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HomeMy WebLinkAboutE2022-0408 - PermitsCity of Newport Beach Community Development Department - Building Division Electrical Permit 0"'k. 100 Civic Center Drive, Newport Beach, CA 92660Permit Check NoInspection Counter Phone: (949) 644-3288 Wori Work Class :Other Requests Phone: (949) 644-3255 Issued Date: newportbeachca.gov/inspections Inspection Area: 4 E2022-0408 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: 2927 PERLA Legal Desc : N TR 7167 BLK LOT 36 Description : ELECT: FOR HEAT PUMP (H2O22-0344) Owner : MARCO& CARLOS POLIT Address : 2927 PERLA NEWPORT BEACH, CA 92660 Phone : (949) 683-1426 Applicant: SOLSTICE HEATING & A/C Address : 310 W AVENIDA GAVIOTA SAN CLEMENTE, CA 92672 Phone : (949) 573-3607 Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone: Use Zone: PROCESSED BY: X R-1 - Single -Unit Residential -B-T Contractor : SOLSTICE HEATING & A/C Address : 310 W AVENIDA GAV10TA SAN CLEMENTE, CA 92672 Phone : (949) 573-3607 Con State Lie : 938888 Lie Expire: 10/3112023 Bus Lie: BT30041721 Bus Lie Expire 02/28/2023 Workers' Compensation Insurance ,. Carrier : SECURITY NATIONAL INS CO Policy No : SWC1376785 W. C. Expire: - 3/19/2023 on + Fire Sprinklers: NO Fire Hazard Zone: Y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, Slier, Improve, damalish, or repair any structure, prior to Its issuance, also requires the applicant for the permit to file a signed slatemonllhat he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with SoGlion 7000)of Division 3 of the Business and Professions Code) a that he or she is exempt from It censure and the basis forth a 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 compensaton, will do U all of or i 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 ii was not bullt or reproved for the purpose of sale). ZI 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 %fie contracts for the projects with a licensed Contractor pursuant to the Contractors' State Lieansa Law). ap�1 `-t am exempt from Itcensure 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 logally self a structure that I have built as an owner -builder if it has not been constructed in Its entirely by licensed contractors. € understand that a copy of the applicable law, Section 7044 of the Business and orofesslons Code, is available upon requestwhen this application is submitted or at the following Web site:httpJ] ww.legfnfo.ca.govicalaw.html. Signature of Property Owner or Authorized Agent. Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of iv'sion 3 of the Business and Professions G de, my license Is In full force and effect. License Class License No Dale -�' 11 ZL Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANG SHALL SU8JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (51otl,tltltl), IN ADDITION TO THE. ]OST OF COMPENSATOR, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J I have and wd1 loaintaln 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 lh, )Pr monce of the work for which this permit Is Issued. Policy No- - ,_4have 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 compensatior r. urencv carrier Sad p3licy number are: Tenter Policy Number Expiration Date Jame of 4gent T Phone # 71 nanify that, in the performa i e of the work for w ice this permit is issued,. I SHE]] not employ any person in any manner so as to become subject to the workers' compensation aws of Callfomia, and agree ,aC If I Lhould beame subjocl o mho works ' cnr ensation pr- fsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )lynzicr3 of Applicant ,— Date /il 7 1' ]qCm AkATION REWnDli CONSTRUCTION LENDINGAtENCY hereby affirm urd3r penalty of perjury that there is a construction lending agency for the performance of the workforwhich this permit is issued (Section 3097, Civil Code). _ender's Name Lender's Address )y my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read thisapplication and the Information I have provided Is correct. I agree to comply withall applicable city and county ordinances and slat lawn relating to building construction. I authorize representatives of this city or county to enter he above-lden led property for Inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name a /'1 (A� D� IL L ACTION DATE BY I DECLARATION OF COMPL{AK CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RF.G ULATION$ PART 61 OF TITLE 40 AND AOMO FULF. PERMIT EXPIRED PERMITCANCELLED PERMIT FINAL 3/fig Li I i>. I UAWESD DEMOLITION HON 15 NOT APPLICABLE TO CERTIFICATE OF - I/ All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall he in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool,