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HomeMy WebLinkAboutE2023-0600 - Permits�y6�'PORT City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 b.. ¢ Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic jjlllJill 111111111111p11111111111111111111111111llj jj Electrical Permit : E2023-0600 E 2 0 2 3 0 6 0 0 Plan Check No : Work Class : Other Issued Date : 07/10/2023 Final Date: Permit Status: Issued Inspection Area : 4 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 : 21 LONG BAY DR Legal Desc : N TR 15332 BLK LOT 25 Description: ELEC REPLACE DISCONNECT'H2O23-0441" Owner: ALLAN FINEHIRSH Contractor : MCMASTER HEATING & AC INC Address : 21 LONG BAY DR NEWPORT BEACH, CA 92660 Address : 2 MCLAREN #C IRVINE, CA 92618 Phone: (949) 375-3258 Phone : (949) 481-7995 Con State Lie : 726607 Applicant: MCMASTER HEATING & AC INC Lie Expire : 12131/2023 „ Address : 2 MCLAREN #C IRVINE, CA 92618 Bus Lie: BT30041972 .. , Phone: (949) 481-7995 Bus Lie Expire: 01/31/2024 Workers' Compensation Insurance Owner/Builder : Carrier : HARTFORD CASUALTY INS CO Address : Policy No: 72WECZU8138 Phone: W. C. Expire: 2/2/2024 '30^ WIDE X 36" DEP rH Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups REQUIRED FOR Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 3 Flood Zone : X A/C DISCONNECTS Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I 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, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per. it 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 compensation, will do (_) all of or (_) 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 theproperty, 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 it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusivsly contracting with licensed Contractors to construct the project (Section 7944, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property wh.o 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 licensors 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 feast one year prior to completion of the improvements covered by this permit, I cannot legally set; a structure that I have built as an owner -builder If it has not boon constructed in its entirely by licensed Contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:flwwwJeginfo.ce.govlcaiaw.htmi. Signature of Property Owner or Authorized Agent _ _____ _ Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenoing with Section 79D0) f DW Bsi n 3 of th stress and Prof eq Code, nd nse is In full force and effect. License Class License No , N - actor Signature — 1 WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS10C.000), IN ADDITION TO THE COST OF COMPENSATIr N, ckMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. II -h'',,ereby affirm undnr. penalty of perjury one of the Ictowing declarations: F I3 i imve and wr.1 mutl.lain 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 the performance of lhn 'xork for which this permit is issued. Policy No. _ 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' carrier ar.d policy number are: er - Policy Number Expiration Date a of Agent _ _ Phone N :--r! fy that., in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laves of California, and agree I'I <ho me sut5]ecE `t\oihe workers co provisions provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � M1ul store 'o App .;ant rV to ,. /TII�M bvn etl c �11 Cri .. lr. IM I tl\IruidA_ Arv=kirV he-ed7 affirm uMer penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit Is issued (Section 3097, Civil Code) ender's Name e, Lender's Address ly my signature below,.) certify to each of the following: I am the property owner or authorised to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply withall applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this citycquIT�'v�.t�.\eq`te,,r_the abftv d �I property for inspection purposes. tinnature of Property Owner or Authorizer an[— JVY3Y.v !i I �W�� Print Property Owner's or Authorized Age;)ame 1 ll GAT -AS ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 ANL) ACTMD Rl1LE PEPot91i EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMfTCANCELdED ...�.__ L'3'rC'PA PERMIT EXTENDED -._— _ ( IbQM'.D PERMIT FINAL r�T] I_I ASBESTOS NOI IFICATION 15 NOT APPLICABLE TO CERTiNCATE Or PROPOSED DEMOLITION OCCUPANCY ISSUED // // SI NATURE: