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HomeMy WebLinkAboutE2022-0837 - Permits�EWPO,pT City of Newport Beach IIII I I II I II I II III III II II D� @ Electrical Permit: E2022-0837 Community Development Department- Building Division �. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2325 r z Permit Counter Phone: (949) 644-3288 Work Class : Other .rK Inspection Requests Phone: (949) 644-3255 c'4 coM1��P Issued Date newportbeachca.gov/inspections Inspection Area : 3 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: 1722 ORCHARD DR Legal Desc : N TR.456 BLK LOT 19 TR 456 LOT 19 NWLY 62 FT SELY 120 FT NEL Y 290 FT Description: ELEC -DISCONNECT FOR A/C REPLACEMENT Owner: STIEVE DAVIS P TR Address : 1731 ORCHARD DR NEWPORT BEACH, CA 92660 Phone: (949)278-1174 Applicant: ABC HEATING AND A/C Address: 306 COLLEN PL COSTA MESA, CA 92627 Phone: (949)756-0064 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: Front: 20, Side: 5, Side: 5, Rear: 25 X SP-7 - Santa Ana Heights Specific Plan Contractor : ABC HEATING AND A/C Address : 306 COLLEN PL COSTA MESA, CA 92627 Phone: (949)756-0064 Con State Lic : 940181 Lic Expire : 11/30/2023 Bus Lic : BT30043258 Bus Lic Expire:03/31/2023 Workers' Compensation Insurance Carrier : STATE FARM FIRE & CASUALTY CO Policy No: 92GOG2871 W. C. Expire: 9/24/2023 Fire Hazard Zone : NO Occupancy Groups: 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 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 re 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 rofessions Code) or that he or she is exempt from Ilcensure 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 of more than five hundred. dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, rosiness 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 theproperty, 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 roved for the purpose of sale). ..E 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 poly 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). I I am exempt from licensors under the Contractors' State License Law for the following reason: :y my signature below 1 acknowledge that, except for my personal residence in which I must haveresided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally all a structure that I have built asan owner -builder if it has not been constructed in itsentirety 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 following Web site:http:!lwww.leginfo.ca.govlcalaw„htm1,. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION ��-'�- ....��....,,IIII//rr hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 0 (commencing with Section 70 0 of ppilvvislon 3 of the Business and ssierys,Codeyand y license is In full force nd effect License Class License No Date ( t -3-2 2 contractor Signal ���1l�ti VORKERS' COMPENSATION DECLARATION 1 'ARMING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3300,000), IN. ADDITION TO THE SST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following decfarations: have and Will maintain 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 Ini e rmance of the Work for which this permit is issued. Policy No. end 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' carrier and policy number are: Policy Number Date to of Agent - Phone # Certify that, in the performance of the work 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, if I should become iLLirject to jhe wrykers',compenso4ion provisions of Section 3700 of the Labor Code,.. I shall forthwith comply with those provisions. _ of hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's Name Lender's Address y 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 read this application and the information I have provided is correct. I agree to comply withall applicable city and county ordinances andstate laws relating to building.. construction. 1 authorize representatives of this city or county jp enterer abipve:i4erofied property for inspection purposes. _ ACTION I DATE I BY DECLARATION OF ULATIONS PART SCOMPLIANCE WITHOF 40A ODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED L..I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLEp EPA PERMIT EXTENDED UAQMD -- PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED ti \�C ASBESTOS NOTIFICATION IS NO'r APPLICABLE TO PROPOSED DEMOLITION SIGNATURE; -5- 2-L Civil Code).