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E2023-0491 - Permits
SEW Rr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit : E2023-0491 p4 11, Community Development Department - Building Division E 2 6 2 3 0 4 9 1 I D 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Work Class : Other ea cg4c pN�r newportbeachca.gov/civic Issued Date : 06/02/2023 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 : 2015 YACHT MISCHIEF Legal Desc : N TR 9047 BLK LOT 7 Description : ELEC INSTALL ELECTRICAL FOR HVAC (H2O23-0364) Owner: ALAN RUBEN Address : 9 FAIRDAWN IRVINE, CA 92614 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 Flood Zone: Use Zone: PROCESSED BY SPECIAL CONDITIONS: Front:18 X PC - Broadmoor & Pacific view 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 Fire Hazard Zone : NO Occupancy Groups: I hereby affirm under penalty of perjury that 1 am exempt from the Contractors'State License Law for the resson(s) indicated below by the checkmark(s) t have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires. a permit to construct, alter, Improve, demolish, at repair any structure, prior to its issuance, also requires the applicant for Me permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she It exempt from fidonsure and the basis for the alleged e"ription. Any vklatfon of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (000).. 711, as owner of the property, or my employees with wages as their safe compensation, will do (_) all of or (_) portions of the work, and the structure: is not intended at 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' orpersonal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement Is sold within aria year of completion, the Owner -Builder will have the burden of proving that it was not built or i�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 Rpply to an ownar 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 tram licensure under the Contractors' State License Lew for the (allowing reason: By my signature below I acknowledge that, except for my personal residemm In which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot ksgl* sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a Copy of the applicable law, Section 7044 cribs Business and Professions Code, is available upon roquest when this application Is submitted or at the fallowing Web site:ttttpAlwww.h4nfo.ce.goy/colaw.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. previsions of Chapter 9 (commencing with Section 7000) of the Business and Pra?fea s ode,. and my license is In full force and effect. License Class License No Date 0661 Contractor Sig NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE RED THOUSAND DOLLARS tS103.000b IN ADOITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: -1 1 have and Will maintain a certificate of consent to seffdrisure for workers' compensation, issued by. the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th uerformance of the work for which this permit Is Issued. Policy No. Piave 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` compensatioi prance carrier and policy number are: Ter Policy Number Expiration Dale is of Agent Phone N certify that, in the peNormance of the ark for which thiA Is issued, t shall not employ any person in any manner so as to become subject to the workers' eompensallon laws of California, and afire it I should become subject to t1 rkers c atiert 5 on proovviisions of Section 3700 of the Labor Code, I shalt forthwith comply With those provisions. nature of Applicant Data® •Y AIMAY ^U nitY- YJ(fl\li"� \YC4'FCY I+TIYYY Y L`I\YY'1111i2 11f1C\ITV Ireby affirm Linder ry that mere is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), ndse$ Name Lenders Address 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 if.is appli-ation and the information I have provided Is Correct, I agreT to comply with all applicable city and county Ordinances and state Jaws re iRgil fog construction. I authnrtze repre;entitivaa of this city or county to entetjtta�iove-Idi property for inspection purposes. I ff r , A..'TIO:i C:r, r,F:CA7E OF oceT,r4vcY r35 DATE By-OCtLARx�YkONor COMPLIANCE WITH CODE or FEDERAL I FOR OFFICE USE ONLY '�`REggf'ATIONS PART III OF TITLE 40 AND ACIMD RULE U ASBESTOS NOT 15 NOT APPLICABLE TO PROPOSED DEMOLITION