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Home My WebLink AboutH2023-0156 - PermitsaEwPoRT City of Newport Beach III I I I II I III II III II I II II Community Development Department- Building Division Mechanical Permit F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: >+ m Permit Counter Phone: (949) 644-3288 Work Class : Other .�.� C4C/FppN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Issued Date : 3/03/2023 Inspection Area : 1 H2O23-0156 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 : 122 36TH ST, B Legal Desc : A TR NEWPORT BEACH CITY BLK 35 LOT 14 Description: MECH -INSTALL HEAT PUMP. TAMPER -RESISTANT CAP REQ'D Owner: WATERMAN SCOTT H TR S H & K L WATERMAN REVOC TR Contractor : ALPS AIR CONDITIONING & HE TING INC Address : 863 PROSPECT PL COSTA MESA, CA 92626 Address : 1895 S SANTA CRUZ ST AN , CA 92805 Phone: Phone: (714)633-8892 e Con State Lic: 667953 Applicant: ALPS AIR CONDITIONING & HEATING INC Lic Expire : 04/30/2023\ Address: 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Bus Lic: BT3004751 Phone : (714) 633-8892 Bus Lic Expire,06/30/2=37 Workers' Corn pensatl6h Insurance � Owner/Builder : Address Carrier CR4S'CO OF THE WES �1 ; Phone : Policy Nqq�'-WSD5063545001 W. C. EV : 12/25/2023, Code Edition : 2022 Fire Hazard Zone : NO ®` Manufacturer: AC PRO Type of Construction : Model# : AULD36W2 Occupancy Groups: Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) tendon 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 ,e permit to file a signed statement thathe or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division.3 of the Business and rofesslons Code) or that he or she is exempt from lioensure 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 of more than five hundred dollars ($500). 1 1, 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 or offered for sale (Section 7044, usiness 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 nprovements 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 R was not built or nproved for the purpose of sale). 11, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ppfy 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 I am exempt from licansure under the Contractors' Slate License Law for the following reason: _ -- y 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 legalll ell a structure that I hays built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law. Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hflp:/lwww.leginto.ca.gov/calaw.html. �ignalure, of Property Owner or Authorized Agent Date .ICEN'SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) D ' ' If the Business a Professions Cod Icense is in full force nd effect. License Class License No Date Contractor Si ture VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SIULLL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, "D ATTORNEY'SFEES. 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 kormance of the work. for which this permit is issued. Policy No. I averand 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' compensatio carrier and policy number are: Policy Number Date ame of Agent. """ 3 certify that.. in the performance of the work for which this pe sued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre mat, if I should become subject to {} . cs-c-oTo n provusions of Section 3700 of the Labor Coda, I shalt Forthwith comply with !hose previsions. r ignature of Applicant (L�J�...., _ / iECLARATION REGARDING �. UCTION LENDING AGENCY hereby affirm under penalty o rjury that there is a construction lending agency for the performance of the work for which this permit is issued'. (Section 30Et C II Code). enders Name Lender's 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 county or '.. late laws relating to b '. ' construction. �f ^t I authorize representatives of this city or county to enter the above- n.,o,u/�) id lifted pr or inspection purposes. '' y ��1 ` Print Pronery Owner's or Authorized Anent's N �/(� Dat ACTION DATE. I BY \ DECLA N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY TIONS PART 61 OF TITLE 40 AND.AOMD RUL€. PERMITEXPIRED I ❑ I SUBMITTFD ASHFSTOS NOTIFICATION TO PERMITCANCELLEO EPA PERMITFINAL CERT� IFICATE OF 7 _7 I�M�� AA 4ARR POSED DEMOLITIONION 15 NOT APPLICABLE Tb OCCUPANCY 155UED P I SIGNATURE;