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Home My WebLink AboutE2022-0424 - Permits��WFo�T City of Newport Beach IIII I I II I I II II I I II II Electrical Permit p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 <iForN�"' newportbeachca.gov/inspections Issued Date: 07/18/2022 Inspection Area : 2 E2022-0424 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: 4308 PATRICE RD Legal Desc : N TR 4692 BLK LOT 37 TR 4692 LOT 37 TOGETHER WITH AN UND 1/9 8 INT IN Description : ELEC-DISCONNECT FOR A/C INSTALLATION Owner: BLAKE FRENKIEL Address : 4308 PATRICE RD NEWPORT BEACH, CA Phone: Applicant: ROCKLIN HEATING & AIR Address : 5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765 Phone: (916)626-5151 Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: X RM - Multiple Residential N Contractor : ROCKLIN HEATING & AIR Address: 5706 LONETREE BLVD ROCKLIN CA 95765, CA 95765 Phone: (916)626-5151 Con State Lie : 959466 Lie Expire : 09/30/2023 Bus Lie: BT30074728 Bus Lie Expire 03/31/2023 Workers' Compensation Insurance Carrier: Policy No W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone: Y a.% 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 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 potent to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors` Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofess ons 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 permit subjects the applicant to a civil penalty of rot more than five hundred dollars ($500). 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, 3usiness 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 [hat the mprovernents 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 mproved for the purpose of sale). I, 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 a ply 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 front 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 legally sell a structure that I have built Be 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 Professions Code, Is available upon request when this application Is submitted or at the following Web site:http:llw u,leglnfo.ca.gov/calaw.html. 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 7000) of ivision 3 of the Business and Professions Cod. and, my license is in full force and effect. License Class License No D� � �3/2Z Contractor 53gnatOr� WORKERS' COMPENSATIONDECLARATION 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 (5100,000 , 3N ADDITION TO THE COST OF COMPENSATION', DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN£Y'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 �me ce or the work for which this permit is issued. Policy No. d 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' compensa uan a carrier and policy number are: Policy Number Date ne of Agent I 1."" certify that, in the 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 if I should herema subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisii I nature of Applicant ::_i CLARATION REGARDING CONSTRUCTION LENDING AGENCY treby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider'% Name _ Lender's Address 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. Or^ 1 authorize representatives of this city or county to enter the -ldeZ ifie�d property for Inspection purposes. Print Prnnerty Owner's or Authorized Aoent's Names/ L.. ACTION DATE { 6V I W-ChNRATIONOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY 3I{ REGULATIONS PART 51 OF TITLE 40ANO Ai RULF, aao3 PERMIT EXPIRED I SUBMITTED TO PERMIT FINAL / 1 U ASl DS NOTIFICATION 15 NOT APPLICABLE 10 CERTIFICATE Or 7 ��i� / ¢ PROPOSED DEMOLITION OCCUPANCYISSum _ v j SIGNATURE._ Civil Code), C 1t:,,,,4j&ih e/ All required alarms, latchesgates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.