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Home My WebLink AboutE2023-0160 - Permits�eWPORr City of Newport Beach 0`` mcn Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 > T Permit Counter Phone: (949) 644-3288 C9�/FORN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspertions 11111111111111111111111111111111111111111 j� Electrical Permit : E2023-016011111111 Plan Check No: Work Class : Other Issued Date : 03/03/2023 Inspection Area : 1 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 BLK 35 LOT 14 Description: ELEC -DISCONNECT FOR INSTALLATION OF NEW HEAT PUMP Owner: WATERMAN SCOTT H TR S H & K L WATERMAN REVOC TR Address: 883 PROSPECT PL COSTA MESA, CA 92626 Phone: Applicant: ALPS AIR CONDITIONING & HEATING INC Address: 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone : (714) 633-8892 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 : 04/30/2023 Bus Lic : BT30047511 Bus Lic Expire:06/30/2023 Workers' Compensation Insurance Owner/Builder : w`arrier : INS CO OF THE WEST Address : r„`�®� `��SI Policy Expire : 12/2023 S 6 4500 Phone : ` W. C `V Code Edition : 2022 o�a Type of Construction : N® G Building Setbacks: Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone: X r'1 Use Zone : R-2 - Two -Unit Residential vA PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Occupancy Groups : R3/U 4.,r'''.,�t V WTIIFR-OVrLV In f.a'.�v era, �a+aava� 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 itemts) (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 €icensure 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 (S500). ❑ 1, 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 notintended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does notapply to an owner of property who, through employees' or personal effort, builds or improves the property, provided thatthe 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 improved for the purpose of sale). 13 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 anowner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ l am exempt from licensors under the Contractors' State License Law for the following reason: ......._ ... By my signature below 1. acknowledge that, except for my personal residence in which I must haveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) sell a structure that I have builtas 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:flwww.leginfo.ca.goviGatew.html.. Signature of 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 7000 D i0 3 of the Business and Prgfes ' no my license is in full force and effect. License Class License No Date Contractor Signs WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIIZL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION SRH OF THE LABOR CODE, INTEREST, ANO ATTORNEY'$ FEES. i hereby affirm under penalty of perjury one of the fallowing 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 3700of the Labor Code, for th ormance of the work for which this permit is issued. Policy No. I r We 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' compensatio u nee carrier and policy number are: Policy Number to of Agent certify that, in the performance of the work for which this permit. is issued. I shall not if I should become subject to the workers` camper Provisions of Seotio of Date n any manner so as to become subject to the workers' compensation laws of California, and -agre Code, I shall forthwith comply withthose provisions. I— hereby affirm under penalty of perjulh ^construction lending agency for the performance of the work for which this permit. is issued (Section 3097, Civil Code). enders Name Lenders Address ly 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 duty and county ordinances and state law to building construction. I authorize representatives of this city or county to enter th a -I ed property for bull' purposes. f tnnature of Prooertv Owner or Authorized AusmN Print Property Owner's or Authorized Agent's Nan'Le, � ACTION DATE BYI/ DECLA N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I LATIONS PART 6I. OF TITLE. 40 AND AOMD RULE ( L403 PERMITEXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO PEAtMifFFINAL OCCUPANCY ISSUED (� 'Y �1 - t�NATUD DEMOLITION 15 NOT APPLICABLE TO