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HomeMy WebLinkAboutE2023-0697 - PermitsF��WPoR� City of Newport Beach p P e Community Development Department- Building Division ". 100 Civic Center Drive, Newport Beach, CA 92660 G S Permit Counter Phone: (949) 718-1888 a� Cq�lFOPH�P newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 0810812023 Final Date: Permit Status: Issued Inspection Area : 4 E2023-0697 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: 19 CERVANTES Legal Desc : N TR 15517 BILK LOT 49 Description : ELEC: R/R DISCONNECT FOR HVAC (H2O23-0506) Owner: KATZ DANIEL TR KATZ FAMILY TR Address : 19 CERVANTES NEWPORT BEACH, CA 92660 Phone: Applicant; EMALEE JOSEPH Address : 26111 YNEZ RD, C3 TEMECULA, CA 92591 Phone: (877)600-0123 Owner/Builder : Address Phone: 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: Contractor : SEARS HOME IMPROVEMENT Address : PO BOX 522290 LONGWOOD FL 32752, CA , Phone: (657)465-0038 Con State Lic : 1055034 Lic Expire : 06/30/2025 Bus Lic: BT30068711 , Bus Lic Expire:08/31/2023 Workers' Compensation Insurance .. ' Carrier : A I U INSURANCE COMPANY Policy No : WC080880660 W. C. Expire: 8/1/2024 " Fire Hazard Zone : NO Occupancy Groups: U 30" WIDE X 36" DEPTH REQUIRED FOR A/C DISCONNECTS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ;Section 7(131.5, Business and Professions Code. Any ody 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 statementthat 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($600). © 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not imended 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 property, 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-Solidar will have the burden of proving that it was not built or improved for the purpose of sale). © I, as owner of the poperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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). _ 51 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 residod for at least one year prior to completion of the improvements covered by this permit, I cannot legall; sell a structure that I have built as an owner -builder 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 Professions Code, is available upon request when this application Is submitted or at the following Web site:http:ltwv .leginfo.cg.gov/calaw-html- 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 (commencing with Section 700 of Division 3 of the Business and Prof SC d nse is in full force and effect. License Class. _ License No Dato Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SrUURE WORKERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSA" InP, nAMAGES AS PROVIDED FOR 1N SECTION 3705 OF THE LABOR CODE INTEREST, AND ATTORNEYS FEES. I nr'rnh­ ffirm unr'er 7nnafty of perjury one of the following declarations: rJ I have and wid n,Pirreln 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 th ;;L c a.ice of the York 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 performance of the work for which this permit is issued. My workers' compansatioi rr lance carder end policy number are: 1e of Agent _. cc frf;• that, in the performance of the work �for , It I v iould b°Core-ubjeCttale works Iao , of Applicant __ Policy Number Expiration Date permit is Issued, I shall not employ any person In any manner so Be to become subject to the workers' compensation laws of California, and agre I provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Data 8 l E) (is�3® hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work foe which this permit Is issued (Section 3097 ender's Name Lender's Address ly my signature below, i certify to each of the following: I am the property owner or authorized to act on the pmperty owner's behalf- 1 have read this application and the information I have provided is correct. - - I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to on e"o above-identifie property for inspection purposes. ACTION iDATE BY I�CLARATION Ok-0V�lPLIANCE WIT14 CODE Or FEDERAL ( FOR OFFICE USE ONLY - `. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ' SUBMITTED ASBESTOS P€RMtT EX7ENOEp i L10.QMD ASBESTOS NOTIFICATION ISNAPPLICABLE TO CERTIFICATE OF `"Y" PROPOSED DEMOLITION OCCUPANCYISSUEO SIGNATURE: Civil Coda). 1-1 Date