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Home My WebLink AboutE2023-0594 - Permits4 SEW Pp�T City of Newport Beach O e Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G = Permit Counter Phone: (949) 718-1888 C9��Or+N`P newportbeachca.gov/civic jjljj11111111111111111111111111111111111111111111Jil Ill Electrical Permit: E2023-0594 E 2 0 2 3 0 5 9 4 Plan Check No : Work Class: Other Issued Date : 07107/2023 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 : 9 MARBLE SANDS Legal Desc : N TR 15478 ELK LOT 4 Description: ELEC -DISCONNECT FOR A/C CONDENSER Owner: HERTHEL JASON S TR Contractor : TRITON AIR INC Address : 9 MARBLE SANDS NEWPORT BEACH, CA 92660 Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Phone : Phone : (949) 492-0290 Con State Lie : 774877 Applicant: TRITON AIR INC Lie Expire : 06/30/2024 Address : 1221 PUERTA DEL SOL #300 SAN CLEMENTE, CA 92673 Bus Lie: BT30042658 Phone: (949) 492-0290 Bus Lie Expire:03/31/2024 Workers' Compensation Insurance Owner/Builder: Carrier : LIBERTY MUTUAL FIRE INSURANCE CO Address : Policy No : 292549 Phone: W. C. Expire: 4/1/2024 Code Edition : 2022 Type of Construction : Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: Fire Hazard Zone : NO Occupancy Groups : R3/U OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) ;action 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: is 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 rofessions Code) or that he or she is exempt from licensure and the basis for the alleged. exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicam to a civil penalty of of more than five hundred dollars ($500). 11, 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, Lainese 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 properly, provided that the nprovemerils 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). I, as owner of the properly, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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). I am exempt from lcensure under the Contractors' State License Law for the following reason: y 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 legally all a structure that I have built asan owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/www,leginfo.ca.gov/ceiaw.html. ignature 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(100)A he Business and Proles ion y icense is In full force nd effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORAERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO HUNDRED THOUSAND DOLLARS (SI00.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Trance of the work 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 and policy number are: Policy Number of Agent Date JI certify that, in the performance o work for which 1 Is issued I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and agree Tat, if I should become subject to to workers c satlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^^ ignature of Applicant-1 _ _ _ _. _�,__ �_ _ Dat 7 2✓ ECLARATION REG�IN � UCTION LENtlING AGE�ITCY hereby affirm under p perjury that there Is a construction trending agency for the performance of the work for which this permit Is issued. (Section 30 Civil Code). ender Name Lender's Address y my signature below, t cerfify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is Fact. I agree to comply with all applicable city and county ordina s and state laws relating to building construction. I authorize representatives of this city or county tip enter the v 'led property for inspection purposes. j r.(� _ (� A ACTION DATE ( BY 'REGULATIONS OF COMPLIANCE WITH 40 AND DE OFAQMD FEDLI ERAL � FOR OFFICE USE ONLY PERMIT EXPIRED _i —LIrI �StUBMITTED ASBESTOS NOTIFICATION TO _ PERMO IT CANCELLED EPA ................_._��_..� PERMIT EXTENDED 110.4MD PfRMIi 0 ASBESTOS NOTIFICATION 15 NOT A4L'CABLE TO CERTIFICATE OF 07767i1 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: