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HomeMy WebLinkAboutE2022-0505 - PermitsaFWvo� City of Newport Beach Community #F I" Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 �9,-5^ r Inspection Requests Phone: (949) 644-3255 foaN-,," newportbeachca.gov/inspections Electrical Permit Plan Check No: Work Class : Other Issued Date : Inspection Area:4 E2022-0505 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: 2963 QUEDADA Legal Desc : N TR 7167 BLK LOT 12 Description: ELEC -DISCONNECT FOR HEAT PUMP INSTALLATION Owner: MEDFORD BRAGG Address : NEWPORT BEACH, CA 92660 Phone: Applicant: NT ELECTRIC & HVAC INC Address : 240 S Poinsettia Dr Orange, CA 92868 Phone: (714) 277-6747 Owner/Builder : Address Phone: Code Edition: 2019 Type of Construction : Occupancy Groups: R3/U Building Setbacks: Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: Contractor : NT ELECTRIC & HVAC INC Address : 240 S Poinsettia Dr Orange, CA 92868 Phone : (714) 277-6747 Con State Lic: 959727 Lic Expire ; 07/31/2023 Bus Lic: BT30073683 Bus Lic Expire:07/31/2023 Workers' Compensation Insurance Carrier : EVEREST PREMIER INS CO Policy No: 7600019328211 W. C. Expire: 8/25/2023 Fire Sprinklers : YES Fire Hazard Zone: N 3 ^ r.,, � �.,-,- 1 q �;,, :i..dp� gg liNZA! 6�aJ i s I have placed next to the applicable item($) OWNER -BUILDER DECLARATIONLicense re,prior to Its issuance, also requires the applicant for IT I hereby afEimo under penalty Of penury that I am execmParro� my that iequt s a pem the contractors rmit to construct, ralter. demolish,improve :reor repair any tman�' g with Section T000) of Division 3 off th� CB Business penalty of Et action 7031.8, Business and professions Code- Any Y hcent for a pen nit subjects the applicant permit to file a signed statement that he or she is licensed pursuant to the pravisions of the Contractors State LrCR s pP aissrons Code} or that he or she is exempt from iiaensuraand the basis far the alleged exemption. Any violation. of Section 7031.5 by any app' L more than five hundred dollars ($500), all of or (_) ponlons of the work, and the structure Is rick intended or offered for sale (Section, t that the who, through arnplayoes or personal effort, builds or Improves tno property, provided I, as owner of the property, ar my employees with wages as their sale compensation, will do (�} isinas$ and Professions Code: The Contractors' State License taw does not apply to rm owner of property pravements are not intended or offered for sale. It.. however. the building or improvement is sold within one year of completion, the OwnerBuilder wi11 have the burden of proving. that it was not built or roved for the purPose of sale), Cont and who contracts for the projects with a licensed Contractor pursuant to the Contractors state License Law). I, as owner of the property, am exMWsively contracting with licensed Contractors to construct the project (Section 704A, Business and Professions Code: e Li erase elora' State License Law does not i ly town owner of properly who builds or improves therein, ,^ _ ._ _. - IC l am exempt from licensors under the Contractors' Slate License Law forthe following reason i s rased or at least I understand theta copy of the applicable law. Section 7044 of the Business and y I a signature below i acknowledge shut, except for my personal residence in which i must have msidad for at least one year prior to eomptatkMn of the improvements coveretl try this Permit. I cannot legal] all a structure that I have built as an owner-buildar It It has not been consor cted w its entirety ow by Ica Date )It areassons Code, is available upon raqu,at when this application is submitted or at the rowing Web site.htlPaivmw.leginfo.ca.govlcaiaw:html. Ignature of Property Owner or Authorized Agent license is In full force ICENSED CONTRACTOR'S DECLARATION Contractor Signature hereby affirm under Penalty of gP °pry that 1 am licensed under Provisions of h Pier9 Comm ncing with SecData7000) 6 ivt ion 3 of the Business and Prot ssi od , and Y no effect. License Class C.il l) License No VORKERS' COMPENSATION DECLARATION NLAWFUL AND $HALL SUBJECT AN EMPLOYER To :IOSTIOF COMPENSATION, FAILURETOEcuRE WORAS S' VIM€O SA 1ION N SECTION GE'$ THE LA60ft 46E INTEREST, ARM ATTORNEYS FEES, R€NALTIES 'on CI 4L FINEfi UR T6 ONE NUNORE4 THOUSAND 004LNt9 ($1tld,1Y001. tN Ab6nION TO THE hereby affirm under Penalty of perjury one aF 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 for by Section 3700 of the Labor Code, for t a rm nee of the work for which this permit is. issued. Policy No. eend tth maintain workers' compensation insurance, as required by section 3700of #ha Labor Coda, tar the Redormancaofthe work for whiptfhi�pa�it Iid, ivtY warkars` compensatior camer and policy number are: 2 C(J �Expiration DataPolicy Number / v Phonli str Name of Agent arson in any manner so as to become au6lect to the workers' compensation laws of CaMomla, an agra ©I certify that. in the performance of the work for which this OF is issued I shalt not employ any p Dafp.. (that, if I should become subject tstliha/A�orlkam' compensation provisions bP Section 3700 of the Labor Code. I shall forthwith comply with those provisions. HALLS of APPlicant WLARATION REGA L C N UCTiDN LENDtNG AGENCY ireby affirm under penalty of perjury that there Is a construction lending agency for Lender's Address of thework for which this permit is issued (Sacflon 3057, Civil Cade Ider s Name my signature below, I certify to each of the following: owner's tiehalf. 1 am the property owner or authorized to act on the property I have read this appilca#on and the information I have provided is correct,. I agree to comply with at, applicable city and county ordinances an. state taws relating to building construction. I authorize representatives of this city or county to Hier th tsova dantified Property for inspection purposes. Owners or Authorized A Sol's Name aTatura of Prppert Ow{1er or AutlSonzetl A ant _.. _ k,,...,,-r rpm+a rnnroF rEOEaitL FpR OFFICE USE ONLY -DATE. BY Y ULLLAYA I tu,v. —_. _ �CTlON RESULA11ON5 PART 61 OF TITLE 40 ANO AQMD RULE 1403 vERM1T EXPIRED I $UBfv1lTrEb ASafi5TO5 NOTIFICATION TO All required alarms, Iatah�s gatis and fel.ces a hich sere as part of a pool/spa barrier, shall pERNtir CANCELLED be be in place prior to apl,r0 sal to +ill pool/.Be & ✓hail r'•m?ir. in place & be maintained for the PERM1T EXTENDED Lim life of the pool, pEFMY F1 AL ,'jp ASBESTOS NOTIFICATIONDEMOLITION IS NOT APPLICABLE to- CERTITI TE QF r PROPOSED it€MOIITkON 3 /D i1 cln Nell lRFe _._--