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Home My WebLink AboutE2022-0641 - PermitsNe ch o4 �EWaoR e Community of Developwpo t Bea ment-Building Division II I I II I II I II IIII III I I Electrical Permit : E2022-0641 100 Civic Center Drive, Newport Beach, CA 92660 ,...,, ,.rw Plan Check No : 1917-2021 Permit Counter Phone: 949 644-3288 _ U w t Inspection Requests Phone )(949) 644-3255 ii� Work Class : Other Cq!-IFO R��P newport6eachca.gov/Inspections 3 � t �' 4 Issued Date : 0911512022 Inspection Area : 1 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 : 3906 RIVER AVE Legal Dose: A TR CANAL SECTION BLK 239 LOT 4 Description: ELEC: INSTALL ELECTRICAL FOR HEAT PUMPS..(X2021-2217) Owner: RICHARD ROSEN Address : 3906 RIVER AVE NEWPORT BEACH, CA Phone: (714)345-0575 Applicant: BASIC AIRINC Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714)469-4542 Owner/Builder Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Front: 4, Front: 20, Side: 3, Side: 3 AE, 8 FT; X R-2-'urnTwo-Unit Residential V Contractor: BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714)460-4542 - Con State Lic: 909834 Lic Expire: 01/31/2024 Bus Lic: BT30045172 Bus Lic Expire:10/31/2022 Workers'. Compensation Insurance Carrier : PREFERRED PROFESSIONAL INSURANCE COMPANY Policy No : ON1196401 W. C. Expire: 10/22/2022 Fire Hazard Zone : NO Occupancy Groups: -R3/U OVYV o�ae� e NO CONSTRUCTION NCJISE ON THE WEEKEND OWNER -BUILDER DECLARATION 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(a) (Section r031,5, 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 Ileensure and the basis for the alleged exemption. Any vloleuon 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). El I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or i_) 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' ar personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, thebuilding orimpravement Is sold within one yearof completion., the Owner-Bullderwlll have the burden of proving that Il was not built or Iim roved for the purpose of sale). L.1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of properlywho builds or Improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' Stale License Law).. 0 I am exempt from licensers 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 legaR! sell a structure that I have built as an owner -builder If it has nor been constructed in its entirety by licensed contractors.. I understand that a copy of the applicable law, Section 7044 of the Business and Professlons Code, is available upon request when this application Is submitted or at the following Web aile:htip:tlwww.feglnfo.ca.gov/calaw.html. 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 QQf Chapt 9" (gqommencing with Section 700�jovl i D on 3 of the Business and Professions C y IlcBose is in full force and effect. License Class License No `q0`� jrif Daf I Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUMECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (000,000), IN ADDITION TO THE COST OF COMPENSAT€OR, DAMAGES AS PROVIDED FOR IN SECTION 3T0S OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: Z] I have and will maintain a cerlincale 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,. have and will maintain workers' Compensation Insurance, as required by Section a7OO of the Labor Code, for the performance of the workfor which this permit Is issued. My workers' ranee carrier and policy number are.: Policy Number Expiration Date or Agent 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 Californie, and , If I should become subject/to�U/q won rs' compevision& of Section 3700 of the Labor Code, 1 shall forthwith Comply with those provisions. nsation pro nature of Applicant x " / � Dale hereby affirm under penalty of perjury that there Is a construction lending agency forthe performance Gf the work for which this permit is Issued (Section 3097, Civil Code) _endor s Name Lender's Address 3y my signature below, I Certify to each of Ilia followings I am the property owner or authorized to act on The property owner's behalf. I have read th!3 aaj,Iicat(on and the informalloo I have provided is correct. I agree to comp'y with all applicable city and courtly ordinances and state laws relating to building construction. I t,4nodze repmsentawes of this city orcounty to enter theabove-iderdfled property for Inspection purposes. j! nofure of Pro P,t v Owner or Authorized Arent X Pont Pro en Owner's or Authorized Agent i Neme Date 1CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOB OFFICE USE ONLY RE43UTATIONS PART 51. OF TITLE 40AND AQMD RUIE _ 1403 ?ERM1:CEXPIRED _ I f �SU-R�M'ITTED ASBESTOS NOTIFICATION TO h. Ah 1 CAA0 'CELILD EPA '! H 1 EXTENDED -t—I _ AQMD _ dth li r IAIAL u J - ZZ 3 J 2 LASBESTOS NOTIFICATION 15 NOT APPLICABLE TO :ERDFICATEOr , PROPOSED DEMOLITION 37T'PINCY f55uro .T . .SIGNATURE: Fee Name Transaction Date Payment Method Building Electrical - Issuance Fee Separate Circuit Fee PERMIT FEE DETAILS FOR PERMIT E2022-0641 Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $39.00 $0.00 $7.00 $0.00 GRAND TOTAL: $46.00