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Home My WebLink AboutE2024-0493 - Permits�gaaoRr City of N,2wp6rt Beach Or` Community Development Department - Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 c9<�onN•P newporibeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 07125/2024 Final Date: Permit Status: Issued Inspection Area : 5 1 *4IYZ I1111 PIC? 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 : 306 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BLK 237 LOT 8 CORONA DEL MAR L ' Description: ELECTINM. DISCONNECT'H2O24-0465' Owner: JOHN ELMAJIAN Address : 151 KALMUS DR STEW COSTA MESA, CA 92626 Phone : (949) 246-4412 Applicant : DEPENDABLE GRAHAM AC Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone : (714) 546-1653 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: Contractor : DEPENDABLE GRAHAM AC o ' Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone : (714) 546-1653 - Con State Lic : 472690 Lic Expire : 04/30/2026 it a, ! Bus Lic: BT01013104 Bus Lic Expire:12/31/2024 Workers' Compensation Insurance Carrier : SERVICE AMERICAN INDEMNITY CO Policy No : SAMTWC0072801 W. C. Expire: 7/1/2025 Fire Hazard Zone : NO Occupancy Groups: 30" WIDE X 36" DEPTH REQUIRED FOR A/C DISCONNECTS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 'action 7031.5. Business and Professions Code: Any city or county [hat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for is 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 licensors 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 70". usiness and Professions Code: The Contractors' Slate License Law does not apply l0 an owner of property 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 I am exempt from licensure under the Contractors' Stale License Law for the following reason: y my signaturP nPlow 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 ell a structu.e 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 7044 of the Business and professions Code, is available upon request when this application is submitted or at the following Web site:http://wwvv.leginfo.ca.gov/calaw.html, IgnPture of OrrpBrty 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 Sec\a, 000) of Division 3 of the Bu s and Profeions Cr��dTe, an y Iicen is In full force nd effect. Liaensa Class License No Contctor netur /vz _ _ i /ORKERS' ;OMPENSATION DECLARATION ARNING: FAILI.NE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 03. OF COMPflNSATInN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .relaby affirm under penalty of perjury one of the following declarations: I fave andwill-a:aintam 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 brmance of the w')rk for which this permit is issued. Policy No. and wi�i 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' carrier s,TJ policy number are: 'ter Policy Number Expiration Date is of Agent Phone N 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 t the workers' compensation laws of California, and agre( If should become sub' o the workers' corn sation provisns of Section 3700 of the Labor Code, I shall forthwith comply with those provision .�f Blur of Applictjpt � _ _ ✓�J.-G irL. _.. ___....__—_—.—.._—._. __ — __ ___. __.. _ _ .___.. _ _— ____ Da _/. _ 5= ' .l ______ _ _._. hereby atf rI 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). ander's 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 property owner's behalf. I have read this application and the Information I have provided is correct. I agree to comply with all applicable ity and county ordinances and state laws relating to building construction. authorize rgpresentaliveg ofatrhirci,�( r , unlarrto er the a ve-ids ed props for inspection purposes. Si nature of Pro�ilirEy Owner orAuthdriz erft - Print Property Owner's or Authorized A ACTION C'-_DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY G Ia REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED ' +`, , _ . I SUBMITTED_ ASBESTOS NOTIFICATION TO PERMITCANCEI PERMIT EXTENDED UAQMD PERMITFINAL pt, py. 1 LJASBE5TD5 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF p PROPOSED DEMOLITION OCCUPANCY ISSSIGNATURE: