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Home My WebLink AboutE2023-0978 - PermitsD", City of Newport Beach p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 o-Permit Counter Phone: (949) 718-1888r newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 12/05/2023 Final Date: Permit Status: Issued Inspection Area : 4 E2023-0978 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 : 458 VISTA ROMA Legal Desc : N TR 6996 BILK LOT 5 - � ... � �, a -d. Description : ELEC INSTL DISCONNECT *H2O23-0762* Owner: TIMOTHY KELLEY Address : PO BOX 2945 NEWPORT BEACH, CA 92659 Phone: Applicant: OASIS AIR CONDITIONING Address : 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 420-1321 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Building Setbacks : Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : OASIS AIR CONDITIONING Address : 27126 PASEO ESPADA, 1604 SAN JUAN CAPISTRANO, CA Phone: (949)420-1321 Con State Lic : 767272 Lic Expire : 08/31/2025 Bus Lic: BT97027460 Bus Lic Expire:11/30/2024 Workers' Compensation Insurance Carrier : INSURANCE COMPANY OF THE WEST Policy No : WSD504539303 W. C. Expire: 12/31/2023 Fire Hazard Zone : NO Occupancy Groups : ,go"WIDE X 36" DEPTH REQUIRED FOR A/C DISCONNECTS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law forthe 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, after, ➢nprove, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of trio 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 ^:pp)ica-.t `.or a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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, 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). 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 pursuant to the Contractors' State License Law). �{ I 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 have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legalli sell a structure that. I have built asan owner-buildor if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Isavailable upon request when this application is submitted or at the following Web site:http:/fwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ ,�__ Date LICENSED CONTRACTOR'S DECLARATION I hereby affix i, unce, penalty of percry that I am licensed under provisions of Chapter 9 (commencing with Seclio 7000) of D vlslon 3 of the Buslna5 Prof e, aqd- full force Contractor and effort. License Class License No Dot \2— .0 - e� tof,)FIKERSr CGMPENSATION DECLARATION WARNING; 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 (E100,000), IN ADDITION TO THE COST E'F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES. I hereby affirm under enahy of perjury One of the following declarations: L 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 ih perfornia rice c:' th ) wok 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' carrier and policy number are: er_ _ — nP of Agent _ :wfy that, in 'he if I should becop Policy Number Dale 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 tie workers' coqtpermMMInprovaions 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 r>lo l Z- oc:�— 2.3 hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of thework for which this permit is issued(Section 3097 enders Name _ _ Lender's Address y 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 P, eorreO., I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city kr„cpunti ,�rIt�r f�te above-I�egN"fled•.pre{tetrry for inspection purposes. >I nature or YrO en. uwner or AUitlonzo gent rant rru ul l' ACTION DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OF TITLE AO AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED A58FSTO5 NOTIFICATION TO RERMrIT CANCELLED ❑rCPA PERMIT EXTENDED PERMIPFINAL ��L�.1 LLgOMD � ASBESTOS NOTIFICAi ION 15 N0'f APPLICABLE TO CERPFICATEOF III PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE. FOR OFFICE USE ONLY Civil Code). �2•Sz