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Home My WebLink AboutE2024-0271 - PermitsCity of Newport Beach �2E`rx'PORT Community Development Department - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 cg7jFoaN�r newportbeachca.gov/civic II�III�II�I��IIII��I�III��I�I�II� II Electrical Permit : E2024-0271 E 2 0 2 4 0 2 7 1 Plan Check No : Work Class: Other Issued Date : 04/22/2024 Final Date: Permit Status: Issued Inspection Area : 1 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 : 127 26TH ST Legal Desc : A TR NEWPORT BEACH CITY BLK 26 LOT 22 Description: ELEC- DISCONNECT FOR NEW HEAT PUMP INSTALLATION (H2O24-0229) Owner: LAWRENCEPITKIN Address: 127 26TH ST NEWPORT BEACH, CA 92663 Phone: (858) 245-7454 Applicant: THOMSON AIR CONDITIONING Address: 21205 JUAN AVE UNIT A HAWAIIAN GARDENS, CA 90716 Phone: (562)201-3014 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: Contractor : THOMSON AIR CONDITIONING Address : 21205 JUAN AVE UNIT A HAWAIIAN GARDENS, CA 90716 Phone: (562)201-3014 Con State Lic : 959811 Lic Expire: 04/30/2025 Bus Lic: BT30081704 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier : A I U INSURANCE COMPANY Policy No: WC034279549 W. C. Expire: 7/1/2024 Fire Hazard Zone : NO Occupancy Groups: 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 item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to constnack alter, improve, demolish, or repair any structure, poor 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 (S500). [11, as owner of the property, or my employees with wages as their sole compensation, Will do I_) 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 pursuant to the Contractors' State License Law). ❑ I am exempt from ficensure 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 lagally sell a structure that I have built as an owner-bulldor 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:!lwww.leginfo.ca,gov/GalEiw,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 previsions of Chapter 9 (commencing with Section 70 O) of. Division 3 of the Business and Professions Code, rd my license is in full force and effect. License Glass License Na Dat Contractor Signatureor WORKERS' COMPENSATION DECLARATION 1� NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS fS100,0001, IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a Certifmate 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, pe7prmance of the work 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' carder and policy number are: Policy Number Date lame of Agent Phone ff 31 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 lays of California, and agre, oat, if I should become subject to ors' ompensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. {Ignaiure of Applicant _..._/, [V Date n!� F/Z Z_ IECt.ARATION REGARDING CD CTIGN LENOIiG-ENGY — Y 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 ly 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 Late laws relating to building construction. I authorize representatives of this city or county to enter%9_00y9cidernified property for inspection purposes. A or Authorized Aoent's Name ACTION I DATE ' BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 414\Clp'EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 403 FOR OFFICE USE ONLY PERMfr EXPIRED U I SUBMITTED ASBESTOS NOTIFWAI ON TG PERMJTCANCELtED I PERMIT EXTENDED �_7--FDA —�/� rrAQMD PERMtTRNA! 07� L' Vj-T'�✓' ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED CMS SIGNATURE: