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Home My WebLink AboutE2022-0759 - Permitse ��WPo�r City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 s Permit Counter Phone: (949) 644-3288 m Inspection Requests Phone: (949) 644-3255 cq<rFoaN'P newportbeachca.gov/inspections Electrical Permit Plan Check No: Work Class: Other Issued Date : Inspection Area : 1 E2022-0759 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 : 125 G ST Legal: Desc : N TR 518 BLK A LOT 3 Description: ELEC -DISCONNECT FOR A/C INSTALLATION Owner: HARLOW RICHARD A JR TR Contractor : CONTEMPORARY AIR CONTROL INC Address : 1918 SANTA ANA AVE COSTA MESA, CA 92627 Address : ' 1599 SUPERIOR AVE B1 COSTA MESA, CA 92627 Phone : Phone :. ,: (949) 877-0411 Con State Lie : 575613 Applicant: CONTEMPORARY AIR CONTROL INC Lie Expire : 10131/2024 Address : 1599 SUPERIOR AVE B1 COSTA MESA, CA 92627 Bus Lie BT30036259 '. Phone: (949) 877-0411 Bus Lie Expire:07/31/2023 Workers' Compensation Insurance Owner/Builder: Carrier:SIRIUS AMERICA INS CO Address : '. Policy No: WC75866 Phone: W. C. Expire: '6/1/2023 Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : - Occupancy Groups : R3/U r Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential - PROCESSED BY: SPECIAL CONDITIONS: o O � x `O J C- G 9 9 �7 t hereby affirm under penalty ofperury that am exempt from the Contractors"State License action 7031.5, Business and Professions Code: Any city or county that requires a permit to ca indicated below demolish: or rel I; as owner of theproperty;: or my employees with wages as their solo: compensation, will do all of or U portions of the work, sinessand Professions Code; The Contractors' State License Law does not apply to an owner of property who; through employe Imvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completiivl, t )roved for the purpose of sale). 1, as owner of the property,. am exclusively contracting with licensed Contractors to.. construct the project (,Section 7044, BUS nes )ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursu I am exempt from licensure under the Contractors' State License Law for the following reason: I my sinnature below t.. acknowledge that, except for my personal residence in which I must have resided foratleast one year b`ariol I have built as. an owner-builde is available upon request when of Property Owner or I hereby under penalty of perjury that I am licensed under provisions of Chapter and effect. License Class License No WORKERS' GOMPENSAT€ON DECLARATION IL civil and the structure is not intended or offered sale (Section 7044, es' or personal effort,. builds or Improves the property, provided that the ha Owner -Builder will have the burden of proving that it was built or s and Professions Code: The Contractors' State License Law does not. ant to the Contractors' State License Law) tIALFINES UP my license is in full force TO THE II ireby affirm under penalty of penury one of the following daclarations: 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 ormance of the work forwhich this permit is issued. Policy No. have and vnll 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' :compensatbo ranee carrier and policy number are: / Policy Number._ Expiration Date me of Agent / / Phone ft I certify that, In the performa ice of t orkfior which this permit is Issued, I shall not employ any person in any manner so a� to becomesublectfo the workers'.compensation laws of California, and agre. t, if I should become. subject to the r rs` compensation prrn`isions of Section 3700of the Labor Code, I shall forthwith corpply with those provisions. !i nature of Applicant. nS D ^ L Ay `��_ll CLARATION REGAR 0 RIiC'N0 DING AGENCt elt/_i€G_ areby affirm under penalty of perjury that theta is a construction tending agencytor the performance of the work for which this permit,is. issued (Section. 3097, Civil; Code), idea's Name... _ — Lender's Address my signature below, I certify to each of thefollowing: I am the property owner or authorized to act on the pro owner's behalf. I have read this application and the information I have toy is correct I agree to comply with all applicable city and county car in c and state Caws relating to building construction, I authorize rearesentatives of this city or ceuntyRd en r bo e-identified property for inspection purposes. 3 C€RTiFICATEOF OCCUPANCY ISSUED DATE I BY NOTIFICATION IS NOT APPLICABLE TO • O^O O•O g = O e,b �- �