HomeMy WebLinkAboutE2023-0161 - Permits�aeWPoRr
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
iiiiiiiiiii II Electrical Permit
Plan Check No:
Work Class : Other
Issued Date : 03/03/2023
Inspection Area: 1
E2023-0161
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: ELEC -DISCONNECT FOR INSTALLATION OF NEW HEAT PUMP
Owner: WATERMAN SCOTT H TR S H & K L WATERMAN REVOC TR
Address: 883 PROSPECT PL COSTA MESA, CA 92626
Phone:
Applicant: ALPS AIR CONDITIONING & HEATING INC
Address: 1895 S SANTA CRUZ ST ANAHEIM, CA 92805
Phone : (714) 633-8892
Owner/Builder :
Address
Phone :
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : ALPS AIR CONDITIONING & HEATING INC
Address :
1895 S SANTA CRUZ ST ANAHEIM, CA 92805
Phone :
(714) 633-8892
Con State Lic
: 667953
Lic Expire :
04/30/2023
Bus Lic:
BT30047511
Bus Lic Expire:06/30/2023
Workers' Compensation
Insurance
Carrier :
INS CO OF THE WEST
Policy No:
WSD506354500
W. C. Expire:
12/25/2023
Fire Hazard Zone : NO
Occupancy Groups: R3/U
NOCONS I RUCTION NOISE
ON -NE
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 itemts)
;action 7031.5, Business and Professions Code: Any city, or county that requires a permit to construct, alter, improve, demolish, or repair anystructure, prior to Its Issuance, also requires the applicant for
is permit to file a signed statement that he or 8110 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 Code) or that he or she is exempt from Ilcensure 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. Q$500).
11, 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 notintended 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 theproperty, 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 it was not built or
rproved for the purpose of sale).
a 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
pply 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).
3 t am exempt from Idensure under the Contractors' State 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 least one year prior to completion of the Improvements covered by this permit I cannot legall)
at a structure that I have builtas an owner-buildor if it has not been constructed In itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
refessions Code., is available upon request when this application Is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html..
signature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (Commencing with Section 7000kef 4wiyi the Business and Pr Ions Cc and icar�seisT� fU orce
no effect. License Class License No Date ci 'J Contractor Sign r
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUMORS THOUSAND DOLLARS (E100,000), IN ADDTION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T03 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one or the following declarations:
„J+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 to
Krformance of the work for which this permit is issued. Policy No.
lave 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' compensatio
ce carrier and policy number are:
Policy Number
Date
area of Agent
�I certify that., in the performance of the work f which this permit is iss d., I shall not employ any person in any manner so as to become subject to the workers' compare; tion laws of Callfolnia, and agreF
rat if I should become subject to the work nsati .'Ions of Section 3700 of the Labor Code,. I shall forthwith comply withthose provisions. /
ignalure of Applicarr
IECLARATION RE RDIl _ LENDING AGENCY
hereby affirm under penalty c at 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 Lender's Address
ly my signature below, I cartify to each of the following:
I am the property owner or authorized to Set 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 ordin cefsand sta aws relating to building construction. I authorize representatives of this city or county to enter t e-Identified property for inspection purposes. ���� pata[�' ✓/ `�
lionature of Prooertv Owner or Authorized AGefl "._ Print Property Owner's or Authcrized Agent's Name� &L I/ w
ACTION DATE ( BY j ,RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
¢I REGULATIONS PART 61 OF TITLE 40 AND ACIMD RULE
NOTIFICATION
PERMIT CANCELLED
PERMIT FINAL
OF �NATUR DEMOLITION ION IS NOT APPLILA9LE TO
OCCUPANCY ISSUED __ _