HomeMy WebLinkAboutE2023-0481 - PermitsF��WPoRr City of Newport Beach
Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
C���OM1N`P newportbeachca.gov/civic
iiiiiiiiiiElectrical Permit : E2023-0481
Plan Check No :
Work Class : Other
Issued Date : 05/31/2023
Inspection Area : 4
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: ELEC - ATT SFR INSTALL (1) NEW ELEC OUTLET FOR ROOF -MOUNTED HEAT PUMP (H2O23-0357)
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 :
Building Setbacks :
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
r"
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 Lie
: 667953
Lie Expire :
04/3012025
Bus Lie:
BT30047511
Bus Lie 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: R3
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 applicable item(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 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 (Chapter9 (commencing. with Section 7000) of Division 3.of the Business and
Professions Code) or that he or she is exempt from Iicensure 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
not more than five hundred dollars ($500)..
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Susiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal 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 one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
ffroved for the purpose of sale).
lJ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stele License Law does not
apply t0 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
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 legall,
sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. ) understand that a copy of the applicable law, Section 70" of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:htip:/Avww.leginfo.ca.govlcalaw.html.
Signature 0f 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 700 f M ion 3 of the Business and Profess)��s.6adr aM_.v license is in full force
and effect. License Class License No Date �_. Contractor Signatut� i
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FNES UP TOONE HUNDRED THOUSAND DOLLARS t$100.000), IN ADDITION TO THE
COST OF COMPENSATION', DAMAGES AS PROVIOSD FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjuryone 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 th
ormance of the work forwhich this permit is issued. Policy No,
eve 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
i nce carrier and policy number are:
Oar Policy Number Expiration Date
is of Agent Phone #
certify that, in the performance of in rk for which this permit. is Issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
, if I should become subject t t atWworkers compensation provislon"fSection 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant Date_ �_ f �l
•r via wrinu eeG#dr1tW_ nue:a Irrrirl..M r cur5liir! Ar]cMr V'
areby affirm un3'e_r_pe erjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
lder's Name Lender's Address
my signature bCow, f certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have I aad thiL, al:plicrtion and the information 1 have provided Is correct.
I agre a to comply with all applicable city and county ordimmc and state laws relating to building construction.
I auihonze representatives of this city or county to enter the abo . 4den ertyfonr Inspection purposes.
ACi tON I DATE I BY ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND Active, RULE
PECMI7CA-IC€LLED
P6,106T F:6 ENDED
PERM, r ANAL
CERTIFICATE OF
OCCUPANCY ISSUED
APPLICABLE TO