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Home My WebLink AboutH2023-0364 - PermitsakW Rr City of Newport Beach Community Development Department - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 U } newportbeachca.gov/civic CgCIFORN�P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 06/02/2023 Inspection Area : 6 H2O23-0364 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 : 2015 YACHT MISCHIEF Description : MECH R/R A/C UNIT FAU. Owner: ALAN RUBEN Address : 9 FAIRDAWN IRVINE, CA 92614 Phone: Legal Desc : N TR 9047 BLK LOT 7 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder : Address Phone: Contractor : ALPS AIR CONDITIONING & HEATING INC Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone: (714)633-8892 Can 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: 12125/2023 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: LENNOX Type of Construction : Model# : EL18XCV-048 Occupancy Groups: Building Setbacks : Front: 18 Flood Zone: X Use Zone: PC - Broadmoor & Pacific view aaaa a aaaa' /�aa� aaaa aaaa. PROCESSED BY: a a o a SPECIAL CONDITIONS: aaaa aaaaa aaaaaa a o a a a aaaa I hereby affirm under penalty of perjury that f am exempt from the Contractors' State License Law for fhe reason(s) indicated below by the checkmark(s) I have placed next to the applicable ltem(s) 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 iD Its Issuance, also requires the applicant for he permit to file a aighod statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Low (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 vloation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of lot more than fire hundred dollars ($500). 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 notintended or offered for sale (Section 7044, lusiness 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 Ipply 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 licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the Improvements Covered by this permit I. cannot legal) ;oli a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. l understand that copy of the applicable law, Section 7044 of the Business and Irofessians Code, is available upon request when this application Is submitted or at the following Web site:hitp:IIWWW ieginfo.ca.govicalaw.btmi. Signature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70. ) 'sii�(n 3 of the Business and Pro , and my license is In full force and effect. License Class License NO Date S Contractor 5i ne. into NORKERS' COMPENSATION DECLARATION HU MING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS U1100,000), IN ADDITION TO THI AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 3 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 It ,etformance of the work for which this permit is issued. Policy No. I have and wilt 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 rance caller and policy number are. Samar Policy Number Expiation Date ,lame of Agent Phone N :11 cattily that, in the performance of the work for which this permit Is shelf not employ any person in any manner so as to become subject 10 the workars' oompensati n laws of California, and agre heF, If 1 shouts trecome subject to the rs' Dompensati s one of Section 3700 of the Labor Coda, 6 shalt forthwith comply with those provisions. Signature of Applicant Date_ JECLARATIGN REGARDINGCON LENDING AGENCY hereby affirm under penalty of pa at there. is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _ender's Name Lender's Address 3y my signature below, 1 cOtly to each of the foilowktg: I am the property owner or authorized to act on the property owner's behalf. I have read thirirrlication and the information I he" provided is correct. I agree to corrink, wiln all applicable city and county Once$ and state la ling to building Construction I a Ilh,)nze repr""rta0ve3 of this city or county t Trust the above led property for inspection purposes. , 3i nature of Pr Owner or Authorized A ant Print Pro n Owner's or Authorized Agent's Name � D lieu' Z Z7 A`rION DATE. BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY e RFeULATiONS PART 61 OF TITLE 40 AND ACS,MD RULE ASBESTOS NOTIFICATION TO PERMIT ENTENDEO CERTIFICATE OF Z,1f l - c.y �� RO OSSED DEMOLITIONNOTIFICATIbN IS NOT APPLICABLE TO 0,,I,L1f1AN17T ISSUE+) jII