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Home My WebLink AboutH2023-0357 - Permitso��EWPORT City of Newport Beach Community Development Department - Building Division i 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic c94 GOR��P IIII II II II Mechanical Permit Plan Check No: Work Class: Other Issued Date : 05/31/2023 Inspection Area :4 H2O23-0357 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 : 410 CARLOTTA Legal Desc : N TR 5463 BLK LOT 12 TR 5463 (L.L.84-214025) PAR 12 Description: MECH - ATT SFR INSTALL (1) NEW ROOF -MOUNTED HEAT PUMP *TAMPER -RESISTANT CAPS REQUIRED/TIMER PROHIBITED Owner: JOHN-EDWARD AND LEILANI JONES FAMILY TRUST Address : 410 CARLOTTA NEWPORT BEACH, CA 92660 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 Type of Construction Occupancy Groups : Building Setbacks : Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: 1 I, - SPECIAL CONDITIONS: Fire Hazard Zone : NO Contractor : ALPS AIR CONDITIONING & HEATING INC Address : 1 B95 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone: (714)633-BB92 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 Manufacturer: AC PRO Model# : AUD36W it%J .�✓dLi 1 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 checkmark(s) I have placed next to the applicableitem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires 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 or the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 703t6 by any applicant fora permit subjects the applicant io a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) allot or (-,) portions of the work; and the structure Is not: intended or 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' or personal effort, builds or improves theproperty, provided that the 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 Im 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 Low does not a 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). I am exempt from kcensure under the Contractors' State License Law for the following reason: By 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) sell a structure that I have built as an ownor-builder If it has not been constructed in itsentirety by licensed contractors. I understand that acopy DIMS 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:http:tlwww.leginfo.ca.govlcalaw.htmi. 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 70! ion 3 of the Business and Prof oosd�gd anand my license is in full force and effect. License Class License. NO Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNN. FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.000); IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN performance of the work for which this permit is issued. Policy No. q have 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 ins ance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I 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' compensation laws of Callfomla, and agre that, If i should become subject to th rkars' compensation p (Section 3700of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant r Rs-o Data c,—`/�/%3 DECLARATION REGARDING C CTION LENDING AGENCY i hereby affirm under pas perjury that there Is a construction fending agency for the performance of the Work forwhich this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below. I certify to each of the following: I am the propel ty owner or authorized to act on the property Owner's behalf. i have lead this application and the Information l have provided is correct. i agreelo comply ,vith :all applicable city and County ordinanc late taws relating to building construction. I authirize representatives of this city or county to ante a aboveddentified propertc lonpurposes. Si LatUP3 of Pr0 art -Owner or Authorized A ent. Print Pro ert Owner's or Authorized A enPs Name3LLDate ACTION DATE B DEC N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY UtA11ONS PANT fit OF TITLE 40ANDAQMD RULE 1403 PEC�!rLS::PIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PErN;(T L.1(10ELLED EIEPA PEhMIT EX ENDED UAQMD PENM(r RNAL ASBESTOS NOI ltICPTION 15 NOT APPLICABLE TO CERTiF !LATE OF PROPOSED OEM OCCUPANCY 155U£D SIGNATURE: