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Home My WebLink AboutE2023-0321 - Permits4"WPORT City of Newport Beach O Q Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °- --�' newportbeachca.gov/inspections 11�111 11111111111111111111111111111111111111111111 111jj Electrical Permit : E2023-0321 Plan Check No : Work Class : Other Issued Date : 04/13/2023 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 : 24 BAFFIN BAY Description : ELEC A/C DISCONNECT Owner: VUCHINICH K MARK TR Address : 24 BAFFIN BAY NEWPORT COAST, CA 92657 Phone: Legal Desc : N TR 15851 BILK LOT 20 Applicant: 1ST CHOICE HEATING & A/C Address : 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630 Phone : (949) 305-5754 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: X PC - Newport Coast Contractor : 1ST CHOICE HEATING & A/C Address : 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630 Phone : (949) 305-5754 Con State Lic : 1006824 Lic Expire : 08/31/2023 Bus Lic : BT30064046 Bus Lic Expire: 0813112023. Workers' Compensation Insurance Carrier : TECHNOLOGY INSURANCE COMPANY Policy No : TWC4228415 W. C. Expire: 2/15/2024 Fire Hazard Zone : NO Occupancy Groups: U OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors'State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(a) 4ection 7031.5, Business and Professions Cade. 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 the Business and rofessiorls Code) or that he or she is exempt from licensors 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 pona ty of of more then five hundred dollars ($500), 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) poAlons of the work, and the structure is not intended or offered for sale (Section 7044, Heiress and Professions Code' The. Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Oprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have this burden of proving that it was not built or nproved for the purpose of sale). 1, as Owner of the property, are exclusively contracting with licensed Contractors to Construct the project($action 7044, Business and Professions Code: The Contractors' State License Law does not �rply 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). ,.f I am exempt from licensors under the Contractors' $late License Law for the following reason: .y my signature below i acknowledge that, exceptfor my personal residence in which I must have resided for at toast one year prior to completion of the improvements covered by this permit, I cannot legal) 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 applicaboo law., Section 7044 of the Business and rufesaeris Code, is available upon request when this application is submitted or at the following Web site;http;Hwww.leglnfo.cagovfealaw.htmi. ,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 Secti 000) or Division 3.of the Business and Pro 'arcs Code, and my license is in full force no effect. License Class License No Da—13-Z'3 Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED ThOUSANU OOLLARS (11100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOG OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE& 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 Cade, for rmance, 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 Expiration Date of Agent Phone 0 _ certify that, in the pliflorrPance 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 agre t, if I should become b' ct to the workers' compensation provisions of Section 3700 of the Labor Code,.. 1 shall forthwith comply with those provisions. nature ofApplicant� __ -� l.J Dat LA-13-23 CLARATfON REGAR NG NSTRUCTION LENDING AGENCY !Mby affirm under pe aity of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Seeilon 30;77, I I Code). Ides s Name Lender's Address any 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 covty}'romances and state laws relating to building construction I authorize representatives of this city ar county 9cf�#mor the above -identified rp o any for inspection purposes .._.__ T ...l ' / % M 11 .__>,�_.,_.__,\ T ...c (. Lo L.Crl-r ✓ �,L._ L.1 —I'Z 72 ACTION DATE BY EGULATIONS PART 61TITLE 40 IPOF TITAND A0Mn RULE FEDERAL FOR OFFICE USE ONLY RR PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMR'FINAL 1 4'SEST ' N01IFICATtONISNOTAPPUCAKE TO CERTIFICATEOF !! PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: