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Home My WebLink AboutH2024-0418 - PermitsrE"'PORTY City of Newport Beach III II I III I II II II III II I II Mechanical Permit Fi2U24-0418 p4 6- Community Development Department- Building Division Plan Check No 100 Civic Center Drive, Newport Beach, CA 92660 Work Class : Other Permit Counter Phone. (949) 718-1888 u ¢, newportbeachca.gov/civic Permit Status: Issued FnRas,-Issued Date : 07/1612024 Inspection Area : 6 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 : 621 MARIGOLD AVE Legal Desc : A TR CORONA DEL MAR BLK 639 LOT 17 UN 1 CORONA DEL, P BK 314 PG 32 PAR,1 UN 1 PM 314-32, PAR 1 OF PROJ >> Description: MECH REPLACE A/C UNIT @ THE SIDE YARD, TAMPER RESISTANT CAP REQ, REPLACE FURNACE , Owner: STILLMAN JOHN A TR Address : 621 MARIGOLD AVE CORONA DEL MAR, CA 92625 Phone: (714)271-2926 Applicant: BEN MEDINA Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 20, Side: 4, Side: 4, 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 St t 1 667953 Con a e rc . • . Lic Expire : 04/30/2025',1^ Bus Lic : BT30047511 x v +„�, 3 6,r, �% 5 �ra. "i Bus Lic Expire:06/30/2025 Workers' Compensation Insurance Carrier : INSURANCE COMPANY OF THE WEST Policy No: WSD507475500 W. C. Expire: 12125/2024 Manufacturer: LENNOX Model#: EL17XC1-036 DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State 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 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 (S500). ❑ L 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 proffered 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' Stale License Law). ❑ 1 am exempt from licensors under the Contractors' Slate License Law for the following reason: _ By 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 legallt 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 7044 of the Business and Professions Coos, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmi. Signature of Prcp.li:y Owner or Authorized Agent _— _. _ Date L IGEfSED CONTRACTOR'S DECLARATION I hereby affirm t!'tder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S\11;n Divi n of the Business Pro ode, and my Ilcense is in full Force and efe-ct. License Class License No Contractor eWORKERS'C9MPF.NSATION DECLARATIONNARNINr•: FAILURE TO SErURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL 3UBJECT AN EMPLOYER TO PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE .05- rF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTURNEY'S FEE& h^.r^hy affirm under p malty of perjury one of the following declarations: :1 P 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 thl p_rfer.nanee of the work for which this permit is issued. Policy No, meand Mir mair. tain workersCompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' I,:e carrier and policy number are: to of Agent certify that, in the performance if I should come Subject ly lature of Appli i hereby affirm under ender's Name -,� Policy Number Date the work for 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 ac workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - _.— _ rRU LENDING AGENCY Dale at there is a construction lending agency for the performance of the work for which this permit is issued (Sec on 97, Civil Code). Lender's Address my signatur4Qg;avr Fcertify 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 ordinances and stale laws relating to building construction. I authorize representatives of this c or county toe the above -identified property for inspection purposes. nature of Property Owner or Auth➢rFis Agent ILZ Print Prooertv Owner ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYLSSUED DATE I BY 1403 OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO ASBESTOS NOTIFICATION 15 NOT APPLICABLE 'r0 PROPOSED DEMOLITION FOR OFFICE USE ONLY