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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: