HomeMy WebLinkAboutH2023-0133 - PermitsaEwPoRr City of Newport Beach III I I I II I III II III III II II Mechanical Permit
c4 Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 644-3288 Work Class : Other
U Inspection Requests Phone: (949) 644-3255
°gc,Foac+`P Issued Date : e2/23/2023
newportbeachca.gov/inspections
Inspection Area : 5
H2O23-0133
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: 700 BEGONIA ��yyAVE, 1/2 Legal Desc : P BK 260 PG 9 PAR 1 UN 1 P.M. 260-09, PAR. 1 OF PROJECT 938- 01 LOCATED ON
Description: MECH el'WW 6AV�bUT A/C UNIT ON ROOF DECK AND FURNACE CHANGE OUT *TAMPER PROOF CAP REQ*
Owner : PETERS JACQUELINE M TR J
Address : 300 BEGONIA AVE UNITB CORONA DEL MAR, CA 92625
Phone :
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: 18, Side: 3, Side: 4, Rear: 5
Flood Zone :
X
Use Zone :
R-2 - Two -Unit Residential
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 :
04/3012023
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
Manufacturer: LENNOX
Model# : ML17XCI
OWNER -BUILDER DECLARATION
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 checkma6k(s) I haveplaced next to the applicable Item(s)
ction 7031.5. Business and Profession$ 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
permit to file a signed statement thathe or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fesslons Code) or that he or she is exempt from licensvie 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
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 (_) portions of the work., and the structure is not intended or offered for sale (Section 7044,
;iness 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
rovements 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
roved for the purpose of sale)_
1, as owner of the property, am exclusive9y contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ly 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).
J I am exempt from [ice nsure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge [list, except for my personal residence in which I must have resided for at least one year prior to completion of the in
:oll a structure that I have built as an owner -builder if it has not been Constructed In its entirety by licensed contractors. I understand that copy of the appl
Irofessions Code, is available upon request when this application is submitted or at the following INeb site:http:l'uMAv.teginfo.ca..gov/calaw.htmi.
Signature of Property Owner or Authorized Agent
_ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sect! 00 i " f the Business and
ind effect. License Class License. NO D t Contractor Sign
IVORKERS' COMPENSATION DECLARATION
Section 7044 of the Business and
_ Data
S-Ge , nd my Ilhense m in full force
YARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRFMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
JOST OF COMPENSATION,. DAMAGES AS PROVIDED FOR IN 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 th
Zrforrnance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as requlred by Section 3700 of the Labor Code., for the performance of the work for which this permit is issued. My workers' compensatiol
nsurance carrier and policy number are:
Iamler. Policy Number Expiration Date
Jame of Agent Phone
-1I certify that, in the performance of the work for which this permit is issued., I shall not employ any person in any manner so as to become subject to the workers'pippensation laws of California, and agra
worers hat, if I should become subject to thek' compensation provf Rs -of Section 3700 of the Labor Code, I shallforthwith comply with those provons.isi
pp I
Signature of Appitcah _�, Date.
)ECLARATION Ed ID1 ON� N LENDING AGENCY
hereby affirm under ry that there is a construction lending agency for the performance of the work for which this permit is issued' (Section 3097, it ode).
.enders Name Lender's Address
3y my signature bii 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 withall applicable city and count ordinances and state IS ng to building construction.
I authorize representatives of this city or county trPriter the ed property for inspection purposes. /,� ,�.
3i nature of Property Owner or Authorized Anent Pont Property Owner's or Authorized A ent's Nani Y`-V 1 U ptA Da
ACTION DATE BY OE , Tl F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
F. . IOf1s PART El OFTITLF. 40 AND AOMD RULE
1403
PERMIT kXP7RkD 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED _ E.PA
PERMiT£XTENDED IL )MD
PERMITFINAL q,�7 y�� LJ A�BESrOS 40TIFI ATIGN 15 NOTAPPLICABLE TO
CERTIFICATE OF �- V! r� OV f- PR.)POSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: