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Home My WebLink AboutE2023-0243 - Permits"E"WpORT City of Newport Beach p D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 6 i Permit Counter Phone: (949) 644-3288 CgGtGOPN`P Inspection Requests Phone: (949) 644-3255 newportbeachea.gov/inspections E 2 0 2 3 0 2 4 3�� II Electrical Permit : E2023-0243 Plan Check No : Work Class : Other Issued Date : 03/24/2023 Inspection Area : 8 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: 541 CATALINA DR Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BILK 30 LOT 14 Description : ELEC - INSTALL (1) ELEC OUTLET FOR (N) HEAT PUMP Owner: DAVID FINCH Address : 541 CATALINA DR NEWPORT BEACH, CA 92663 Phone: Applicant : A C COOL INC Address : 1116 W COLLINS ORANGE, CA 92867 Phone : (714) 720-3938 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: 10, SPECIAL CONDITIONS: Contractor : A C COOL INC Address : 1116 W COLLINS ORANGE, CA 92867 Phone: (714)720-3938 Con State Lic : 804056 ° , Lic Expire : 01/31/2024 Bus Lic: BT30042073 Bus Lic Expire:01/31/2024 Workers' Compensation Insurance Carrier : SIRIUS AMERICA INSURANCE COMPANY - Policy No : 46234 W. C. Expire: 6/1/2023 Fire Hazard Zone : NO Occupancy Groups: R3 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) I have placed next to the applicable item(s) Section 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 he permit to file a signed statement that he or she is licensed pursuant to tho provisionsof the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 Iotmore than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (J all of or U portions of the work, and the structureis not intended or offered for sele (Section 7044, 3usiness 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 theproperty, provided that the mprovements are not intended or offered for sale, If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built of m roved 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 Contractors' State License Law does not I ply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legally ;all a structure that I have built as an owner -builder if it has not been Constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:Owv✓w.leginfo.ce.gov)calaw,html. Signature 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 Section 7000) of Division 3 of the Business and Profess! - d d m I& is in full force Ind effect. License Class License No Date,Z5 Contractor Signature �� 'UORKERS' COMPEN CATION DECLARATION Ir rAANING: FA.LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE :O?r OF COMPENSATON. OAtAAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES. herpby Affirm undo, paualty of perjury one of the following declarations: -1 I ha:c 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 tm �erfe,ma,,ce of the work ire which this permit is issued. Policy No.. 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' compensatior ;rxicc carrier and p-illcy number are: iJ. Policy Number Expiration Date 1J c. \.tent Phone III certify that, in me 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 lays of California., and agref , If I souuld become subject a rk s/cornp ens o provisions of $f ee/'t�'on 3700 of the Labor Code, I shall forthwith comp) with those provisions. tature of APPliLsnt ///L J� L/ t Y Y.... Date- hereby affirm under penalty of perjury that there Is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code) enders Name Lender's Address ly my 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 county n sand XratIawsfffe ting to building construction. I authorize representatives of this city or county enter ove e. ti�i pf Fly for inspection purposes. // lionatura of Proreetty Owner or Authorized Aaant i J/A 1 Print Provertv Owner's or Authorized Arent's Name rtrDcr L eLl ACTION PERMIT EXPIRED PERMITCANCELLED _.... _ .... ........ .......... ..... _._ PERMIT EMENDED PERMIT FINAL CERTIOCATE OF OCCUPANCY ISSUED DATE I BY -.73 REGULATIONS PART bI OF TITLE 40 AND AQMD RU L€ SIGNATURE; 13NOTAPPLICABLE TO FOR OFFICE USE ONLY