HomeMy WebLinkAboutE2023-0004 - Permits�tiWPD� City of Newport Beach 1111111111111111111111111111111111111111�11111111111Electrical Permit : E2023-0004
0 Community Development Department - Building Division E 2 0 2 3 0 0 0 4
r , � 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
6 yk Permit Counter Phone: (949) 644-3288 Work Class : Other
cq `�" fir Inspection Requests Phone: (949) 644-3255 J 113 F E�� Issued Date : Area
: 2 2023
��F00. newportbeachca.gov/inspections �+' �y—'t•.i � / Inspection Area : 2
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 : 1300 BAY FRONT S Legal Desc :
Description : ELEC: DISCONNECT FOR MECH UNIT (H2O23-0005)
Owner: PROUD GAY MCNAUGHTON TR
Address : 120 OPAL AVE NEWPORT BEACH, CA 92662
Phone :
Applicant : GUARANTEED AIR
Address : 1250 N LAKEVIEW AVE STE C ANAHEIM, CA 92807
Phone : (714) 777-6600
Owner/Builder
Address
Phone :
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5, Front: 5, Side: 3, Side: 3, Rear: 10
Flood Zone : X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE; LIQUEFACTION
NO CONSTRUCTION NOISE
Contractor : GUARANTEED AIR
Address :
1250 N LAKEVIEW AVE STE C ANAHEIM, CA 92807
Phone :
(714) 777-6600
Con State Lic:
997377
Lic Expire :
10/31/2024
Bus Lic:
BT30053897
Bus Lic Expire:02/28/2023
Workers' Compensation Insurance
Carrier :
MID-CENTURY INSURANCE COMPANY
Policy No :
A09484276
W. C. Expire:
3/5/2023
Fire Hazard Zone : NO
Occupancy Groups : R3/U
ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate
(Section 7031.5, Business and Professions Code: Any Gty or county that requires a permit to construct, alter, improve, demof
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lav
Professions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section
not more than five hundred dollars ($500).
13 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through am
improvements are not intendedor offered for sale. If,: however, the building or improvement is sold within one year of complet
im roved for the purpose of sate).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, SL
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pL
0 1 am exempt from licensure 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 least one yea
sett a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I unde.
Professions Code, is avaliable upon request when this application is submittedor at the following Web s)te:httpllwww.legHdo.l
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION //
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Qggf q
and effect. License Class License No Date //// 9S/
VORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CI
:OST OF COMPENSATION, DAMAGES. AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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
'ormance of the work for which this permit is issued. Policy No.
-have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
uance carrier and policy number are:
vier Policy Number
ne of Agent
certify that, in the Parforrya. a the work forp�hicchh this prmit is issued, I shall not employ any person in any manner so
if I should becomes ec he workers' n s 1 n provisions of Section 3700 of the Labor Code, I shall forthwith c
lature of Applicant j
rreby affirm under penalty of perjury that there is a construction lending agency forthe performance of the workfor which
Ider s Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have reau this application and the information I have provided Is correct,
I agree to on�ply with all applicable city and cou ances and ate flaws relating to building construction.
I authorize repre:,entaUves of this city or count to the abov -identified property for inspection purposes,
nature of Property Owner or Authorized Aoent Print Prooertv Owner's or Aut
ACTIIN
PtRMIT EXP(R':D
j_
P6RAE7 CANC9 LEP
I PERMIT EXTFND._.E7.___
DATE 1 BY
REGULATIONS PART 61 OF TITLE 40 AND AW4D RULE
TKIVII NIIAL i I LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERDOCATE OF 1I'd _ >An_-t, i PROPOSED DEMOLITION
below by the checkmark(s) I have placed next to the applicable items)
, or repair any Structure, prior to its issuance, also requires the applicant for
'hooter 9 (commencing with Section 7000) of Divfs€on 3 of the Business and
)31.5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License taw)_
to completion of the Improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
of the Business and Profe on o , andyny 11 er se is In full force
_ Contractor Signature n �. /F
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 13100,0001, IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject io the workers` compeNe2�
ws of California, and agre
ply with those provisions. //r7
Date __._[_.._eS___._._____.._.____
permit is issued (Section 3097, Civil Cade).
FOR OFFICE USE ONLY
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