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Home My WebLink AboutE2023-0393 - Permits42EWPORT City of Newport Beach 0 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 O S Permit Counter Phone: (949) 644-3288 Cq�IFO FN�P Inspection Requests Phone: (949) 644-3255 newportibeachca.gov/Inspections 1111IIII1I 11IIIIIIIIIIII1111IIIIII111IIIII II Electrical Permit : E2023-0393 Plan Check No Work Class : Other Issued Date : 04/28/2023 Inspection Area : 2 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: 20 ROBON CT Legal Desc : N TR 7852 BLK LOT 1 UN 1 TR 7852 LOT 1 UNIT 1 OF PROJECT LOC ATED ON AP Description : ELEC INSTALL ELECTRICAL FOR HVAC (1-12O23-0282) Owner: JEFFREY PEDDIE Address : 3 TRIBUTE CT NEWPORT BEACH, CA 92663 Phone : (949) 202-6832 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Building Setbacks : Flood Zone : X Use Zone: PC - Newport Crest - UP1585 PROCESSED BY: 6 SPECIAL CONDITIONS: Contractor : ALPS AIR CONDITIONING & HEATING INC Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone : (714) 633-8892 Can State Lie : 667953 Lie Expire : 04/30/2025 Bus Lie: BT30047511 Bus Lie 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 : U 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 applicable items) {Section 7031.5, Business end 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 the 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 Professions Code) or that 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 penalty of not more than five hundred dollars ($500). El 1, as owner of the property,. or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered 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 that it was not built or improved for the purpose of sale). I, 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' Slate License Law for the following reason:.__,—._ _ By my signature below I acknowledge that, exceptfor 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 legally sell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors.. I understand that a copy of the applicable law, Section 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.ieginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _ Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 fyi is 3 of the Business and Profes i ode, and my license is In full force and effect. License Class License No Date Z Contractor Si tur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE OUSAND DOLLARS 1516g90U1, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 the erformence of the work for which this permit is. issued. Policy No.. Ahave 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' compensatior rsurance, carrier and policy number are: ;arrier Policy Number Expiration Date lame of Agent Phone # -1I certify that, in the performance of the wo r which this permit is issued.. I shall not employ any ,person in any manner so as to become subject to the workers' compensation laws of California., and agre, Tat, if I should become subject to ifle ors compensation of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. - Hgnature of Applicant � _ Date, , G�/�.5 IFOl APATICIN Rr=r.APnlMr cnNST nu I a=Nnrun A(iFNr•.v areby affirm under penal of at there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). )der s Name Lenders Address my signature below, I. certify to each of the Following: I am the prepe,t,r owner or authorized to act on the property owner's behalf. I have read thi,. jpIl-lication and the information I have provided is correct. 1 ag:cs to ccmp y with all applicable city and county o lanciand state laws relating to building construction. I authorize represnntntves of this city orcounty t �''' above -identified property for inspection purposes. ��%�%�jj �I �y/A nclure of Propert' Owner or Aulhorizad Aaenl >) Print Property Owner's or Authorized Aaeri Nam6/'c � V1 to ft.,iC FOR OFFICE USE ONLY i REGULATIONS PART 61. OF TITLE 40 AND AOMD RULE 1403 PERvq EYPrRED 01 SUBMITTED ASBESTOS NOTIFICATION TO PEMI RT CANCELLED yJEpA - �-T- - _.. . _.._ PrFMIiFWAL rryy g€ ASBBSTOS NOIIEICATION_5 INO'! APPLICABLh TO R CERTIF7G,TE Of ( l/1 ¢ PROPOSED DEMOLITION OCCUPANCY ISSUSf` SIGNATURE: