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HomeMy WebLinkAboutE2023-0352 - Permits�2EWPORT City of Newport Beach -. Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u T Permit Counter Phone: (949) 644-3288 cy� Inspection Requests Phone: (949) 644-3255 FonN�r n ewpo rtbeachca. g ov/inspections Electrical Permit Plan Check No: Work Class : Other Issued Date : 04/19/2023 Inspection Area : 6 E2023-0352 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 : 7 TROUVILLE Legal Desc : N TR 14617 BILK LOT 86 Description: ELEC INSTALL ELECTRICAL FOR A/C REPLACEMENT Owner: HIGGINS CAROLYN T TR C T Address: 7 TROUVILLE NEWPORT COAST, CA 92657 Phone: Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address: Phone: Contractor : ALPS AIR CONDITIONING & HEATING INC Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone : (714) 633-8892 Con State Lie : 667953 Lie Expire : 04/30/2025 Bus Lie: BT30047511 Bus Lie Expire:06130/2023 Workers' Compensation Insurance Carrier : INS CO OF THE WEST Policy No : WSD506354500 W. C. Expire: 12/25/2023 Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups Building Setbacks : Front: 10, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY o SPECIAL CONDITIONS: 30" WIDE X 36" DEPTH REQUIRED FOR DISCONNECTS ; . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for he 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 'rofessions Code) or that he or she is exempt from ftcensure 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 lot more than five hundred dollars ($500). I, 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, 3usiness 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 mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or m roved 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 Ipply 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). I am exempt from licensure under the Contractors' State License Law for the following reason 3y my signature below I. acknowledge [hat, 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 legall3 loll 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 'rofessions Code, Is available upon request when this application Is submitted or at the following Web site:http:l/www.leginfo.ce.gov/mlaw,html. 3ignature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION t -- hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 700p)pf 0 i o� of the Business and Prof Code, and my license Is in full force and effect. License Class License No Date `l I G Contractor Signa PORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR USAND DOLLARS 3S100,0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGE$ AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: —1 1 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 3100 of the Labor Code, for to orformance of the work for which this permit is issued. Policy No. 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' carrier and policy number. are: Policy Number ne of Agent certify that., in the performance of k for which this permit is issued, I shall not if I should become subjec a workers' compensation provisions of aeae'"I'D of Applicant Date any person in any manner so as to become subject to the workers' compensation I ws of California, and agre Labor Code., I shall forthwith comply with those provisions. Date f affirm under peo u. ere is a construction lending agency -for the performance of the work for which this permit is issued (Section 3097, Civil Code), Namenalty����� Lenders Address 3y my signature ow ay to aeon of Ure tollomng: [am the pro e.t, lwner or authorized to act on the property owner's behalf. I have read this Lfp:ication and the information I have provided is correct. I igre9 to corirl; vith all applicable city and county ordegriCas and state laws relating to building construction. I authorize repre-rr!rtives of this City or county toe the above-idenfiffe rorpifirOfor inspection purposes. iionature of Pro art" Owner or Authorized Agent Print Property Owner's or Authorized A ACTION DATE RY 4 ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY £(iULAT10N5 PART 51 OF TITLE AD AND AOMD RULE 1403 PEN,00 kXPIRED 'I IL.I I SUBMITTED ASBESTOS NOTIFICATION TO Pf4,NTEX ENDED r �IIggMD�_ _ PERMIT FINAL r66�� CE" 10CA7r OF J �3 ✓A� ASBf5fO5 NOTIFICATION IS NOT APPLICABLE TO pROPOSFD DEMOLITION OCCJrnNCYl55UIT. /ii"'TTT"' SIGNATURE: SAI Date