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Home My WebLink AboutE2022-0765 - Permits4 ��WPORT City of Newport Beach p Community Development Department- Building Division > y 100 Civic Center Drive, Newport Beach, CA 92660 ~ Permit Counter Phone: (949) 644-3288 u Inspection Requests Phone: (949) 644-3255 Cq"FORN�P newportbeachca.gov/inspections Electrical Permit Plan Check No: Work Class : Other Issued Date : 10/17/2022 Inspection Area : 6 E2022-0765 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 : 2 SANDBAR DR Legal Desc : N TR 8427 BLK'LOT 26 Description : ELEC A/C DISCONNECT Owner: KILEY ELIZABETH M TR REVOC TR Contractor's:: MCMF Address : 2 SANDBAR DR CORONA DEL MAR, CA 92625 Address : - 2 MCL Phone: Phone: (949);. Con Stater Lic : 72660 Applicant: MCMASTER HEATING & AC INC Lic Expire : 12/31/ Address : 2 MCLAREN #C IRVINE, CA 92618 Bus Lic: BT30C Phone: (949) 481-7995 Bus Lic Ezpire:01/31/ Workers' Compensatl Owner/Builder : Carrier : HART Address: .. Policy No if 72WE Phone W. C.'Expire: 2/2/20 Code Edition ; 2019 Fire Hazard Zone: Type of Construction : Occupancy Groups Building Setbacks : Front: 15, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Jasmine Creek 23 NO U PROCESSED BY: SPECIAL CONDITIONS: aee ewe e eeo c o u c ens o c c c Vo e o 0 o c o HEATING & AC INC #C IRVINE, CA 92618 +AND+INDEMNITY+COMPANY hereby affirm under penalty of perjury that lam exempt from the Contractors' State. License Law for the reasons) .indicated Below bythe checkmark(s) I have placed next to the applicable items) ,lion 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 permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing Wiith'Section 7000) of Division 3. of the Business and essions Code) or that he or she Is exempt from Ilcensure, and the basis for the alleged exemption. Any.violation of Section 7031.5 by any applicant fora permit: subjects the applicant toa civil penalty of morethanfive hundred dollars($500). 1; as owner of the property, or my employees with wages as their sole compensation, will do t_) all Of or (_) portionsof the work, and the structure is not intended or offered for sale (Section 7044, mass and Professions Code: The Contractors' State License Law does not apply to anowner of property who, through employees' or personal effort,builds or Improves the property, provided that the Ovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of complatron, the Owner -Builder will have the burden of proving that it was not built or 'oved for the purpose of sale). I; as owner of the property,am exclusively contracting with licensed Contractorstoconstruct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not y'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' State License Law for the following reason: ny signature below I acknowledge. that, except for my personal residence in which I must haveresided for at leastone year prior to completion of the improvements covered by this permit. I cannot legal a structure that. I have builtas an owner -builder if it has not been constructed in' itsentirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and esslons Code, is available upon request when this application is submitted or at the fallowing Web site:htip;Uwww.leg..info.ca.govicalaw.html. - Iature of Property Owner or Authorized Agent -_ Data hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section - of DLvipi0lj 3 of the Business and Pro 'on et:and my license is in full force Ind effect. License Class License No Date / 17/ Co tractor Signatur� f -_ 'PORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSANO DOLLARS (SI•S,000); IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370 OF THE LABOR CODE, INTEREST, AND ATTORVRrS FEES, hereby affirm under penalty of perjury one of the following declarations: I have and. will maintain a certificate of consent to self -insure for workers' compensation, issued by. the Director of Industrial Relations as provided far by Section 3700:of the Labor Code, for to fprmance of the work for which this permit is issued, Policy No. Ive and wig 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° compensatioi have and carrier and policy number are: 2 mer �fl �o r� Policy Number 7L�F-C--ZuA `j3S Expiration Date /23 me of Agent Phone fE I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers` compensation laws of California, and agre t, if I should beco s bject to th w rkers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. - 99 /, nature of Applica ._ Cat 1 G �� 7�2Z CLARATION FU DtN RUCTION LENDING AGENCY areby aura under pena{ty of perjury that there is a construction lending agency for the performance of the work for which this permit:is. issued (Section : , 7, Cl I Code). tiler's Name - Lenders Address - my signaturebelow, t certify toeach of the following: - I am the property owner or authorized to act on the property owner's ])shelf. I have read this application and the information I have provided is correct, (agree to comply With all applicable city a Up ordinances and state laws relating to building construction. I authorize representatives of this city or c u y to enter thou -identified property for inspection purposes, PEAMI F CERTIFICATE OF :OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE40 AND AOMD RULE tJA58E$TOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY • 0 oV o� a a• s u a e e e• e • e see ee ee e m ees ee