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HomeMy WebLinkAboutE2022-0650 - PermitsagwroRr City of Newport Beach IIII I I II I II I II II II II II II Electrical Permit Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 644-3288 Work Class : Other u x Inspection Requests Phone: (949) 644-3255 Issued Date : 09/1912022 �9G�FppN�P newportbeachca.gov/inspections Inspection Area :3 E2022-0650 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 : 29 CAPE ANDOVER Legal Desc : N TR 15012 BLK LOT 21 Description : ELEC - 2 DISCONNECTS FOR A/C REPLACEMENTS Owner: MARK ADAMS Address : 29 CAPE ANDOVER NEWPORT BEACH, CA 92660 Phone : Applicant: BEN MEDINA Address : 31225 LA BAYA DR, 213 WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Building Setbacks : Front: 10, Side: 5,-Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Upper Castaways PROCESSED BY: SPECIAL CONDITIONS: 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 ; 04/30/2023 Bus Lie: BT30047511 Bus Lie Expire:06/30/2023 Workers' Compensation Insurance Carrier : INS CO OF THE WEST Policy No: WSD506354500 W. C. Expire: 12/25/2022 Fire Hazard Zone : NO Occupancy Groups: R3/U OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that 1 am exempt from the ContractorsSlate 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not intended or offered 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 l:he improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Buliderwilf 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' State License Caw). ❑ I 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 legally sell a structure that I have built as an owner-buildor if it has not been Constructed in its onfirety 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:f/wvvw.leginfo.ca.goylcalaw,htmi, Signature of Property Owner or Authorized Agen[W Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 7000) ov; of the Business and Pr 51 my license Is In full force and effect. License Class License No Date__Contractor Signature, / WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADOMON TD THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Innhereby affirm under penalty of perjury one of the following declarations: El I 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 IN RNOPPance 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: der Policy Number Expiration Date me of Agent Phone # certify that, in the performance of the we k 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 agro If I should become subject to the ors' compensation provisions of Sect 78Bvf the Labor Code, I shall forthwith comply with those provisions. Q Iature of Applicant_,_.. : ARAT00N REGARWNG CONSTR y- nING AGENCY 3reby affirm underpenalty oT at there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). order's Name—' Lender's 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 ordinances and state laws relating to building co lotion. / I authorize representatives of this city or county to enter the aboveJ�ified prop�y-ferirfspectlon purposes. ACTION DATE BW \ /6ECL�3Cdi�F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY (/ I 1 14033 IONS PART' S1 OFTITLE 4n AND AOMD RULE _ j_1403 _ PERMITEXPIRED v LTfMITTF'] ASBESTOS NOTIFICATION TO PERMIT CAACELLED CPA PERMIT EXTENDED CAOIdD PERMIT FINAL � 6il '} C _ TC/� r 0AS81,510S NOTIFICATION 15 N 0 T APPLICABLE W CERTIFICATE OF rVT�A/ gg PROPOSED DEMOLITION CCCUPANCYlSSUED t 71CNA7URE: Date