HomeMy WebLinkAboutE2022-0664 - Permitsty
04 �EWPOR @ Community
f NDewport Bpatment- Building Division IIII I I II I II I I) I) II II II II Electrical Permit : E2022-0664
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO
S Permit Counter Phone: (949) 644-3288 Work Class : Other
Inspection Requests Phone: (949) 644-3255
"c�FoaN`r newportbeachca.gov/inspections Issued Date : 09/21/2D22
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 : 9 VENETO
Legal Desc'i N TR 15078 BLK LOT 17
Description: ELEC A/C DISCONNECT
Owner: SNIDER ERIC TR
Contractor : ;ALPS AIR. CONDITIONING & HEATING INC
Address : 9 VENETO NEWPORT COAST, CA 92657
Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805
Phone:
Phone: (714)633-8892
Con: State Lic :-667453
Applicant: ALPS AIR CONDITIONING & HEATING INC
Lic Expire ; 04/30/2023
Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805
Busy Lic : BT30047511
Phone: (714) 633-8892
- Bus`Lic Expire: 06130/2023
Workers' Compensation Insurance
Owner/Builder:
Carrier: " INS CO OFTHE .WEST
Address :
Policy No: 'WSD506354500
Phone:
W. C. Expire: '.12/25/2022
Code Edition : 2019
Fire Hazard Zone : YES
Type of Construction :
Occupancy Groups : U".
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Newport Ridge 6�
PROCESSED BY:
SPECIAL CONDITIONS:
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I hereby affirm under penalty of perjury that I am exempt from the Contractors` Slate License Law for the reason(s).in�dicated I
�Ctwn 7031.5, Business and Professions Codet Arty oily orcounty --that requires a permit to construct; alter, improve; demolish,
permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors`State. license Law.(C
dassions Code) or that he she Is exempt from ltcensure and the basis for the alleged exemption, Any violation of S
more than five hundred dollars (WO),.
I, as owner of the property, or my employees with wages as their sole compensation;: will do U all of or (_) portions.
;mess and Professions Code: The Contractors". State License Law does not apply to an owner of property who, throu
vovements are not intended or offered for sale. If, however,. the building or improvement is sold within one year of c(
)roved for the purpose of sale).
I; as Owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70
)lyto an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra
I am exempt from licensure under the: Contractors' State License Lawful the following reason:
my signature below f :acknowledge. that, except for my personal residence in. which I must have resided for at least e
I a structure that i have built as an owner -builder If ithas not been constructed in its entirety by licensed contractors,
iiessions Code, is available upon request when this application Is submitted or at the following Web site:hitp./lwww k
Signature of Property Owner or AuthorizedAgent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of peh'ury that I am'tkert
and effect. License Class
ORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS• COMPENSATION GO
under provisions of Chapter 0.(commenting with Se
License No
I hereby affirm under penaity:of perjury one of the following declarations:
❑ I have and will maintain a Cerliftcate Of consent to selfdnsura-for workers' compensation, issued. by. the Dire
Frrtance of One work for which this permit is issued. Policy No.
ve and will maintainworkers' Compensation insurance, as: required by Section 3700 Df the Labor Code, for
neeparrier and policy number. are:
Garner Policy Number
is of Agent.
certify that, in the performance of the ylsrk tlx which this permit is Issued, t
, 1f I should pecom ub SOL to the wo , compensation provisions of Be(
iature of AppljF!an�
:LARATfGN RHBA m. ENDtMG AQENCY
iww.aiftrm undaspe ity of perjury that there is a construction lending agei
I airline property oVUer or authorized to act on the property owna
.Ihave read tMs opplitation and the information' I have provided is
I agrto eornply wfth-all applicable city and county ordf Gas
. d ulihorize reprr�ser•tAtives of this City or county to . the above
�Tt�R•� • ^� DATE
t"I.T P1RE0
seal I Ate_
the work
'H CODE OF FEDERAL. l FOR
ANDACLMD RULE
IS NOT APPLICABLE T6 I
next to the applicable Item(s)
ce;also requires: the applicant for
))of Division 3. of the Business and
is the applicant to a civil penalty of
he work;and the structure Is not intended oroffered for sale (Section 7044,
-mployees' or personal effort, builds or improves the property,provided that the
letionrthe Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code; The Contractors' State License Law does not
pursuant to the Contractors' State License Law),.
year
Of
is thfull force
AND CIVILFINSS UP TO ONE HUNDRED THOUSAND DOLLARS IS100,5061, IN ADDITION TO THE I)
of Industrial Relations as provided for by Section 3700-of the Labor Code, for
performance of the, work for which this permit is: issued. My workers*
Expiration Date
Phone #
p as to become subjectio the workers' ompensation laws of California, and agre
comply with those provisions.
this permit is issued (Section 3097, Civil Code)..