TAMPER RESISTANT CAP REQ, REPLACE DUCTS AND DISCONNECT ;
Owner: KISHI EMILY K TR SURVIVORS TR
Address : 26 HILLSDALE DR #17 NEWPORT BEACH, CA 92660
Phone :
Applicant: JOE DALEY
Address : 26824 VISTA TERRACE LAKE FOREST, CA 92630
Phone : (949) 770-2495
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone : PC - Aeronutronic Ford
PROCESSED BY
SPECIAL CONDITIONS:
Fire Hazard Zone
Contractor : ALICIA A/C & HEATING INC
Address :
26824 VISTA TERRACE LAKE FOREST, CA 92630
Phone :
(949) 770-2495
Can State Lic
: 525314
Lic Expire :
02/28/2026
Bus Lic: BT20102054
30" WIDE X 36" DEPTH
Bus Lic Expire:09/30/2025
Workers' Compensation Insurance
REQUIRED FOR
Carrier : A I U INSURANCE COMPANY
Policy No : WC088411305
A/C DISCONNECTS
W. C. Expire: 7/1/2026
NO Manufacturer: CARRIER
Model# : 26SCA4-60
OWNER -BUILDER DECLARATION
I hereby affirrn under penalty 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 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
1e 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
rofessions Codes} cr;hat 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 penally of
of more than fiv3 h7ndred dollars ($500),
7 I, x owner c.:he 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 70",
lusiness and Prnfxceions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nrrovements 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
npro.ed for the purpose of sale).
I, as owner of ,he property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
�ly ;o 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).
Hm exemjafrom iicensure under the Contractors' State License Law for the following reason:
:y n.} 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)
ni' i 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
'rofessions Cooe. is available upon request when this application is submitted or at the following Web site:http://w\vw.leginfo.ca.gov/calaw.html.
1pnature of Prod�.rty Owner or Authorized Agent Date
.ICENSED CCNTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I arp,jlpe�lsad under provisions of Chapter 9 (commencing with SecVnT 0 t Divi Iov of the BK�5srofessions II ense � In full
nd effect. License Class L/_JjfJ License No �(� Contre
VORKERS' COMPENSATION DECLARATION
IARNNIG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CPNALTIES AND CIVIL FINES VRED THO AND DOLLARS 4$100,000j, IN ADDmON TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN BECTON 0706 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 th
ar(Qrmance 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'
carder and policy number are:
Policy Number
Date
certify tltpl, in the performa e of the rRltir'NQ1ich this permit Is issued, I shall not employ any person in any manner so as to become subject to the
if 1 shou become sub' rs' comp nsaj0gn provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisioft
Of
hereby affirm untjer pena�y/bt perjury that there is a constru lending agency for the performance of the work for which this permit is issued
_ender's Name (/ Lenders Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly 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 o inane state laws relating to building construction.
I authorize representatives o is city or n y to en -i ntifi property for inspection purposes.
Si nature oT TO rt Owner or Aut ed Agent Print Property Owner's or Authorized Agent's
ACTION I DA BY EC RATION OF COMPLIANCE AK CODE OF FEDERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PART 61 OF TITUi AND AQMD RULE
I SUBMITTED
TIFICATEOF N/o�/ZS N� ITFINAL uD DEMOLITION
SASBESTOS IGNATURE:
NOT APPLICABLE TO
CER
OCCUPANCY ISSUED
compensation laws of California, and agre
3097, Civil Code).
.(