HomeMy WebLinkAboutE2024-0123 - Permits"EWPORT City of Newport Beach
0 m Community Development Department- Building Division � 10D Civic Center Drive, Newport Beach, CA 92660
H.h = Permit Counter Phone: (949) 718-1888
cy�`oaa\P newportbeachca.gov/civic
Electrical Permit : E2024-0123
Plan Check No :
Work Class : Other
Issued Date : 0310112024
Final Date:
Permit Status: Issued
Inspection Area: 1
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: ELEC R/R DISCONNECT FOR HVAC (H2O24-0117)
Owner: MADELINELINICK
Address : 2250 CANYONBACK RD LOS ANGELES, 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
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Front: 0, Front: 5, Side: 3, Side: 3
X
R-2 - Two -Unit Residential
6,5
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 Lic :
667953
Lic Expire :
04/30/2025
Bus Lic:
BT30047511
Bus Lic Expire:06/30/2024
Workers' Compensation Insurance
Carrier :
INSURANCE COMPANY OF THE WEST
Policy No:
WSD507475500
W. C. Expire:
12/25/2024
Fire Hazard Zone : NO
Occupancy Groups:
30" WIDE X 36" DEPTH
REQUIRED FOR
A/C DISCOi'gNECTS
NO CONSTRUCTION WORK
ON SATURDAYS
I hereby affirm under penalty of perjury that tam exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(s) I have placednext to the applicable item(s)
iieclion 7031.5. Business and Professions Code: Any city or county that requires apermit to construct, alter, improve, demolish, or repair any structure, prior toits issuance, also requires the applicant. for
is permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofesslons.Code) or that he or she is exempt from ilcensureand the basis for the alleged exemptlon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a Civil penalty of
at more than five hundred dollars ($500).
I, as ownerof the properly, 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,
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 the property, provided that the
nprovemants 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
n roved for the purpose of sale).
1, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State Licensee. Law does not
pply 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 Lew for the following reason:
y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this. permit, I cannot legall}
ell 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 applicable law, Section 7044 of the Busmess and
'rofesslons Code, is available upon request when this application Is submitted or at the following Web site:http:llw .leginfo.oe.gov/ralaw.htmi.,
ignnWre of Property Owner or Authorized Agent _ _ Date _
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chaptor 9 (commencing with Section 70 D of the Business and Professions C , and my license is in full force
rideffect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORN.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEAIIIIIGDRE HO D DOLLARS (5100,000). IN ADDITION TO THE
GET OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th
fformanee of the Work for which this permit is issued. Policy No.
nave 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
nsu a canter and policy number are:
I
anier Policy Number Expiration Date
Vame of Agent Phone
:11 certify that, in the performance of the work1pr which ' rma Is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, It I should become subject to the work Crusation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ f
>iynalure of Applicant 12
Date_
?ECLARATION REGARDING CTIpN LENDING AGENCY
hereby affirm under pe jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_enders Name Lender's Address
Sy my signature below, I certify to each of the following_
1 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.
' agree to comply with all applicable city and county ordl es and state laws relating to b g construction.
authorise representatives of this city or county to e -identified y for inspection purposes. NA �,I �� '?
Sienature of PropertyOwner or Authorized Agent Print Proper Owner's or Authorized Agent s Name IMv "� ` Dale
6'C'IDN DATE BY D- ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATION$ PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRE LJ I SURM17ED ASBESTOS NOTIFICATION TO
PERMIT EXTENDtD
PERMIT FINAL 05/ZVZ D), Va- UASBESTOS NOTIFICATION IS NOT APPUCARLE TO
CERTr rlCAIE O; PROPOSED DEMOLITION
LOCCr'PANCYf.7iC.J CMS SIGNATURE: