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Home My WebLink AboutE2023-0202 - Permits"EWpokT, City of Newport Beach D Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 w� = Permit Counter Phone: (949) 644-3288 C9�OR��P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIIIIIII111111111111111111111111111111111111111111II jj Electrical Permit Plan Check No: Work Class : Other Issued Date : 03/13/2023 Inspection Area : 6 E2023-0202 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 : 10 ANACAPRI Description : ELEC OUTLET FOR A/C Owner: ARTA FARSHIDI Address : NEWPORT BEACH, CA 92658 Phone: Legal Desc : N TR 15493 BLK LOT 6 Applicant: TRITON AIR INC Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Phone: (949)492-0290 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks: Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY SPECIAL CONDITIONS: Contractor : TRITON AIR INC Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CAmep$73 Phone : (949) 492-0290 Con State Lic: 774877 " Lic Expire : 06/30/2024 Bus Lic: BT30042558 Bus Lic Expire;03/31/2023 , Workers' Compensation Insurance Carrier : FALLS LAKE FIRE Policy No : FLA01867400 W. C. Expire: 4/1/2023 ' Fire Hazard Zone : YES Occupancy Groups : R3/U OWNER -BUILDER DECLARATION I 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 next to the applicable items) ;Section 7031.5, Business and Professions Cod i 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 :ho 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. 'rofessions Code) or that he or she is exempt from licensure andthe basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of Tot 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 (_) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business and Professions Cedes 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 mprovements 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 was not built or approved 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 apply 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), 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below t. 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 legall! sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.htmi.. Signature Of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)1 the Business and Profe U;n my license is in full force and effect. License Vass License No Date O //J Contract Dr Signator JJORKF.RS' C6MPENSATION DECLARATION y 1.AR,4ING: FAILURE TO SEOI'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FNES UP TO ONE HUNDRED THOUSAND DOLLARS ($100A00), IN ADDITION TO THE COST OF COMPENE 17101:, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS PEES. hereby affirm under penalty of perjury Gne of the following declarations: I I have and -id maibtam a certificate at 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 th il-w—iyme ice of the work for which this permit Is issued. Policy No. and will maintcin 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; of r,gent c3-ffthat, in the performance of the if 14hould become e.rbjecl to the} d iature of Applicant _ Policy Number. Date 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 agre i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '7 Date .It±CAI!`VT Ireby affirm under penalty Lpa;jai there Is a construction lending agencyfor the performance of the work for which this. permit Is issued (Section 3097 enders Name ' Lender's Address By 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 Withall applicable city and county ordinances and slate laws relating to buildi ruction I authorize representatives of this city or county to enter the ilibe.1%ji69tified prope spection purposes. 3i nature of Property Owner or Authorized Agent Print Propertyy Owner's or Authorized Agent s Name ACTION DATE BY I DECLA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG .. IONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED P£Rb71TEXTEND6D QMD PERMIT FINAL---C,� ❑ ASSE5 IDS NOTIFICATION 15 NOT APPLICABLE TO CERTiFiCATE OF % �1 0' 3 V/V-� I V PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Civil Code).