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Home My WebLink AboutE2022-0783 - PermitsCity of Newport Beach e��WPoRr p 6 Community Development Department - Building Division o- 100 Civic Center Drive, Newport Beach, CA 92660 Q Permit Counter Phone: (949) 644-3288 a Inspection Requests Phone: (949) 644-3255 Cql/FO FH�P newportbeachca.gov/inspections IIII III III II Electrical Permit Plan Check No : Work Class: Other Issued Date : 1012112022 Inspection Area : 6 E2022-0783 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: 23 ANJOU Legal Desc : N TR 14588 BILK LOT 4 UN 124 TRACT 14588, LOT 4 OF PROJECT 93 6-46 LOCATED ON Description: ELEC: INSTALL ELECTRICAL/DISCONNECT FOR HVAC REPLACEMENT (H2O22-0592) Owner: JON FITZGERALD Address : 23 ANJOU NEWPORT BEACH, CA Phone: (303)506-4809 Applicant: PLATINUM REPAIR INC Address: 11647 SWINTON AVE GRANADA HILLS, CA 91344 Phone : (818) 435-4442 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction : Building Setbacks : Flood Zone: X Use Zone : PC - Newport Ridge PROCESSED BY: B �J SPECIAL CONDITIONS: Contractor : PLATINUM REPAIR INC Address : 11647 SWINTON AVE GRANADA HILLS, CA 91344 Phone : (818) 435-4442 Con State Lie : 991373 Lie Expire : 03/31/2024 Bus Lie : BT30069872 Bus Lie Expire: 11/30/2022 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9092354 W. C. Expire: 3/14/2023 Fire Hazard Zone : NO Occupancy Groups: U OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) 1 have placed next to the applicable items) ;action 7031.5, Business and Professions Code: Any city Drool that requires a permit to construct, alter, improve, demolish. or repair any structure, prior to its Issuance, also requires the applicant for a permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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 applicant to a civil penalty of De more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 aprovements 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 purposeof sale), 11, 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 property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 I am exempt from licensors under the Contractors' Stale License Law for the following reason __... ...------- y 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 entirely by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and rofessions Code, is available upon request when this application is submittedor at the following Web site:hhp:lewww.leginfo.ca.govlcalaw.html. agnalure of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION / an hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70pp�7o, ,D/'��i ision 3 of the Business and Profession rf man . y i' ce nd effect. License Class License No Date /__y / Contractor Signature VORKERS COMPENSATION DECLARATION IARNING' FAILURE TO SECURE WORKERS' COPAPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS IEt 00,000I, IN ADDITION TD THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR COPE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of 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 th errf/formance of the work for which this permit Is issued. Policy No, asave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work. for whichthis permit is issued. My workers' compensatiol isurance carrier and policy number are ;artier Policy Number Expiration Date Jame of Agent Phone n �I certify that, in the performance of the work fo hiGh this permit .i stl, 1511 not a person in any manner so as to became subject to the workers' compensation law California, and ogre tat, if I should become subject tat k G 1p anon pro ' r ns of iv r abet Code. shall forthwith comply with those provsions. lignature of Applicant ____________ _�_.�.._.._.._..,..._....._______.,... Date'Z / _,._.�.............._. )ECLARATfON REGARDING 70 LEN G AGENCY hereby 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, Civil Code). .enders Name __„ Lenders Address-- 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with at] applicable city and county ordin c and state, s r mg construction. I authorize.re-Tr=_-,rntataves of this city er county toe ab -ide i r inspection purposes. iiona_�re of Pro art Owner or Authorized A ent Print Pro artOwner's or Authorized Agent's Name ,c.S Date Lr ACTIO,J DhTE BY DECLARATION OF CONIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE, 'EF.YfIT FINAL /Ii IDL T0H` 1-r L / UASBESTOS NOTIFICATION IS NOT APPLICABLE TOIDL TO✓` 1-r r / UASBESTOS NOTIFICATION rS NOT APPLICABLE TO 'FRTIrICATE OF I PROPOSED DEMOLITION I JCCLPANCYISSJfD SIGNATURE: