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Home My WebLink AboutE2023-0742 - Permits��wWPORr City of Newport Beach O @ Community Development Department - Building Division r +,' 100 Civic Center Drive, Newport Beach, CA 92660 u > S Permit Counter Phone: (949) 718-1888 o- C`yr Foa" �r newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 08/22/2023 Final Date: Permit Status: Issued Inspection Area : 4 E2023-0742 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 : 16 SPANISH BAY DR Legal Desc : N TR 15332 BLK LOT 59 Description : ELEC R/R ELECTRICAL DISCONNECT FOR HVAC (H2O23-0532). Owner: ELAINEORNITZ Address : 16 SPANISH BAY DR NEWPORT BEACH, CA 92660 Phone : Applicant : RABECCA JOHNSTON Address : 4370 PALM, D250 San Diego, CA 92154 Phone: (714)804-8886 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: Front: 5, Side: 5, Side: 5, Rear: 10 X PC - Aeronutronic Ford 3 Contractor : ALSO AIR INC Address : 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 92688 Phone : (049) 589-2021 Con State Lie : 526420 Lie Expire: 03/31/2024 Bus Lie: BT30019236 Bus Lie Expire:02/28/2024 Workers' Compensation Insurance Carrier: LIBERTY MUTUAL INSURANCE COMPANY Policy No : WC2Z61036218093 W. C. Expire: 7/1/2024 Fire Hazard Zone : NO Occupancy Groups: U 30" WIDE X 36" DEP REQUIRED FOR A/C DISCONNEO A S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I.. am exempt from the ContractorsSlate License Law for the reason(S) indicated below by the eheckmark(s) I have placed next to the applicable Rem(s) ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to commout, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Jxo 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 orofesslons Code) or that he or she is exempt from licensors and the basis for the alleged exemption, Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of net more than five hundred dollars ($800). El 1, as owner of the property, or my employees with wages as their sole compensation, will do t_.) 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 the properly, 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 far the purpose of sale)- Ll 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 a ply to an owner of property wlw builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Conireciors' State License Law), 1 am exempt from mensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, exceptfor 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 lega h sell a structure that I have built as an owner-bulldor 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 Professlons Code, Is available upon request when this application is submitted or at the following Web site:hitpaswum.laginfa.Ca.gov/6a1aw,3ttml. Signalura of Property Owner or Authorlxod Agent _�___...._.._...�_._... _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of coqury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o_f D-Wt�° -ion 3 of the Business and Profs sionJ� Cade, and rn license is in full force and effect. License Class License No Date C!T%L / Contractor Signature WORKERS' COMPENSATION DECLARATION � C/" NARNINO: 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 ($100ASS), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of Consent to self -insure for workers' compensation, Issued by (tie Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th p�erjformance of the work for which this permit is issued, Policy No. m have and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers` compensatiol insurance carrier and policy number arc: Cartier Policy Number Expiration Date of Agent certify that, inthe performance of the work for which this permit is Issued, l shall not employ any person In any manner so as t0 become subject to the workers' compensation laws of California, and agre ., if I should become sub act to the workers' cum ensa Ion provisions at Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. // /1-� nature of Applicant �a�- �� ..._.._�.., _.._.__.. _______._......... ..._ �._....., ..._.._.,_ Oafa �[ �Z-/ `--� CLARATION REGARDING CONSTRUCTIO LENOiNG AGENCY l % raby affirm under penalty of perjury the . there is a construction lending agency for the performance of the work for which this permit is issued ($action 3097, Gill Cods), Ider's Name _ _ Lender's Address my signature balnw, 1 Oartj(y i0 each of the hollowing. I am the property owner or 3at`Ic . ad to act on the property owner's behalf. I have read this application and the information I have provided is Correct, I agree to col-Itir, wR'r all applicabia city and county ordinances and state laws relating to building construction. I authorize representatives of IN- city or County to ant r the she itlen fled r tr far Inspection purposes. nature of Prooerly Owner or Authorzed Print Property Owners or Authorized Agent's Name �`^^-' '� ""MJ✓ BY ' DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL i FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 ANN AQMD RULE 1j 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMLTFINAL I I' U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERIVICATE'Or (/^ PROPOSEDDEMOLITION OCCUPANCY fSSUEO �.IS�-7� SIGNATURE!