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HomeMy WebLinkAboutE2022-0677 - PermitsCity of Newport Beach 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 Electrical Permit Plan Check No : Work Class: Other Issued Date: 09/27/2022 Inspection Area : 3 E2022-0677 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: 2420 UNIVERSITY DR Legal Desc : N TR 4444 BILK LOT 9 TR 4444 LOT 9 TOGETHER WITH AN UND 1/33 INT IN Description : ELEC: INSTALL ELECTRICAL FOR HEAT PUMP (H2O22-0520) Owner: THOMAS FUENTES Address : 2420 UNIVERSITY DR NEWPORT BEACH, CA 92660 Phone: Applicant : BASIC AIR INC Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714)469-4542 Owner/Builder : Address: Phone: Code Edition: 2019 Type of Construction : Contractor : BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone : (714) 4694542 Con State Lic : 909834 Lic Expire : 01/31/2024 Bus Lic: BT30045172 Bus Lic Expire:10/31/2022 Workers' Compensation Insurance Carrier: PREFERRED PROFESSIONAL INS CO Policy No : ON1196401 W. C. Expire: 10/22/2022 Fire Hazard Zone : NO Occupancy Groups: U Building Setbacks : Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: $ , I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate 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 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' Stale 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 llcensure and the basis for the alleged exemption. Any violation of Section 703L5 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 sole compensation, will do (_) 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 yearof completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). © I, 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 arp�fply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law) u I am exempt from licensure under the Contractors' Stale 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:htip:liwww.leginfo.ca.govicalaw.html. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0 of Division 3 of the Business and Profession de and my license is in full force and effect. License Class License No Date i 11,62Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS if100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" 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 workere' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th( performance of the Work for 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' rance carder and policy number are: Policy Number Date 1e of Agent Phone it 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 If I should become subject lathe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. m Date f I Heby affirm under penalty of perjury thatShere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Idlers Name Lender's Address my signalura;)Aow, I certify to each of the following: 1 am the pla,&Ky owner or authorized to act on the property owner's behalf. I :nave maC :'is r. pplicalion and the information I have provided is Correct. I agree to r cm ly with all applicable city and county ordinances and state laws relating to building construction. I authorize representafives of this city or county to enter bjpgbove-identif�'I d�Gropeny for inspection purposes. ACTIJN DATE F&IM1T EXPIRED_ -4,, 1TCAA'CELLED PERMITEXTENOEv� PER^QIT FLNA! �1 CERTIFICATE OF J1,18, -` OCCUPANCY ISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE LJ ASHES] '05 NOT IS NOT APPLICABLE TO PROPOSED DEMOLITION Owner's or Authorized Anent's Name I FOR OFFICE USE ONLY Date