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Home My WebLink AboutH2023-0445 - PermitsaEwPoRr City of Newport Beach III I I I II I III II II II III I II 0� Community Development Department- Building Division Mechanical Permit > y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: p' PermH Counter Phone: (949) 718-1888 Work Class : Other U r $ newportbeachca.gov/civic Issued Date : 07/1012023 9</PORN` Inspection Area : 6 H2O23-0445 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: 1 PINNACLE POINT Legal Desc : N TR 14038 BILK LOT 54 TRACT NO 14038 LOT 54 FOR OF i s Description: MECH -REMOVE AND REPLACE HEAT PUMP @ THE SIDE YARD, TAMPER RESISTANT CAP REQ Owner: RED RIVER PINNACLE LLC Contractor ; ALPS AIR CONDITIONING & HEATING INC Address: 6 PINNACLE PT NEWPORT COAST, CA 92657 Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone : (949) 683-2871 Phone : (714) 633-8892 Con State Lie : 667953 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 Occupancy Groups : Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : YES Lie Expire : 04/30/2025 Bus Lie: BT30047511 Bus Lie Expire:06/30/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD506354500 W. C. Expire: 12/25/2023 Manufacturer: LENNOX Model# : EL18XPV-024 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 applicableltem(s) (Section 7031.6, 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 provisionsof 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 Section7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do V all of or L) portions of the work., and the structure is notintended or offered for sale (Section 1044, 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 theproperty, 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 sele). 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 auoo€y 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). L i am exempt from licensure under the Contractors' State 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 legally sell a'structure that I have built as an owner-bUllder If Ithas 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 Code, is available upon request when this application is submitted or at the following Web site:htipJ/www.leginfo.co.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 Sect io 700 ON) ioY of the Business d P ofess and my license is in full force and effect. License Class License No Date J Centrac WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C057 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance 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' -cattier and policy number are: Policy Number Date me. of Agent Phone # certify that. in the performance of the work for W this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensatlon laws of California, and agral t, If I should become subject tot worker ' mpensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. nature of Applicant t �d 2� CLARATION RE Oi 6 � ST TfON LENDING AGENCY ��_._._�.____. )reby affirm under penal ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). Nets Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property 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 rdinances nd state laws relating to building construction. I authorize representatives of this city or cou ?q—?!N 1eJden#gd property for inspection purposes. (�/ .;� y fn L, -7f fA/7—( ACTION DATE RV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMrr Ex"bD U I SURMITTFD ASBESTOS NOTIFICATION TO PERMITCA.NCELLED r1rPA _P—fNTEN—____DE1 _....._._.._.._._.._....__ ERMIT I 4MD t PERMAFINAL OASBESTOS NOTIFICATION Is NOT APPLICABLE lO CERTIFICATE OF S S-.ls PP' �'— OPOSED EMOUTION PROPOSED OCCUPANCYISSUEO