HomeMy WebLinkAboutE2022-0839 - Permits¢��WPoRT City of Newport Beach
C ep Community Development Department- Building Division
�y 100 Civic Center Drive, Newport Beach, CA 92660
r) Permit Counter Phone: (949) 644-3288
U Inspection Requests Phone: (949) 644-3255
°+c�FoaN�P newportbeachca.gov/inspections
Electrical Permit : E2022-0839
Plan Check No : 1934-2021
Work Class : Other
Issued Date : 11/07/2022
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 : 1980 PORT RAMSGATE PL Legal Desc : N TR 6624 BLK LOT 72
Description: ELEC (2) A/C DISCONNECTS
Owner:
RHODES PAUL MICHAEL TIR ,
Address :
1980 PORT RAMSGATE PL NEWPORT BEACH, CA 92660
Phone :
Applicant :
BEN MEDINA
Address :
31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone:
(818) 735-7876
Owner/Builder :
Address
Phone:
Code Edition :
Type of Construction
Building Setbacks : Front: 18, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor: TRUE HOME HEATING A/C
Address : 4 FARADAY IRVINE, CA 92618
Phone:
(949).382-6337
Con State Lic
Lic Expire;
: 1025397
04/30/2023/'tii(;6�rY�
Bus Lic:
BT30064629 666
Bus Lic Expire:10/31/2023
Workers' Compensation
Insurance
Carrier :
TRAVELERS PROPERTY CASUALTY CO OF AMERICA
Policy No:
UB9S6828382126G
W. C. Expire:
12/1/2022
Fire Hazard Zone : NO
Occupancy Groups:
OWNER -BUILDER DECLARATION
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 Code, Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuanoo, also regtltresihe 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 licensore and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fare permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
0 1; as owner of the property, or my employees with wages as their solecompensation, will do (_) all of or L) 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 or property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. €f, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving [list it was not built or
improved for the purpose of sale).
L1 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
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law).
I am exempt from licensors under the Contractors' State License Law for the following reason: _
By my signature below € acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I cannot legal
suit a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors, 1 understand that a copy Of the applicable law, Section 7044 of tho Business and
Professions Code., is avallabla upon request when this application is submitted or at the following Web site:hdp•:itwww.leginlo.ce..gov/calaw.html..
Signature of Property Owner or Authorized Agent _K Date �tull
LICENSED CONTRACTOR'S DECLARATIONI hereby affirm under penalty of perjury }het I am licensed under provisions of Chapter 9 (wmmsncing with Section 00 -af e 3 the Bustness and Prof- o eC"o' , I my Itcensse
and effect. License Class License No Date Connector Signature
WORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORBERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU13JECI AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S700,000). IN ADDITION TO TH
COST OF COMPENSATION, OAMAOES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES,
hereby affirm under penalty of perjury one of (he following declarations:
1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director at industrial Relations as provided for by Section 3700 of the Labor Code, for II
4arjormance of the work for which this permit is Issued. Policy No.
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'
currier and policy number are:
Policy Number
Date
lame of Agent Phone If
31 certify that, in t pa�Sormance vrork for which Is Issuod, l shall oat employ any person in any manner so as to become subject to the workers' ompensatlon laws of California, and ogre
fat, if I should beco a subject t worke onsation provisions of Section 3700 of the Labor Code. I shalt forthwith comply with those provisions.
'signature of Applies t Dat / �
IECLARATION mm CTION LENDING AGENCY
hereby affirm Lin a pene y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
tinder's Name Lenders Address
or my signature below. I certify to each of the following
I am the property owner or authorized to act on the property owner's beh:Ylap�opi
lf.
I have read this application and the information I have provided Is li
I agree to comply with all applicable city arid co t order and statemg to bulldog eDnstrustlon.
I authorize representatives of this city orcountyt antert id party for In
purposes.
lionature of Property Owner or Authorized Aden( Print PmoArty Owner's or Aoth.d7pd AnPnV,i NaMA
PERMIT EXPIRED
PERM)TCANCELtFD
PERMIT EXiENAEp
PERMIT FINAL
CERTIFICATE OE
OCCUPANCY ISSUED
DATE 6Y V Oean MMON OF COMPLIANCE WITH CODE OF FEDERAL FOR orr10E USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1 SJBMIT-ED ASRFSTOS NOT] FICATION TO
( LIASBESTOS NOTIFICATION is NO'r APPLICABLE TO
(t PROPOSED DEMOLITION
, S:GNATURCI