HomeMy WebLinkAboutE2024-0511 - Permits��F.`x'POgT City of Newport Beach
O Community Development Department - Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
u > Permit Counter Phone: (949) 718-1888
c"��roa".�P newportbeachca.gov/civic
IIIIIIIIIIIIIIIIIIIIIIIIII�II II Electrical Permit: E2024-0511
E 2 0 2 4 0 5 1 1 Plan Check No :
Work Class : Other
Issued Date : 08/01/2024
Final Date:
Permit Status: Issued
Inspection Area : 6
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 VVORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 7 ALMANZORA
Description : ELEC - AC DISCONNECT (H2O24-0466
Owner: JEFFREY PO
Address : 7 ALMANZORA NEWPORT COAST, CA 92657
Phone: (949)648-2738
Legal Desc : N TR 15467 BLK LOT 33
Applicant: PURE AIR
Address : 12700 PINEHURST CT GARDEN GROVE, CA 92840
Phone : (714) 537-9751
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
X
PC - Newport Coast
em
Contractor : PURE AIR
Address :
12700 PINEHURST CT GARDEN GROVE, CA 92840
Phone:
(714)537-9751
Con State Lic
: 792214
Lic Expire :
03/31/2025
Bus Lic:
BT30084878
Bus Lic Expire:07/31/2025
Workers' Compensation
Insurance
Carrier:
WESCO INS.
Policy No:
TWC4242743
W. C. Expire:
2/22/2025
Fire Hazard Zone : YES
Occupancy Groups:
® ,`� S + s-- � �--•ram, � - -
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 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 Cade: 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).
0 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 for at least one year prior to completion of the improvements covered by this permit, I cannot legalll
sell 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 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,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 provisions of Chapter 9 (commencing with Section 7000� I Division 3 of the Business and ProfesgiertS bode, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 1$10ILWO), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
:e 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:
Policy Number
of Agent
Date
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 laws of California, and agre
if I should become subje�ct��to he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions.
Iature of Applicant \1 W l/ Date__ __ ) 0 1 �
An ArInu eer_Aenwr_ rnucrenr nnu I vunrur_ ACCury
Heby 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).
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 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 state laws relating to building construction.
I authorize representatives of this city or county to ren�tethe above -identified property for inspection purposes. 1 t
nature of Prooedv Owner or Authorized Aaent I W I - Print Prooertv Owner's or Authorized Anent Name J
ACTION I DATE BY DECLARATION
ONS OF COMPLIANCE
O 1 L TNT E WIT14 CODE
AND AOMF FEDERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PER➢IIT °XX'EN9ED
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OMD
PERVHTFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
/7n/Zy
D,ro, /'G.El ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
l�J PROPOSED DEMOLITION
SIGNATURE:
Date DB` U 1