HomeMy WebLinkAboutE2023-0608 - Permits�6WPORT City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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1111111111111111111111111111111111111111111111111jjj jj Electrical Permit : E2023-0608
E 2 0 2 3 0 6 0 8 Plan Check No :
Work Class : Other
Issued Date : 07/10/2023
Final Date:
Permit Status: Issued
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 : 1 PINNACLE POINT Legal Desc : N TR 14038 BLK LOT 54 TRACT NO 14038 LOT 54 POR OF -
Description : ELEC REPLACE DISCONNECT FOR HEAT PUMP *H2O23-0445*
Owner: RED RIVER PINNACLE LLC
Address : 6 PINNACLE PT NEWPORT COAST, CA 92657
Phone : (949) 683-2871
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: X
Use Zone: PC - Newport Coast
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 :
04/30/2025
Bus Lic:
BT30047511
Bus Lic Expire:06/30/2024
Workers' Compensation
Insurance
Carrier:
INS CO OF THE WEST
Policy No:
WSD506354500
W. C. Expire:
12/25/2023
Fire Hazard Zone : YES
Occupancy Groups :
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have. placed next to the applicable itemis)
Section 701 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
ie permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (ChapterB (commencing With Section 7000) of oivisiori13 of the Business and
rofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil ponatty of
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
:usiness 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
nprovemenls 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
nproved for the purpose or sale).
1 I, as owner or the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
poly to an owner of property who bullds or improves thereon, and who contracts fur the projects with a licensed Contractor pursuantto the Contractors' State License Law).
I I am exempt from ficensure under the Contractors' State License Law for the following reason: _T _
ly 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 legal)
oil a structure that I have built asan 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
'rofessions Code, Is available upon request when this application Is submitted or at the following Web site:ilttp:/Icow^w.leginfo.ca.gov/calaw.html,.
signature of Property Owner or Authorized Agent _ Date _
ACENSED CONTRACTOR'S DECLARATION hereby affirm affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Segll*7000 �ivis o�I, the Business /ad Professionr.2a�se is in full force
nd effect. License Class License No bate G Contract ure !!
COMPENSATION DECLARATION
ING' FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION To THE
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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
'ormance of the work for 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'
-oarder and policy number are:
Policy Number. Expiration Date
Name of Agent Phone #
❑I certify that., in the performance of the work for Wit
this per ued, 1 shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre
that, if I should become subject o the workers' pens• mvisfons of Section 3700 of the Labor Code„ I shall forthwith comply with those provision
Signature of A lice
❑:ECLARATI CARDING CON p N LENDING AGENCY
I hereby affirm under pens ury that there Is a construction lending agency ter the performance of the work for which this permit is issued (Section 97. Civil Code).
Lenders Name Lenders Address
By my signature below, I certify to each of the following:
I am uie 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 city and county ordinances nd state laws rei uilding construction.
I authorize representatives of this cI r co ty to enterihe ve-id property for inspection purposes.
Signature of Property Owner or Authors ant Print Property Owner's or Authorized Name gkADate
ACTION DATE B ATON Or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
f REGULATIONS PART 61. OFTITLE. 40 ANDAQMD RULE
4 1403
PERMIT EXPIRED
PERMI7CANCELlED
PERIVIT EMENDED
PERMIT FINAL
CERTIFICATE Or
OCCUPANCY ISSUED
f SUBMITTED ASBESTOS NOTIFICATION
I -_I ASaE5'ros NOT 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: