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Home My WebLink AboutE2023-0089 - Permits�EWaORT City of Newport Beach 04 �' Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 G = Permit Counter Phone: (949) 644-3288 Cq<�FU0.H�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 1111111111111111111111111111111111111111111111111II jjElectrical Permit : E2023-oo89 Plan Check No: 1501-2018 Work Class : Other Issued Date : 0210812023 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 : 3811 RIVER AVE Legal Desc : A TR RIVER SECTION BILK 138 LOT 8 Description: ELEC/INSTALL (1) A/C UNIT 46.513 (MITSUBISH; MXZ-5C42NA2)*RENEW EXPIRED PERMIT* Owner: JEFF BARRETT Address : 12230 CIRCULA PANORAMA SANTA ANA, CA 92705 Phone : Applicant: DECLARK CONSTRUCTION Address : 206 NORTH BLUEROCK STREET ANAHEIM, CA 92807 Phone: (714)815-0293 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : DECLARK CONSTRUCTION Address : 206 NORTH BLUEROCK STREET ANAHEIM, CA 92807 Phone: (714)815-0293 Con State Lie : 1009871 Lie Expire : 12/31/2023 Bus Lie: BT30069812 Bus Lie Expire:06/30/2023 Workers' Compensation Insurance ° Carrier : PREFERRED PROFESSIONAL Policy No : ON1171801 ; W. C. Expire : 9/1/2023 �F Fire Hazard Zone : NO Occupancy Groups 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) 1 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, altar, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for io permit to file a signed statement that he or she is licensed pursuant to the provisionsof the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from Iicensure 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 of more than five hundred dollars. ($500). 7 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 not intended or offered for sale (Section 7044, .usoess 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 nprovements 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 nproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not poly 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). 3 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: _ T :y my signature below I. acknowledge that. except for my personal residence in which I must haveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) Sit 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 taw, Section7044 of the Business and 'rofess ons Code, is available upon request when this application is submitted or at the following Web site:http:tl�w.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 0 f the Business and Pr sia a a li nse i in full t ce no effect. License Class License No Date `-fJ Lam} Contictor 5ignaS UORLCERS' COMPENSATION DECLARATION !ARNING: FAILURE TO SECURE WORHER8' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINER UP TO ONE HUNDRED THOUSAND DOLLARS IS100.000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE, 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 e ormance of the work for which this permit is issued. Policy No. ve 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' compensatiol isurance carrier and policy number are: Policy Number Date lame of Agent Phone # It Certify that, in the Be or ante of W r issue I shall not employ any person in any manner so as to become subject to the workers' c pensation laws of California, and agre )at, if I should beco ub' ct t ers' an I p i0 s of S clion 3700 of the Labor Code, I shall forthwith comply With : those provisions, n kinature of Applii 1, Dat f4/n — 2� eCLARATION R'�3A, Dl N M CTION LENDING AGENCY :ILr )a} fflrm under pnoaity of perjury that there is a construction tendtn agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name bLender's Address !v my signature elow, certify to each O£tlta following: I am the property miner or authorized to act on the property owner's behalf, I have read this application and the information I he a proWb, r I agree to comply with all applicable city and coon r 5n to building. construction. l ^�� { uL:thonze, rrepr.ser'atives of this city orcounlri �t fi pe�ty or inspection purposes. � if A 1 A, L` >Iyr,a.Lre or rroperty Uwner or AUT11011280 Agent Nrint Yro 8 Vwner'a Or AUUSonzeo R nr_1 �Giv DATE BY 4 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PCFd11'fXWRE iti L1 I SUBMITTED ASBESTOS NOTIFICATION TO --t PERMIT CANCELt_r LED [PA PERMIT FXTENOED QMD PERMIT FINAC __ A --.-� SBESrOs. 01'l 10 T I CERTIFICATE OF ` `�+�`� J4\ PROP EDDE 1(%�( CCCUPANCYISSUED I SIGNATURE ill///