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Home My WebLink AboutE2024-0153 - PermitseWtok_ City of Newport Beach o e Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 C9��ORN`P newportbeachca.gov/civic Electrical Permit Plan Check No : PC2022.2747 Work Class : Other Issued Date : 03/1112024 Final Date: Permit Status: Issued Inspection Area : 6 E2024-0153 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 : 31 MONTECITO DR Legal Desc : N TR 7844 BILK LOT 70 Description: ELEC - AC DISCONNECTS (3) (H2O24-0055) Owner: HENRY & GEORGEANN CAMISASCA Address : 31 MONTECITO DR CORONA DEL MAR, CA 92625 Phone : (949) 542-0195 Applicant: BASICAIRINC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone : (171) 430-9454 x2 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 107-100 Flood Zone : X Use Zone : PROCESSED BY: PC - HaiView Hills // \ Contractor : BASIC AIR INC Address : 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone : (171) 430-9454 x2 Con State Lic : 909834 Lic Expire : 01/31/2026 Bus Lic : BT30045172 Bus Lic Expire:10/31/2024 Workers' Compensation Insurance Carrier: PALOMAR SPECIALTY INSURANCE COMPANY Policy No: PSIC1196403 W. C. Expire: 10/22/2024 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(e) (Section 7031,5, Business and Professions Cade: 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 sheds 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 Idensure and the basis for the alleged exemption. Any violation of Section 7WI4 5 by any applicant for a. permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property,or my employees with wages as their sole compensation, will do U ail of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale), ❑ I, as owner of the properly, am exclusively Contracting with licensed Contractors to construct the project ($action 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 frorn lirensure 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 legal) sell a structure that I have built asan owner -builder 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 site.http://w .leginfo.co.gov/calaw.html. Signature Of Property Owner or Authorized Agent - _ _ _, Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of pequry that I am licensed tinder provisions of Chapter 9 (commencing with Section 70�4 p� p of the Business and Professi In and my license is in full force and effect. License Class License No sDateJi-! Contractor Signature /�/ WORKERS' COMPENSATION DECLARATION , WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY's FEES. I 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 W the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance 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 performance of the work for which this permit is issued. My workers' nonce carrier and policy number are: Policy Number Dale is of Agent Phone R certify that., in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and if I should become subject tg Mg workers' compersation-argAsionsgj Section 3700 of the Labor Code, I shall forthwith comply with those provisions. relay affirm under penalty of perjury that there is a corkfuuction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), Ider'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 owner's behalf. I have read thisapplication and the information I have provided is correct. agree to comply withall applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to egfprje above -identified property for inspection purposes. ..f crn.,a.n, rn.rnar�r n,rtl,nri�Rd AnR„I y 1 Print Pronerty Owner's or Authorized Aaent's Name ACTION DATE By i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE, 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED 1 WBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EMENDED �C-"1i—FA w� `F LU14MD PERMIT FINAC _ [ ❑ASSES 6S NOTIFICATION 15 NO APPLICABLE TO CERTIFICATE OF EEEI PROPOSED DEMOLITION OCCUPANCYISSUED Ir�"�A '; SIGNATURE _