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Home My WebLink AboutE2023-0696 - PermitsCity of Newport Beach Community Development Department- Building Division 04'. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 nwnewportbeachca.gov/civic II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit : E2023-0696 E 2 0 2 3 0 6 9 6 Plan Check No : Work Class : Other Issued Date : 08/08/2023 Final Date: Permit Status: Issued Inspection Area : 6 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 : 15 BELLEVUE Description : ELEC A/C DISCONNECT Owner: KAI-YIN CHUNG Address : 15 BELLEVUE NEWPORT COAST, CA 92657 Phone : (310) 567-8062 Applicant : EMALEE JOSEPH Address : 26111 YNEZ RD, C3 TEMECULA, CA 92591 Phone: (877) 600-0123 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Front: 10, Side: 5, Side: 5, Rear: 10 X PC - Newport Ridge Legal Desc : N TR 14895 BLK LOT 57 Contractor : NEXGEN A/C INC Address : 5472 EAST LA PALMA AVENUE ANAHEIM, CA 92807 Phone : (657) 208-1987 " Con State Lic : 1011173 Lic Expire: 07/31/2025 Bus Lic : BT30055503 Bus Lic Expire:06/3012024 Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INSURANCE COMPANY Policy No: 212075500 W. C. Expire: 10/1/2023 , Fire Hazard Zone : NO Occupancy Groups: U I hereby affirm under penalty of perjury that t 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 items) 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 10 permit to file a signed statement that lie 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 Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the nprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly to an owner of properly who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law), 3 1 am exempt from licensors under the Contractors' Slate License Law for the following reason: _ ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally all a structure that I have built as an owner -builder if it has not been constructed in its entirety, by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, Is available upon request when this application Is submitted or at the following Web site:http:fl w .leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of$Iv'sio 3 of the Business and Professions-Sode-, and rDy-kense is In full force nd effect. License Class License No Date U I Contractor Signature �,L� VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE OST OF COMPENE ATION, D<MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herobV affirm under penalty of perjury oneof the following declarations: I I have and will maintain a certificate 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 lh< ,Nance of the work for which this permit is issued. Policy No. rfteye 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' Compensation st ranee carrier and pulley number are: ;arrier Policy Number Expiration Date time cr Agent ._ _ Phone d -1I nerify that, in :he 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 agree Ina,, if I should b:-acomP subject to th oJkeIs' mpensah 'suns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i'. r,j'Lre of Applicant _ _ _- _ Dated I g 1/L-3 :FCI ARATION REGARDINQ fRUCTi LENDING AGENCY hereby affirm W.Tdcr penalty of perjury that there is a construction lending agency for the performance of the workfor which this permit Is issued (Section 3097, Civil Code). .ender's Name Lender's Address iy 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 with all applicable City and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to en a above-identifi or in purposes. ' ii nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name , ',Yo S.'- Date ACTION DATE BY LARATIO F PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED U SunMITTFD ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA. PERMIT EXTENDED t.1ggA40 CERTIFICATE �T,� Der ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY 155UED SIGNATURE: