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Home My WebLink AboutE2024-0543 - Permits'EWuok City of Newport Beach O\ Community Development Department- Building Division r _ F 100 Civic Center Drive, Newport Beach, CA 92660 n rte Permit Counter Phone: (949) 718-1888 9a. „s newportbeachca.gov/civic i/FOn IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIQIIIII3 II Electrical Permit : E2024-0543 Plan Check No: Work Class : Other Issued Date : 08/19/2024 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 : 202 15TH ST Legal Desc : N TR 234 BILK 114 LOT 11 Description: ELEC INSTALL DISCONNECT FOR HVAC (H2O24-0513) Owner: COHEN ADRIAN O TR Address : 202 15TH ST NEWPORT BEACH, CA 92663 Phone : (310) 804-5293 Applicant: ARTURO GUTIERREZ GUTIERREZ RAMIREZ Address : 205 E ASH AVE, B FULLERTON, CA 92832 Phone : (714) 290-0582 Owner/Builder : Address Phone : Code Edition : 2D22 Type of Construction : Building Setbacks : Front: 19, Side: 3, Side: 3, Rear: 10 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor : AIR REVOLUTION HEATING AND COOLING INC Address : 205 E ASH AVE, B FULLERTON, CA 92832 Phone: (714) 290-0582 Can State Lic : 1042990 Lic Expire : 08/31/2026 Bus Lic : BT30084954 Bus Lic Expire:08/31/2025 Workers' Compensation Insurance Carrier : PIE INSURANCE COMPANY (THE) Policy No: WCP1955771 W. C. Expire: 4/5/2025 Fire Hazard Zone: NO Occupancy Groups: U" Vv`kDE 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' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Bection 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 ,e 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or J portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 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 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). I am exempt from licensure under the Contractors' Slate 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, 1 cannot legall, all a structure that I have built as 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 70" of the Business and -rofessions Code. is available upon request when this application is submitted or at the following Web she:hUp:/hw .leginfo.ca.gov/calaw.htmi. 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 0 Iisi 3 of the Business and Professions Code a an wtNltiome nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION ARMING: FAOARE TO SECURE WORKERS' COMPENSATION COVERAGE M UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND cML FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS10.0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I yy�Yve 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 erf9rance 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' mince carder and policy number are: ,e of Agent certify that, in the performance of the work if I should become subject to the workW, of Applicant Policy Number Date 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 agre rloensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� tee Date_OL,-r/--/ '_?// CLARATION REGARDIN RUCTION LENDING AGENCY :reby affirm under penalty o edury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ,der s Name Lenders Address my signature below, 11 certify to each of the following: I am the p.vpeny owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I Hgree to comply with all applicable city and county ordinances ands to laws relating to building construction. / I authorize I ep, a.;entatives of this city or county to enter t hov fled -property for inspection purposes. na,ure of Procartv Owner or Authorized Agent Print ProDertv Owner's or Authorized Aqent s Name ACTION IDATE I BY PERMIT EXPIRED PERMIT CANCELLED i ^ERM'T EXTEND_5D PERMITF/NAL 09/17/24 DL•FOY CtR rIvrCATE OF J,:LUPANCY ISSUE& G15 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO LJASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: USE ONLY