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Home My WebLink AboutE2022-0651 - PermitsCity of Newport Beach p4 -i p Community Development Department- Building Division ��rcnny. 100 Civic Center Drive, Newport Beach, CA 92660 (' Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °gc,toae`r newportbeachca.gov/inspections Electrical Permit Plan Check No : Work Class : Other Issued Date Inspection Area : 2 E2022-0651 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YE ALRS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK DIN SUNDAY AND HOLIDAYS IN ALL AREAS Legal Desc : N TR 4692 BILK LOT 73 TR 4692 LOT 73 TOGETHER WITH AN UND 1/9 8 INT IN Job Address: 400 ORION WAY Description: ELEC -DISCONNECT FOR A/C INSTALLATION Owner: DAVID C FRANKLIN LIVING TRUST Address : 400 ORION WAY NEWPORT BEACH, CA 92663 Phone: Applicant: BEN MEDINA BAYA DR, 213 WESTLAKE VILLAGE, CA 91362 Address: 31225 LA Phone: (818)735-7876 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: X RM - Multiple Residential Contractor : ALPS AIR CONDITIONING & HEATING INC Address : 1895 S SANT CRUZ ST ANAHEIM, CA 92805 Phone : (714) 633-88 2 Con State Lie : 667953 Lie Expire : 04/30/2023 Bus Lie: BT30047511 Bus Lie Expire:06/30/2023 Workers' Compensation Insurance Carrier : INS CO OF THE WEST Policy No : WSD506354 i00 W. C. Expire : 12/25/2022 Fire Hazard Zone : NO Occupancy Groups : UVVNER-BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) 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 at 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 Ilcensure and the basis for the alleged exemption. Any violatfoo 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do LJ all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Rosiness 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). ❑ 1, 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 Hcensure 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 haveresided for at least one year prior to completion of the Improvements covered by this permit, I cannot legail, sell a structure that I have bunt asan owner -builder if it has not boon 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,http://www.leginfo.ca.gov/calaw,html,. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION — -- - --- I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (wmmencMg with Section 70. irl]a r ey�Po�f the Business and Profess�'aa 19-nrpyl sa Is in full force and effect License Class License No Date //// Contractor Signature < NORKERS' COMPENSATION DECLARATION NARNING; FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED ]OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. THOUSAND DOLLARS (E100.000), IN ADDITION TO THE hereby affirm under penalty of perjury one Of the following declarations: I have and will maintain a certificate of consent ID seat -Insure for workers.' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Im re ormance 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: is of Agent _ Certify that, in the pi if I should become Policy Number Expiration Date 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 gpglpensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. IECLureof Applicant _ _,. Date___.__._��J' fECLARA7(GN REGA —RUC'!'10^N LENDLNG AGBNCY `� 1-r hereby affirm under o perjury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Coda). ender's Name Lender s Address ly my signature below, I certify to each of the following: I am the property owner air authorized to act on the property owner's behalf. l have read this application and the information i have provided is correct.. I agree to comply with all applicable city and county ordinanc state laws retailing to building construction. I authorize representatives of this city or count to a to above -identified or mspectlon purposes. /� ��^II 4 Y1 ignatura of Property Owner or Authorized Agent I �/ Print Property Owner's or Authorized Aoent's Nao,d t � i/1 III 1 o/V (//Y ,. _,_�l �ri 47 ACTION PERMIT EXPIRED PERMIT CANCELLEf PERMITEXT iV6E0 DATE 8Y y ' ON OF COMPLIANCE WITH CODE OF FEDERAL F.GI LATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SU^MI TTFD ASBESTOS NOTIFICATION TO �f -2 t ]� �' w CERTIFfCALT;- ' LJASBESTOS NOTIFICATION 15 NOT APPLICABLE TO OF PROPOSED DEMOLITION OCCUPAMCYISSUEO fn �T SCNP.TURE- FOR OFFICE USE ONLY