HomeMy WebLinkAboutE2024-0212 - Permits (3)�EwPoR� City of Newport Beach
O� A Community Development Department- Building Division
1 w' 100 Civic Center Drive, Newport Beach, CA 92660
U yb Z' Permit Counter Phone: (949) 718-1888
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CN(�cOR�`P newportbeachca.gov/civic
II�IIQIIIIII�III�IIQII�III�IIIIIII�II Electrical Permit : E2024-0212
E 2 0 2 4 0 2 1 2 Plan Check No:
Work Class: Other
Issued Date : 04102/2024
Final Date:
Permit Status: Issued
Inspection Area : 5
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: 2601 WAY UN Legal Desc : A TR CORONA DEL MAR BLK 32 LOT 7 CORONA DEL MAR LO
Description: ELEC INSTALL DISCONNECT FOR HEAT PUMP (H2O24-0184)
Owner:
GOLD PHILIP JOHN TR
Address :
2601 WAY LN CORONA DEL MAR, CA 92625
Phone:
(310)850-7873
Applicant:
ALICIA A/C & HEATING INC
Address :
26824 VISTA TERRACE LAKE FOREST, CA 92630
Phone:
(949)770-2495
Owner/Builder :
Address
Phone:
Code Edition: 2022
Type of Construction :
Building Setbacks:
Front: 20, Side: 3, Side: 3, Rear: 10
Flood Zone:
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
5
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Contractor : ALICIA A/C & HEATING INC
Address : 26824 VISTA TERRACE LAKE FOREST, CA 92630
Phone: (949)770-2495
Con State Lic : 525314
Lic Expire: 02/28/2026
Bus Lic: BT20102054
Bus Lic Expire:09/30/2024
Workers' Compensation Insurance
Carrier: A I U INSURANCE COMPANY
Policy No: WC034279306
W. C. Expire: 7/1/2024
Fire Hazard Zone : NO
Occupancy Groups:
30" WIDE X 36" DEPTH NO CONSTRUCTION NOIc
REQUIRED FOR
0
A/C DISCONNECTS
ON SATURDAYS
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)
(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
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).
❑ I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U 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).
Ell, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", 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).
'.❑ 1 am exempt from licensure under the Contractors' Stale License Law for the following reason:
'IBy 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 legally
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://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
(LICENSED CONTRACTOR'S DECLARATION
'I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivls' n 3 of the Business and Professio e, d my license is in full farce
and effect. License Class License No Date contractor Signature
--c
(WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15700,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 IN
(performance 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'
carrier and policy number are:
Policy Number
Date
Jame of Agent vnone R
:1I 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 agree
hat, if 1 should become subjec the 9rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3ignalure of Applicant Date_ 12 /2 L/
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
.ender's Name Lenders Address
3y my signature below, I certify to each of the following:
I am the proNcr,y owner or authorized to act on the property owner's behalf.
I have real tYs application and the information I have provided is correct.
I agree tc cmply with all applicable city and county ordinances and slate laws relating to building construction. r/e�
1 authorize mpmsentatives of this city or county to eytP7r towatuve4dentified property for inspection purposes. iwl YC�
31anc^lure of Prooertv Owner or Authorized Anent — Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE
1403
♦'ERMIT EXPMED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL R-RJJUZ„( -
-JR LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
Cth TIFICATEOF PROPOSED DEMOLITION
JLCUPANCV15SV D SIGNATURE: