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Home My WebLink AboutH2024-0591 - Permits,✓dEwPoRr'e City of Newport Beach III I I I II I I II II IIII I II I II Mechanical Permit: H2O24-0591 o� `�pt1 Community Development Department - Building Division Plan Check No >, 100 Civic Center Drive, N-ewport Beach, CA 92660 �, )n Work Class :Alteration 73 ros zr Permit Counter Phone: (949) 718-1888 4newportbeachca.gov/civic Permit Status: Issued ` Issued Date : 09/16/2024 Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO COWJNUC TION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1239 BLUE GUM LN Legal Desc : N TR 9620 BLK LOT 2 Description: MECH REPLACE A/C UNIT @ THE REAR YARD, TAMPER RESISTANT CAP REQ, REPLACE DUCTING Owner: KENNETH HARRIS Address : 1239 BLUE GUM LN NEWPORT BEACH, CA 92660 Phone : (760) 724-5879 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 Occupancy Groups : Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : IC - Westcliff Grove PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO 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 : LENNOX Model# : UPC-060H4M OWNER -BUILDER DECLARATION I hereby Bi9nn under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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 perrnil to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the 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 (_) 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 it was not built or improved 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 ContractorsState 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). ❑ 1 am exempt from licensure under the Contractors' Slate 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 legal) sell 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent _ ^_ Date LICENSED CONTRACTOR'S DECLARATION �z 1111 d Profe ode, and my license is in full force I hereby of rri under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00Tr�gt�Qiyi iee of the Busin)ONE and effect. License Class License No D 1t t1i{ !''� Contract WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO HUND THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 lh nce of the work for which this permit is issued. Policy No. d 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 %nle carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent _,- _Phone M ❑I certify that. in the performance of the work for whi b.14Tis permit is issued, I shall not employ any person in any manner so as to become subject to th workers' compensation laws of California, and agre 1nal, di sh uld become 5146cl ID the worke pensatien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision /,��f Signature of cant _ _ _ le "t-�� DECf11RA REGA C TRUCTION LENDING AGENCY I hereby a irm •r 1r e perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectio 3097, CI I Codel Lender's Lenders Address By my signature LF,:OV.. 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 thee, application and the information I have provide rrect, agree to comply ulh all licable city and county or,ces and slate laws relating to building construction. I authorize rear+sertativas o city or cou t eebove-identified property for inspection purposes. i nature of Pre 2^1 Owner or orized A Print Property Owner's or Authorized ) nCs Name t ACTION ATE BY 0E RATION OF COMPLIANCE WITH CODE OF FE DERAIL FOR OFFICE USE DIMLY -GULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SURMITTFD ASRw9-OS NOTI f1CATION TO EPA PERMIT CANCELLED PERMIT EXTENDED I QMD PERMIT FINAL i ❑ ASBE 5T 05 N OTIFI CATION SNOTAPPLICABLE TO CERTIFICATE OF -(t a/,�A' PROPOSED DEMOLITION OCCUPANCY ISSUED A SIGNATURE: