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HomeMy WebLinkAboutE2022-0945 - PermitsF��WPoQr City of Newport Beach C Rm Community Development Department- Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 7Mj 2' Permit Counter Phone: (949) 644-3288 cq�'"o RN�r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections iiiiiiilipiiiii II Electrical Permit Plan Check No : Work Class : Other Issued Date : 1212212022 Inspection Area : 5 E2022-0945 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: 439 FERNLEAF AVE, 1/2 Description : ELEC (2) DISCONNECTS Legal Desc : P BK 207 PG 29 PAR 1 UN 1 P M 207-29 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP Owner: CHANDLER MICHAEL TR Address : 439 FERNLEAF AVE APTB CORONA DEL MAR, CA 92625 Phone : Applicant: TRITON AIR INC Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Phone : (949) 492-0290 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: _%�7 - SPECIAL CONDITIONS: Contractor : TRITON AIR INC Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 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: 1/1/2023 Fire Hazard Zone : NO Occupancy Groups : U i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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 Issuance, also requires the applicent 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 liaensure and the basis for the alleged. exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars. ($500). 1:11, 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, Business and Professions 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 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 improved 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 pursuantto the Contractors' State License Law). d 1 am exempt from licensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which I must haveresided for at feast one year prior to completion of the improvements covered by this permit, I cannot legali sell a structure that I have builtasan 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:/lwmv✓.leginto.ca.gov/calaw,htmf. Signature of Property Owner or Authorized Agent------.- .�.__._,......._____ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of ¢vision 3 of the Business and Prof ion C de, and m r li ensa is in full force and effect. License Class License No Date - 'Z- z Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI Al PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100.o00i, IN AnoniON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following dec€aratlons: © 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 pe, once nee of the work for which this permit is issued. Policy No. eve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade., for the performance of the work for which this permit is issued. My workers' compensatio r surance carrier and paltry number are: Canter Policy Number Expiration Dale Name of Agent Phone # ©I certify that, in the performance of the work for which this permitis issued, I shall not amploy any person in any manner so as to become subject to the woh,Civ 'mooreation laws of California, and agre that, if I should become suWlheTorkers' co pansakron provisions of Section 3700 of the Labor Code, I shall forthwith comply with 3nese provisions. Signature ofi Applican �_i�_._ DDECLARATION REGAUCTIDN 1EDING AGENCY I hereby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 309ode). Lender's Name Lender's Address By my signature hr.inw, I certify to each of the following: I am -he property Omar or authorized to act on the property owner's behalf. I haves read thF6 aopi:eation and the information I have provided is correct - I acres to corcp,y wi.,i all applicable city and county ordinances and state laws relating to building construction. authorize representatives of this city or coup ent the ab ve-identired property for inspection purposes. \ ,Nt� ) Signature of Proper C%.ner or Authorized A ent Print PropertyOwner's or Authorized Agents /'s Name J "'' `` W " Dat FCTICN ' DATE BY NllliICLAIRATION OF CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61. OF TITLE 4a AND AQMD RULE _ 1403 pERMATFXWRED l SUBMITTED ASBESTOS NOTIFICATION TO ' EAAAIT,ANCELLED 131PA +FRMrTFXTENOED�_UAQNIp _ PPP99T CANAL-1-�LAS1BBESTOS NOTIFICATION IS NUTAPPLICABLE TO CERTIFICATE OFLPROPOSED DEMOLITION OCCUPANCYISSUEO SIGNATURE: