HomeMy WebLinkAboutE2024-0510 - Permits (3)��6WPORT City of Newport Beach
Community Development Department- Building Division
100-Civic Center Drive, Newport Beach, CA 92660
u = PermirCounter Phone: (949) 718-1888
Cq</F00.a�P newport5eachca.gov/civic
Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 08/01/2024
Final Date:
Permit Status: Issued
Inspection Area : 1
E2024-0510
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 : 521 BAY AVE W
Description: ELECT INSTIL DISCONNECT *H2O24-0463*
Owner: PLATINUM PROPERTIES LLC SERIES G
Address: 521 W BAY AVE NEWPORT BEACH, CA 92661
Phone: (714)633-8892
Legal Desc : P BK 39 PG 27 PAR 1
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 :
Front: 4, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
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:06/30/2025
Workers' Compensation
Insurance
Carrier:
INSURANCE COMPANY OF THE WEST
Policy No :
WSD507475500
W. C. Expire:
12/25/2024
Fire Hazard Zone : NO
Occupancy Groups:
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) 1 have placed next to the applicable item(s)
iection 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
is 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 of the Business and
professions 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 ($500).
] I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
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
pply 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 licensure under the Contractors' Stale License Law for the following reason:
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)
all 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 70" of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 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 Ihr
xerformance 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
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 California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Of
Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ides s Name Lenders Address
my signature below, I certify to each of the following:
I 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.
I agree to comply With all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
nature of Prooarty Owner or Authorized Aaent Print PrODertv Owner's or Authorized Aaent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 ANO AOMD RULE
1403
PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED UAQMD
PERMIT FINAL A5aE5TO5 NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF ` PROPOSED DEMOLITION
OCCUPANCYISSUED EJ� SIGNATURE:
Date