HomeMy WebLinkAboutE2024-0381 - PermitsC47".r�"i
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 0610712024
Final Date:
Permit Status: Issued
Inspection Area : 2
E2024-0381
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 : 26 ESCAPADE CT Legal Desc : N TR 7817 BILK LOT 4 UN 217 TR 7817 LOT 4 UNIT 217
Description : ELEC INSTALL ELECTRICAL FOR HEAT PUMP (H2O24-0328)
Owner: DANIEL CALLAHAN
Address : 26 ESCAPADE CT NEWPORT BEACH, CA 92663
Phone: (909)287-6846
Applicant: ANAHEIM AIR LLC
Address : 1631 SALMON RIVER PLACENTIA, CA 92870
Phone: (909)287-6846
Owner/Builder :
Address
Phone:
Contractor : ANAHEIM AIR LLC
Address :
1631 SALMON RIVER PLACENTIA, CA 92870
Phone :
(909) 287-6846
Con State Lic :
1109245
Lic Expire :
08/31/2025
Bus Lic :
BT30084519
Bus Lic Expire:06/30/2025
Workers' Compensation
Insurance
Carrier :
CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy No:
CWCO2374300
W. C. Expire:
8/1/2024
Code Edition : 2022
Fire Hazard Zone: NO
Type of Construction : Occupancy Groups
Building Setbacks :
Flood Zone : X
Use Zone : PC - Newport Crest - UP1585 30" WIDE X 36" DEPTH
PROCESSED BY: Q 5 REQUIRED FOR ' 0
A/C DISCONNECTS
I hereby affirm under penally 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 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 applicant 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 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 pursuant to the Contractors' State License Law).
❑ 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 have resided to
covered by this permit, cannot legallcensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
r at least one year prior to completion of the improvements , sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca,gov/calaw.htmi.
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 7 00 of Di 'sion 3 of the Business and Profes to C � my license is in full force
and effect. License Class License No Date `2A Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: 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 (E188,033), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3788 OF THE LABOR CODE, INTEREST, AND ATTpRNEV'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
!�1 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 thi
ormance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
"'a' Policy Number Expiration Date
me of Agent
Phone If
I certify that, in the performance of th ork 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 agm
I, if I should become s It
he ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(nature of Applicant _ Dale
CLARATION REGARDING CON TR CT
ION LENDING AGENCY
areby affirm under penalty of pedu at It is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property
I have read this aoolicalion and the informal] Gna have pfdv'
I agree to comply with all applicable city and county ordi I
I auLlorize representatives of this city or county
lalun, of Prooer;v Omer or AUrhnd,ad
DATE I BY
s behalf.
correct.
and state laws relating to building construction.
le -identified property for inspection Property
Oes����(��G' / Iti Date
9 Print Prope Owner's or Authorized Agent's Name
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND At RULE
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i`ERN: F-EXPIRED_
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SUBMITTED ASBESTOS NOTIFICATION TO
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ASBEST05 NOTIFICATION I5 NOT APPLICABLE TO
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