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HomeMy WebLinkAboutH2023-0155 - Permits��eWPoRr City of Newport Beach D Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CSG�F00.H`P newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date : 03/03/2023 Inspection Area : 1 H2O23-0155 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: 122 36TH ST, A Legal Desc : A TR NEWPORT BEACH CITY BILK 35 LOT 14 Description: MECH -INSTALL HEAT PUMP. TAMPER -RESISTANT CAP REO'D Owner: WATERMAN SCOTT H TR S H & K L WATERMAN REVOC TR Contractor : ALPS AIR CONDITIONING & HEATING INC Address : 883 PROSPECT PL COSTA MESA, CA 92626 Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone : Phone : (714) 633-8892 Con State Lic : 667953 Applicant: ALPS AIR CONDITIONING & HEATING INC Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone : (714) 633-8892 Owner/Builder: Address Phone: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X ,,\© Use Zone : R-2 - Two -Unit Residential PROCESSED BY: 5, `®`� 0\4 q i`* Lic Expire : 04/30/2023 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 SPECIAL CONDITIONS: L Manufacturer: DAIKIN Model# : 3MXS24RMVJ4A 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 items) ;Section 7031 b, Business and Professions Code: Any city of county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he 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 'rofessions 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 got more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is notintended or offered for sale (Section 7044, 3usiness 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 mprovements 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 m roved 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). I am exempt from lcensure under the Contractors' Stale 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 improvementscovered by this permit, I.cannot legal sell a structure that I have built as an owner-buildor if it has not beenconstructed in itsentirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is avallable upon request when this application Is submitted or at the following Web site:http://"mw,leginfo.ca..gov/calaw,html. Signature or Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 7 o 'vi of the Business and�Pit3f ode,. and my license is in full force and effect. License Class License No Date Contractor Slgna.tur NORKERS' COMPENSATION DECLARATION. NARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUEJEOT AN EMPLOYER EO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED hint SANG DOLLARS ($101 IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: -1 1 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 tl p§LfQrmance of the workfor 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: Policy Number Expiration Date flame. of Agent Phone N �I certify that. in the performance of the work for which this perm ' �, I shall not employ any person in any manner so as to become subject to the workers' compens 'on h Ns of Catifomia, and ogre hat, if I should become subject to the w provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3lgnature of Applicant.,..]CONSTR Dom., .._-.-.. XCLARATiON REGARSI N'6 ON LENDINGAGENCY Lidhereby affirm under penalty ou at there is a construction lending agency for the performance of th or Which this permit is issued (Section 3097. Ivil Code). .ender's Name _ _ Lender's Addr 3y 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 corn III I agree to comply with all applicable city and county ordinances ate laws relating to building construction. I authorize representatives of this city or county to enter th e-identified property for inspection purposes. % 3i nature of Property Owner or Authorized Agent Pint Property Owner's or Authorized Agent's Name Date ACTION DATE BY DEC VON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY § UATIONS PART El OF TITLE 40 AND AOMO RULE j 1403 PE'RM7TEXP7Nk`D ; SURMITTFO ASBESTOS NOTIFICATION TO EPA _ AOM D ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERMIT CANCELLED PEfiMIT EXTENDED PERMITFINAL i •%/ CERTIFICATE DF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: