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Home My WebLink AboutH2024-0779 - Permitso��E.vaoRT City of Newport Beach @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ~ Permit Counter Phone: (949) 718-1888 U r newportbeachca.gov/civic C9[/PORN\P Mechanical Permit nwmninnmm�nunnininnninunnnninn Plan Check No : Work Class : Other Permit Status: Issued Issued Date : 1210612024 Inspection Area : 4 H2O24-0779 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 Legal Desc : N TR 7788 BLK LOT 25 Description: MECH CHANGE OUT HEAT PUMP & AIR HANDLER ON ROOF *TAMPER PROOF CAP REQ* 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 Fire Hazard Zone : NO Type of Construction Occupancy Groups: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone: PC - Big Canyon PROCESSED BY: SQ� SPECIAL CONDITIONS: 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 Manufacturer: AMANA Model# : ASZS6060 OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 items) ;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 ;he 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 If was not built or improved for the purpose of sale). ❑ I, 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 apply 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). LJ I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legallt sell a structure that I have built as an owner -builder if it has not been constructed in its enfirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hUp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0 ef, i is n 3 f the Business and P as ns e, and my license is in full force and effect. License Class License No Date // ontractor Signatu WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR ML PENALTIES AND CML FINES UP TO ONE HUNORE OUSAND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS 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 compensabon. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. itI 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' compensatio ce carder and policy number are: ;artier Policy N er Expiration Date lame of Agent Phone N 3I certify that. in thr pertp mance of the i ich 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 agre ial, if I should beco,Tl s )ecl to m compensation provisions of Section 3700 of Me Labor Code, I shall forthwith comply with those provisions. lignatARAT AppREG.� DaKi" KJ _ IECLARATION REG. STR ON LENDING AGENCY hcrehy affirm under men , of per) at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,ode). ender s dame Lenders Address my signature bulow. 1 cartiry'to each of the following: I an, .he property owner or authorized to act on the property 6zva read this application and the information I have prove Lgroe to comply with all applicable city and coun ord' n zvthcrize representatives of this city or cougty tglente Correct d relating to building construction. property for inspection purposes. AgTiON DATE BY _�TION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMiTCANCELLED UPA PERMIT FINAL j / ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF Q/,.r/i ��K PROPOSED DEMOLITION OCCUPANCYISSUED JJ��> /""r gr,NAnmF- FOR OFFICE USE ONLY