HomeMy WebLinkAboutH2024-0117 - Permitspo" City of Newport Beach
o Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
.xw newportbeachca.gov/civic
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 03/01/2024
Inspection Area : 1
H2O24-0117
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 : 5707 SEASHORE DR Legal Desc : A TR OCEAN FRONT TR BLK 57 LOT 4
Description: MECH R/R ROOF MOUNTED A/C UNIT **TAMPER RESISTANT CAPS REQUIRED**
Owner: MADELINELINICK
Address : 2250 CANYONBACK RD LOSANGELES, CA 90049
Phone : (949) 645-4488
Applicant: BEN MEDINA
Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone : (818) 735-7876
Owner/Builder
Address
Phone :
Code Edition :
2022 Fire Hazard Zone : NO
Type of Construction
Occupancy Groups :
Building Setbacks :
Front: 0, Front: 5, Side: 3, Side: 3
Flood Zone:
X
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
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 :
04/30/2025
Bus Lie:
BT30047511
Bus Lie Expire: 06/30/2024
Workers' Compensation
Insurance
Carrier:
INSURANCE COMPANY OF THE WEST
Policy No:
WSD507475500
W. C. Expire:
12/25/2024
Manufacturer : LENNOX
Model#: EL18XCV-048
NO CONSTRG'C 60_ N FORK
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that P. am exempt from the ContractorsSlate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
3eclion 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 Tor
to permit to file a signed statamonl 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
rofessions Code) or that he or she is exempt from licensure 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
of more than five hundred dollars (MO),
7 I, as owner of the property, or my employees with wages as their sole compensation, will do _) all of or L) portions of the work, and the structure Is net 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
nprovements 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 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
ply to an owner of property who builds or improvesthereon, 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:.__T._.._..__......._.�_.__—_..—..._._...�_..�
y 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 Iegall)
oil 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 a copy of the applicable law, Section 7044 of the Business and
'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.gov/calaw.htm(.
�gesture of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affrmunder penalty of perjury that I am licensed under provisions of Chapter-9 (commencing with Section 70 ) f ivis' 3 of the Business and Professions Co my license is in full farce
nd effect. License Class License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORREAS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBfECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DUSAND DOLLARS (S100,000), IN ADDITION TO THE
067 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:
7 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
Brformance of the work for which this permit is issued. Policy No.
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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit Is iced. I shall not employ any person in any manner so as to become subject to the workers' compensation I ws of California, and agre
t, if I should became subject Io the wor;Tli�:N�14
ompensati dons of Section 3700 of the Labor Code, shall forthwith comply with !hose provisions.
nature of ApplicantDate_
C LARATIGN REGARDING CG ENDING AGENCY
Ireby affirm under pe erjury that there is a construction lending agency for the performance of the wtirk for which this permit Is issued (Section 3097, Civil Code).
Ider's Name e--_ Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on [tie property owner's behalf.
I have read 11 is application and the information I have provided is correct
I agree to ,-nr1 Iy with all applicable city and county ordin as and state laws r tine to building Construction.
I authorive representatives of this city or county to e r the above -id property for inspection purposes.
Signature of 010ii Owner or Authorized Agent Print Property Owner's or Authorized A
ACTION DATE BY -CL tON OF COMPLIANCE wrm CODE OF FEDERAL FOR OFFICE USE ONLY
ULATIONS PART 61 OF TITLF 40 AND AQMO RULE
1403
P=CMIT EXPtPEP I SUBMITTED ASBESTOS NOTIFICATION TO
I Vt7 CANC,S,.tcn 1PA _
I ' FMir ExrEffDEO r� LJAgMD
I'LAX47FINAL QCO� y �L?pv, E ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERT FICA OF GP Cf„j5 PROPOSED DEMOLITION
O,rt'nANCY ISSUED I SIGNATUREt.
a