HomeMy WebLinkAboutE2023-0931 - Permits��gWPO/�T City of Newport Beach
O d Community Development Department- Building Division
� � n
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
cq�'�naN.P newportbeachca.gov/civic
IIIIIIIIIIIIIIIIIIIIIIIII�I�IIIIIII II Electrical Permit : E2023-0931
E 2 0 2 3 0 9 3 1 Plan Check No :
Work Class : Other
Issued Date : 11/13/2023
Final Date:
Permit Status: Issued
Inspection Area : 2
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 : 1915 CHUBASCO DR Legal Case: N TR 2813 BLK LOT 3 TR 2813 LOT 3 POR OF LOT
Description: ELECT REPLACE (2) DISCONNECTS AND INSTL (1) NEW *H2O23-0725*
Owner:
DARIN SIMONIAN
Address :
1915 CHUBASCO DR NEWPORT BEACH, CA 92625
Phone:
Applicant:
RABECCAJOHNSTON
Address :
4370 PALM, D250 SAN DIEGO, CA 92154
Phone:
(714)804-8886
Owner/Builder
:
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: (::��
SPECIAL CONDITIONS:
Contractor : ALISO AIR INC
Address :
29736 AVE DE LAS BANDERAS RANCHO SANTA Mf,r GAk ITA
92688
Phone:
(949)589-2021
Con State Lie
: 526420
Lie Expire:
03/31/2024
Bus Lie :
BT30019236
Bus Lie Expire:02/28/2024
Workers' Compensation
Insurance
Carrier :
LIBERTY MUTUAL INSURANCE COMPANY
Policy No:
WC2Z61036218093
W. C. Expire:
7/1/2024
Fire Hazard Zone : NO
Occupancy Groups : 30" WIDE X 36" DEPTH
REQUIRED FOR
A/C DISCONNECTS
CA
OWNER -BUILDER
I hereby affirm under penalty 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 items)
;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
.he 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 licensure and the basis for the alleged exemption.. Any violation of Section 7031..5 by any applicant for a pemtit subjects the applicant to a civil penalty of
ict more than five hundred dollars ($50D).
1, 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 not intended or offered for sale (Section 7044,
3uslness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' cr personal effort, builds or improves the property, provided that the
improvements 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
inproved for the purpose of sale).
1 1, as owner of the properly., am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
rppiy 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).
1 am exempt from licensure under the Contractors' Slate License Law for the following reason:
3y my signature below I 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 legall:
soli a structure that I have built as an owner -builder if it has not boon constructed in its entirely 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:htipa;wwvJ.legmfo.ea.govlcalaw.html.
Signature of Property Owner or Authorized Agent., _ Date
LICENSED CONTRACTOR'S DECLARATION
hereby affi� r; uir+er penalty of perjury that I am licensed under provisions of'C.hapter 9 (commencing with \,on7110) df Division 3 of the Businas gnd Professes C d y Ifc e is in full orcee
=nd'affect License Class License No ? heBu cior �cNORKER3'ONiPENSATtON DECLARATION
YARNING: FAILIIRL'C' FECLRE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CNALTIES AND CIVL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION To THE
."P'r OF'OMEIeATiON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'iereby a8'hm 1r,Cer pRnaity of perjury one of the following declarations:
eve and wkJ m.,intain a. certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3790 of the Labor Cade, For ih
.or orn)nce of :i,e work for which this permit is Issued. Policy No..
and wi'I 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�
as of Agent _
cen°'v In=l.:n the
if I should 1,erpr
iature of Aoc'isah
Policy Number
Date
ce of the work for which this permitis issued., I shall not Employ any person in any manner so as to become subject to the W` kers' compensation laws of California, and agre
to the workers compensation provisions of Section 3700 of the Labor Code,. I shalt forthwith comply Orr those provisions. r
Do_/
,DNSTRUCTtDN 1E.NDING AGENCY
hereby affirm under p6rnalryof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code).
-eoder's Name 1 Lender's Address
3y my signature below, I oertry to each of thefollowing:
I am the property owner or authorized to act on the property owners behalf.
I have read thisapplication and the. infor 'alien I have provided is correct..
I agree to comply with. all applicable oild county ordinances and state laws relating to building. construction.
I authorize representatives of this city r co ty to a ter the above ontifis property for inspection purposes.
3i nature of Property Owner or Authonz d Agenf Print Property Owner's or Authorized Age 's Nama
ACTION DATE By j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMITENPIRED I} IIII IRMITTFR AGRFCTM Nr1TIFlf ATlr]N TfI
PERMIT EMENDED
PERM!'r FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
LIASBE5TO5 NOTIFICATION IS Nor APPUCABLE TO
PROPOSED DEMOLITION