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Home My WebLink AboutE2023-0186 - PermitsQ 2�WPORr City of Newport Beach p� Am Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 cy�"`oaN�r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/lnspections 111111111111111111111111111111111111111111111111111Electrical Permit : E2023-0186 Plan Check No: Work Class : Other _ Issued Date : 03/08/2023 Inspection Area : 6 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 : 710 MARIGOLD AVE Legal Desc : CORONA DEL MAR, BLK 740, LOT 12 AND A POR OF LOT 14 OF PROJE CT 939-82LOCATE D ON A 459-071-25 TOGETHER WITH AN UND 112 Description : ELEC AC DISCONNECT Owner: BRAHM GARY Address : 710 MARIGOLD AVE CORONA DEL MAR, CA 92625 Phone: Applicant: BEN MEDINA Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Front: 20, Side: 4, Side: 4, Rear: 5 X R-2 - Two -Unit Residential Contractor : J.L. QUALITY HEATING & AIR Address : 2 VIA COMPANIA RANCHO SANTA MARGARITA, CA 92688 Phone: (714)640-4853 Con State Lie : 1042371 Lie Expire : 07/31/2024 Bus Lie: BT30077769 Bus Lie Expire: 01/31/2024 Workers' Compensation Insurance Carrier: HARTFORD+FIRE+INSURANCE+COMPANY Policy No: 76WEGAG4RB4 W. C. Expire: 7/2/2023 Fire Hazard Zone : NO Occupancy Groups : U " OWNER -BUILDER DECLARATION 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 item(s) Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, 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 70DO) of Division 3 of the Business and 'rofessians Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyviclation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500).. 1 €, 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, lusiness antl 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 -ntproved for the purpose of sale). J I, 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 pply 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), 1 1 am exempt from licensure under the Contractors' State License Law for the following reason ly my signature below t 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 legal], ell a structure that I have built asan owner-twildcr if it has not been 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 fallowing Web site:http:lfwww.leginfo.ca.govlaalaw.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 the Business and a nd my license is to full force nd effect License Class License No Date erdi Contractor Sig VORKERS' COMPENSATION DECLARATION.. NARNING: 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 IS100,000), IN ADDRION TO THE JOST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION S706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 have and WHI maintain a certificate of consent to se9f-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rmance of the work for which this permit is Issued. Policy No., ha nd will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior reurance carrier and policy number are: zanier Policy Number Expiration Date Jame of Agent phone # -1I certify that, in the perform nce of the work for which this permit is issued., I shall not employ any person in any Mannar so as to become subject to the workers' compensation laws of California. and agree hat, if I should becnme s t to the WDIA pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1�� 3,gnnature of Applica OatAivio l/ 007-CLARATION REGARD G C TION LE GENCY hinebv affirm unHer aeiolty of }any the s a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Code), . enuer's Name Lender's Address 3y my signature below, I certify to each of the following: I an, the property orvner or authorized to act on the property owner's behalf. I have read this. application and the information I have provided is correct. I agree to c3n,ply with all applicable city and coin ty ordinan s relating to building construction. I authorize representatives of this city or coup a enter o en fed property far inspection purposes. �{ 3i,nau re of Property Owner or Authorized Agei7t Print Property Owner's or Authorized Agent's Name at ACTION DATE BY I D A OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ATIONS PART 61 OF TITLE 40 AND AQMO RULE { 1403 PERMIT EXPWO I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERNIi CAA'CELLED -- t EPA PERMIT IT EXTENDED PERMITFINAL f?i,L•S DK� ❑ASBESTOS N01'1FICATION IS NOT APPLICABLE TO CERTIFICATEOE PROPOSED DEMOLITION OCCUPANCY IS5U€D err.NATI rnF•