The URL can be used to link to this page

Home My WebLink AboutE2023-0568 - Permitsti"'PoRT City of Newport Beach 4 p @ Community Development Department - Building Division .`•', 100 Civic Center Drive, Newport Beach, CA 92660 qr qU Kr, r Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Electrical Permit : E2023-0568 Plan Check No : Work Class : Other Issued Date : 06/27/2023 Inspection Area: 1 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 : 328 LUGONIA ST Legal Desc : N TR 772 BILK 15 LOT 2B TR 772 LOT 28 BLK 15 ALL (EX NELY 7 F T) THEREOF Description: ELEC INSTALL ELECTRICAL FOR HVAC (H2O23-0414) Owner: ANGELA BROWN Address : 328 LUGONIA ST NEWPORT BEACH, CA 92663 Phone: (949)756-0064 Applicant: LUKEVUJNOVICH Address : 311 COLLEEN PL COSTA MESA, CA 92627 Phone: (949)345-5098 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: Front: 5, Side: 3, Side: 3, Rear: 5 X R-1 - Single -Unit Residential as Contractor : ABC HEATING AND A/C Address : 306 COLLEN PL COSTA MESA, CA 92627 Phone: (949)756-0064 Con State Lic : 940181 Lic Expire : 11/30/2023 Bus Lic : BT30043258 Bus Lic Expire: 03131/2024 Workers' Compensation Insurance Carrier : STATE FARM FIRE & CASUALTY CO Policy No : 92GOG2871 W. C. Expire: 9/24/2023 Fire Hazard Zone : NO Occupancy Groups: U 30" WIDE X 36" DEPTH as REQUIRED FOR :° OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the resson(s). indicated below by the checkmark(s) I have placed next to the applicable ttem(s) don 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 Me a signed statement that he or she is licensee pursuant to the provisions of the Contractors' State License Law (Chapterg (commencing with Section 7000) of Division 3 of the Business and fessions Coda) or that he or she is exempt from itcensum and the basis for the alleged exemption. Any violation of Sedan 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the Work; and the structure is notintended or offered for sale (Section 7044, Hness 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 Movements are not intended or offered for sale. If, however, the building or improvement is SON within one year of completion, the Owner -Builder will havethe burden of proving that It not built of ,roved for the purpose of sate). 1. 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 Ay to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). _I I am exempt from licensure under the Contractors' State License Law for the following reason 3y 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 legall, ;ell a structure that I have builtas an owner -builder if it has not croon constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 at the Business and 'rofessions Code, Is availableupon request when this application is submitted or at the following Web site:http;Uwww.leginfo.ca.govfcaiaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby amen under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dtyision 3 of the Business and Professions Code, an m ilea a Is in full force and effect. License Class License No Date 6 ^Z l -23 Contractor Signature �&�� NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISI88.880), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3744 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 for by Section 3700 of the Labor Code, for th >erformance. of the work for which ibis permit is issued. Policy No, rI have and will maintain workers' compensation insurance, as required by Section 3700 of the Later Code, for the performance of the work for which this permit is issued. My workers' compensation nsurance carrier and. policy number are: gamier Policy Number Expiration Date Vame of Agent Phone # -II certify that, in the performance of the work for which this permitis issued, i shall oat employ any person in any manner so as to become subject 16 the workers' compensation laws of California, and afire hat. I( I should become sub t to tI workers corn ensatian provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. �7 Signature of Applicaru 1* ° " Date_ -Z 7 -�3 1Lf'1 AMATI^U OC_Atinu I/3 YeYYNl4Y'O Ifs Y 1 CIIRILYE AYSCAI/ V' I hereby 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). Lenders Name Lender's Address By my signature below. I certify to each of the following: I am the property ow ier or authorized to act on the property owner's behalf. I haw read thisapplication and the information I have provided is corract- I agree to c", p'y witti all applicable city and county ordinances and state laws misting to building construction. I authorize representatives of this city or county t nter 1 abov, d lifi party for inspection purposes. y/�'� ,,L,, Z 3 Si pat! Ire of Pro ert�Owner or Authorized..aril Print Property Owner's or Authorized Agent's Name GNK P�J am Date6 AC'ION DATE BY DECLARATION OF COMPLIANCE WITH. CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE 1403 PFRMITPAP)RED _ I SuBMfTTEO ASBESTOS NOTIFICATION TO PfPMlrr'✓+NCELLED12EPA PfW IT EYTENDEC LIAQMD RCRL'J",'C7AL ASBESTOSNOTIFICATIONISNOTAPPUCABLE TO CEP171"'ITE OF PROPOSED OCCUPANCY ISDEMOLITION SUED in7.11.23 Y/A 3GNAATURE: