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Home My WebLink AboutE2023-0401 - PermitsCity of Newport Beach ��E.WPORT o e Community Development Department- Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 J y+> T Permit Counter Phone: (949) 644-3288 4FOR Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections iiiiiiiiiii II Electrical Permit : E2023-0401 Plan Check No: Work Class : Other Issued Date : 05/02/2023 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: 1901 BAYADERE TER Legal Desc : N TR 2813 BILK LOT 171 Description: ELEC (2) CIRCUITS FOR NEW A/C'S Owner: CROUL KINGSLEY R TR Address : 1901 BAYADERE TER CORONA DEL MAR, CA 92625 Phone: (949)887-3134 Applicant: JERMAINE MAEWEATHER Address : 3675 RUFFIN RD. SAN DIEGO, CA 92123 Phone: (619)677-8487 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction : Building Setbacks: Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: Front: 10, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential Contractor : KLONDIKE AIR INC Address : 1308 LOGAN STE E COSTA MESA, CA 92626 Phone: (714)979-2070 Con State Lie : 754456 Lie Expire : 09/30/2024 Bus Lie: BT30080447 Bus Lie Expire: 01/31/2024 Workers' Compensation Insurance Carrier : FALLS LAKE FIRE & CASUALTY CO Policy No : FLA01974800 W. C. Expire: 10/10/2023 Fire Hazard Zone : NO Occupancy Groups : R3/U 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 items) (Section 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 the 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 Professions Code) or that he or she is exempt from Iicensure andthe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)- ❑ 1, as owner of the property,. or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The ContractorsState 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-Builderwill have the burden of proving that It was not built or Improved for the purpose of sale). ❑ 1, 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 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). ❑ 1 am exempt from Iicensure 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 year prior to completion of the improvements covered by this permit, I cannot legall! soil a structure that I have built asan owner-buildor 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 Professions Code, is available upon request when this application is submitted or at the following Web siteai8p:ltwww.leginfo.ca.gov/colour. ntml,. 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 7 0 of Division 3 of the Business and Professions Code, nd my license is in full force and effect License Class License No Date LQContractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO 4FCgRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIWL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00E), IN ADDITION TO THE COST OF COMPENSf TION, OE MACES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEE$, 4ereby -.ffirm under penalty of perjury one of the following declarations: 64 have and writ main,ain a cerlifioate 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 Serforri of the work for which this permit is Issued. Policy No. I >4e anrj will m31niain 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' compensedol s anLS carrier and riorcy number are: Policy Number or Agent Date I certify the(., in thu performance of the wor for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and agre t, •1 I should become subject to�the workers compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. natr ❑e of Applicant CLAR.,T[ON f;EGAr2, INC CONSTRUCTION ENDfNG AOENCYrt-^ are-, affirm ucj +r f c, alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rder's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct, I agree to comply with all applicable city and county ordinances and late laws relating to building construction. I authorize representatives of this city or county t/ij/.enter the above-i ntifie arty for inspection purposes na1 re of prnneri n ,nor nr A Ihnrasorl A—M / I print Firmed" n,unar c — A'Al—i—H ACTION I DATE BY DECLARATION OFI REGULATIONS PAR O51 OFTITLF. AOMPLIANCE TH CODE OF AND AOMD RUL€RAL J FOR OFFICE USE ONLY PERMITEXPiRED I LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCEUED -- -- -- —',. Epp -- PERMITFINAL 1 LJASBESTOS NOT IFIC.AI'ION 1$ NOT APPLICABLE TO CERTIFICATEOF �,JGr2' PF`-"L—; PROPOSED DEMOLITION OCCUPANCYISSUED I SIGNATURE,