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Home My WebLink AboutH2023-0243 - Permits��WPOR� City of Newport Beach I I I I II I III II II I I IIII II o� @ Community Development Department - Building Division Mechanical Permit > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: i Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 04/12/2023 qG/FppN� newportbeachca.gov/inspections Inspection Area : 6 H2O23-0243 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 : 3812 INLET ISLE DR Legal Desc : N TR 6425 BLK LOT 49 Description: MECH CHANGE OUT A/C UNIT AND FURNACE *TAMPER PROOF CAP REQ* Owner: NAM KWAN TR NAM FAMILY 2011 TR Address : 3812 INLET ISLE DR CORONA DEL MAR, CA 92625 Phone: 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: Fire Hazard Zone : NO Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: NEIGHBOR LETTER ON PLANS Contractor : ALPS AIR CONDITIONING & HEATING INC Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone : (714) 633-8892 Con State Lic : 667953 Lic Expire : 04/30/2025 Bus Lic: BT30047511 Bus Lic Expire:06/30/2023 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD506354500 W. C. Expire: 12/25/2023 Manufacturer : ELITE Model# : EL17XC1 ttMER REQUIRED ON EQUIPMEM. i0 EHU7 OFF eErl�VEEN 10 P-M. AND 7 A.M. OWNER -BUILDER DECLARATION I hereby affirm under penally 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 applicable item(s) Section 7031.5, Business and Professions Code: Any city or countythat requires a permit to construct, alter, improve; demolish, or repair any structure,prior to its Issuance; also requires the applicant for io permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Rufesslons 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 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 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 the nprovements 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 n roved for the purpose of seta). J 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly 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 Rcensure under the Contractors' Stale License Law for the following reason:.______ �y 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 legall, ell a structure that I have built as an owner buildar If ithas not boon constructed In its entirely by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and 7ofossions Code, is available upon request when this application is submitted or at the following Web site:http:/Awww.Ieginfo.ce.govlcalaw.html. signature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section NISINV n 3 If the Business and Prof . Code a is in full force nd effect. License Class License No Data Contractor Signature VORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREfrTHOUSAND DOLLARS (6100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'3 FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for th rformance of the work for which this permit is. issued. Policy No. have 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' compensatiol nsurance carrier and policy number are: Carrier Policy Number Expiration Dale Name of Agent Phone N 711 certify that, in the performance o work 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 agre [hat, If I should becom 'ect [D the rs' Compensation provisio. of Section 370D of the Labor Code, I shall forthwith comply With those provisions. r� Signature of Appll..r rl ( DatxivilCoc[a). J _ DE-LegATION REC DING CONSTR N LENDING AGENCY nereby affirm under OPrLality of that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, '.e,Iders Name _ Lender's Address Ey my Lignature below -,I certify to each of the following: w I ata the pmper:y tvrner or authorized to act on the property owner's behalf. I ticve read this application and the information I have provided Is correct. _ ' i,,,ree to ccmpl,, w,41 all applicable city and county 0 Ina and state IaL g to building Construction. ' i,'lnorize representatives of this city or county a er the abo tffied property for inspection purposes. ',^1 ,r 7ir`relur� of Pro err Owner or Authorized A ent Print PropertyOwner's or Authorized Agent's Name v 1 L. ltl Z Z� .:CTION , DATE 6 D N OF COMPLIANCE WITH LODE OF FEDERAL FOR OFFICE USE ONLY CATIONS PART 51 OF TITLE 40 AND AQMD RULF. 14D9 PERMITEXPIREt) ( I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED UAQM D PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: