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HomeMy WebLinkAboutE2023-0161 - Permits�aeWPoRr City of Newport Beach O �m Community Development Department- Building Division F > n 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 __ _