HomeMy WebLinkAboutE2024-0799 - Permits�eWpo,�, City of Newport Beach
9 Community Development Department - Building Division
1 n 100 Civic Center Drive, Newport Beach, CA 92660
i Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 12/0612024
Final Date:
Permit Status: Issued
Inspection Area : 4
E2024-0799
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: 37 RUE FONTAINEBLEAU
Description : ELEC A/C DISCONNECT
Legal Desc : N TR 7788 BILK LOT 25
Owner: SIMON LEONARD
Address : 37 RUE FONTAINEBLEAU NEWPORT BEACH, CA 92660
Phone: (562)682-3448
Applicant: BEN MEDINA
Address : 31225 LA BAYA DR, 213 WESTLAKE VILLAGE, CA 91362
Phone : (818) 735-7876
Owner/Builder :
Address:
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15
Flood Zone : X
Use Zone : PC - Big Canyon
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 penally of perjury that I am exempt from the Contractors' Stale License Law for the reasons) 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
m 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 me 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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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).
11, 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
poly 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' State License Law for the following reason:
ly 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,
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
Irofessions Code. is available upon request when this application is submitted or at the following Web site:http:/hw .leginfo.ca.gov/calaw.html.
tignature 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 Sect o 7 Di 3 of the Business and of s-Ee e, and my license is in full force
nd effect. License Class License No Date Contractor Signat
VORKERS' COMPENSATION DECLARATION
FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CAMINAL PENALTIES AND CIVIL- FINES UP TO ONE HUND HOUSAND COLLARS /3100,000), IN ADDITIDN TO THE
CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
nuance of the work for which this permit is issued. Policy No.
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'
tamer and policy number are:
Policy Number
Date
lame of Agent Phone 1f
3 certify that, in the pefcrmance 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' compens tio�of California, and agrE
L. ,TS ,:,Luld become ss bjecl to the wor rs' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
gnLture of Applicant DatgS__
IE:r;lA9Z4i ION REG. I CTION LENDING AGENCY '
hereby affirm undo: d that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
er.de.'s Name .;s Lenders Address
y my signature belnw I certify to each of the following:
I am the propPrty owner or authorized to act on the property owner's behalf.
I have read this aoplication and the information I have provided is Cored. _
I agre« to comply with all applicable city and county ordi
I authurize re{ nesentFtives of this city or county to enter
lature of Pronertv Owner or Authorized Aaeot . J
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCVISSUED
1403
state laws relating to building construction.
I property for inspection purposes.
Print Prooertv Owner's or Authorized
PART 61 OF TITLE 40 AND AQMD RULE
LJ ASBESTOS NOTIFICATION 15 NOT APPUCABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
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