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Home My WebLink AboutE2023-0318 - Permits�eWPORr City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 C�CriO ftN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections E 2 0 2 3 9 3 1 8�� II Electrical Permit : E2023-0318 Plan Check No : Work Class : Other Issued Date : D4/12/2023 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 : 3812 INLET ISLE DR Description: ELEC A/C DISCONNECT Legal Desc : N TR 6425 BLK LOT 49 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 : 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: 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 : 04/30/2026 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 Fire Hazard Zone: NO Occupancy Groups: U NJ I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) !i ((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 (commancing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors 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 not more than five hundred dollars ($500). 13 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 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 i-mproved for the purpose of sale). t..1 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 pursuantto the Contractors' State License Law). I am exempt from licensure 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 -builder if it has 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:htip:lfw .Ininto.ca.gov/wlaw.html. Signature of Property Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of BID GG��'th_�e Business a4PVite, and my license is In fullforce and effect. License Class License No Dale 2 JCDotractor Sig WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS ($10DA00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 'ormonce of the work forwhich 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: Policy Number Expiration Date of Agent Phone N _ JI certify that, in the performance of the work f 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 agree tat, if I should become ct fo the w rs' compensat(nn provisions of Section 3700 of the Labor Code. I shall forthwith comply wit% those provisions. rr ignature of Applicant _� Date' T�ZL� ,ECLAPATION f2EGAR NG Cf3 UC C AGENCY ;l0 eQY 41firm under penalty of :.a there is a construction fending agency for the performance of the work for which this permit Is issued (Section 3097, CivilLIE). enders Name Lender's Address y my signature below, I certify to each of the following:, I am the prop^.rty owner or authorized to act on the property owner's behalf. _ ' have read this appication and the information i have provided is co act. I agree to con ply with all applicable city and co f prdinanc nd state I ngrel&fr to building construction. i authorize repr sematives of this city or ccunty t rater the v Ified property for inspection purposes. �xj' ��(I /jjj /�,yf, /��/j, t F� lonawre of Proper'v Owner or Authorized Anent m Print Pronerty Owner's or -Authorized Aoent's Name / \ �to Y v�fM-�i�L1 uaL '[ lit,/ZJ DATE PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE DE OCCUPANCY ISSUED PART 61 OF TITLE 40 AND AOMD RULE UASHFSTOSNOTIFICATION ISNOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: FOR OFFICE USE ONLY