HomeMy WebLinkAboutH2022-0522 - Permits2EWPpQ� City of Newport Beach IIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIII Mechanical Permit : H2022-0522
Community Development Department - Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 644-3288 Work Class: Other
U Inspection Requests Phone: (949) 644-3255 Issued Date :
CgG�FOAN�P newportbeachca.gov/inspections 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 : 618 IRIS AVE, A Legal Desc : P BK 353 PG 36 PAR 1 UN 1 PM 353-36, PAR 1 OF PROJECT 938-01 LOCATED ON
Description: MECH -REPLACEMENT AC UNIT @ ROOF -TOP
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Owner: BLOOM SHERRY L TR 2012 SHERRY BLOOM TR
Contractor:
ALPS AIR CONDITIONING & HEATING INC
Address : 618 IRIS AVE #A CORONA DEL MAR, CA 92625
Address :
1895 S SANTA CRUZ ST ANAHEIM, CA 92805
Phone:
Phone:
(714) 633BB92
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Con State. Lie
: 667953.
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Applicant: BEN MEDINA
-Lie Expire:..
04/30/2023
Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Bus Lie:
BT30047511
Phone: (818) 735-7876
Bus Lie Expire:06130/2023
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Workers' Compensation
Insurance
Owner/Builder:
Carrier :
INS CO OF THE WEST
Address :
Policy No:
WSD506354500
Phone:
W. C. Expire:
12/25/2022
Code Edition : 2019 Fire Hazard Zone : NO
Manufacturer: LENNOX
Model# : EL 18XCU-036
Type of Construction :
Occupancy Groups:
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
NO CONSTRUCTION
NOISE
PROCESSED BY:
SPECIAL CONDITIONS:
ON THE WEEKEND
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I hereby affirm under
ction 7031:B, Busine;
five
laced next to the applicable Harris)
ssuancealso requires the appiicar
1 7000) of Division 3.of the Susines
ubjects the appiicsm to a civil pens
J L as owner of the property, or my employees with wages as their sole compensation, Will do U all of or O portions of. the work; andifls structure is not intended or offered far sale (Section 70dd,
usiness and Professions Cade: The Con for Sara' Stage License Law Boas not apply to an owner of properly who, through employees' -or personal effort, builds or improves the property,: provided that the
1provemao t are not intended or offered for sale, If, however, the building or improvement is sold within one yearof completion;. the Owner -Builder will have�lhe burden of proving that it was not built or
1proved for the purpose of sate).
I: as owner of the property, am excfusiveiy contracting with licensed Contractors to construct the project (Section 7044, Business and professions Code: The. Contractors' Stale License Law does not
lyto an owner of propertywho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),;
J I am exempt from Ilcensure under the Contractors' State License :Law for the following reason: -
y my signature Mow I acknowledge that, except for my personal residence in which t must have resided forest least one year prior to completion of the Improvements covered this
Ill a structure that I have built as an owner-bu0der if it has not been constructed in Its ontiraty by licensed contractors. I understand that copy of the. applicable saw, Section 704 of the Business and
ofessions Code, is available upon request when this application is submitted or atthefollowing Web site;hop:/Avww,leginfo.ce.gov/c law.html.
gnature of Property Owner or Authorized Agent.
CENSED COATRACTOR'S DECLA.RATiON Date
lareby 6ithmI under penalty of pequry that I am licensed under provisions of Chapter 9.(commencing with Section 70.0 the Business and Professions C =.a icense is in full force
Ideife L LicaptBPIEOs License No Oate X
(?RK.ERS' COM eNSATION DECLARATION antractor Signature
t am exempt from the Contractors State License Law for the reasons) indicated below by I
Is: Any city or county that requires a permit to construct. after. lmnrovP damnvak ,,..e !,
" - --^• ...a wmrenant,uN UOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTOCRMNALPENALTIE3 ANOCIVEL FINES UPTOONEHUNDREOTHOUSAND DOLLARS (316D,60ei,.IN AODiTiONTd TH7
,ST dR�aMPENSARON, iAMAGas AS PROVIDED FOR IN SECTION V06 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES,
&9ti)tajfirm uridea Pelialty of perjury One of the following declarations;
I have and w11i, 044ain a cerullcate 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 it
k msoce of theowark for which this permit is issued. Policy No.
Y.aj
' end 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 compensatio
uroncecamer gFW pdtl0y number are: -
::r Policy Number.
me 7fAent Expiration Date
Rhone #
I certify that, in the performance of the w for whit is permit Is issued, I shall not employ any person in any manner so as to become subject to the WWROrs`compe ation laws of California, and agre
t, It I should become subject to the a pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant PL Q'
CLARATION REGAROI ON TION LENDING AGENCY Data, l Z
neby affirm under penal edury that there is a construction lending agency for the performance of the work for which this permitis issued (Section 3097, Civil Code)..
iders Name - Lender's. Address
my signature below, 1 certify: toeach of the. following;
I am the property owner or. authorizedto act on the property owner's behalf.
I have read this applidafionand the Information I have provided is COnecL
T seise to comply With all applicable airy and county oxdinanass�a�ff"�� to laws reIBU angry construction. A i
I authorize representatives of this rife nr r•.nimhr in D.,Im. ar.,�..C.._:�:�,.r
rCHMI NNAL i-Io
CERTIFICATE OF
" UPAPICY ISSUED
�.1'Yi�n wDeur tLUI:.RAL FOR OFFICE USE
PART tit OF TITLE 40 AND AQMD GULF.
uN J5 I.,+tYpLiCABLE TO