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Home My WebLink AboutE2023-0010 - Permits�EwvoRTw£, City of Newport Beach to¢ 4 m Community Development Department -Building Division )> Sa /n1 100 Civic Center Drive, New ort Beach, CA 92660 P Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 6443255 °- newportbeachca.gov/inspections (IIE I � II 0I III I I� II Electrical Permit : E2023-UU1 U Plan Check No : Work Class : Other Issued Date : Inspection Area :4 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 : 1947 PORT CARDIFF PL Description : ELEC A/C DISCONNECT Legal Desc : N TR 6623 BLK LOT 37 Owner: MCCORMICK STEPHEN D TR Address : 1947 PORT CARDIFF PL NEWPORT BEACH, CA 92660 Phone: Applicant : ROCKLIN HEATING & AIR Address : 5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765 Phone: (916)626-5151 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 22, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Contractor : ROCKLIN HEATING & AIR Address : 5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765 Phone: (916)626-5151 Con State Lic : 959466 Lic Expire : 0913012023 Bus Lic: BT30074728 Bus Lic Expire:03/31/2023 Workers' Compensation Insurance Carrier : EMPLOYERS PREFERRED INS CO Policy No: EIG4913614 W. C. Expire : 1/1/2024 Fire Hazard Zone : NO Occupancy Groups: U S, I OWNER -BUILDER DECLARATION f hereby affirm under penally 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 neat 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 o permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors`Stato License Law (Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and rrofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031:6 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, andthe structure is notintended or offered for sale (Section 7044, tustness and Professtons 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 nprovements 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 the burden of proving that It wasnot built or roved for for the purpose of sale). ,J 1, as owner of the property,am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stele License Law does not ,poky 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)., t am exempt from licensure under the Contractors' State License Law for the following reason: ty 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 Iagelly all a structure that I have built as an owner -builder if it has not boon constructed in its entirety 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 sitefittp: twww.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION ner,byaffirm wader penalty of perjury that I am licensed antler provisions of Chapter g (commencing with Section 7 0} of Ivi ion 3 of the Business and Prof arts Coe rid my license is in full force nd effect License Class License No Date /5 Contractor Signature Y- VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CHAIR AL PENALTIES AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI D0,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of pergury one of the following declarations: I he" and wfil maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3100 of the tabor Code, for prrna ce of the work for which this permit Is issued_ Policy No,. end 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 of Agent Date A certify that, in the a armance 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 agree mat, if I should beco.. O ubject tot. workers" compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ,Ignature of Applieam Dat iECLARATION RE DIN NSTRUC ON LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civ God,), ender's Name Lenders Address 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 h e provided is correct. I agree to comply with all applicable city and c ur ordinances and state laws relating to building.. construction. I authorize representatives of this city or county enter t boo -identified property for in purposes. L^ ionature of Prooertv Owner or Authorized Anent Print Pronerty Owner's or Anihori>ad Anant's Names �l � `N � Il�,� Jlt9fd q(' nalaA I /S/SS DATE BY V DMARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE PERMIT EXP1R€D LJ I SUBMITTED ASBESTOS NOTIFICATION TO P€RMITCANC€LLED EIEPA PERMITEXT€LADED PERMRFINAL 2'D/7�/-3 � 1JAQMD ASBESTOS NOTIFICATION IS NOT APPLICABLE TO C€RTIFiCATE OF / PROPOSED DEMOLITION OCCUPANCY ISSUED FO/1 %Z-O. SIGNATURE: