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Home My WebLink AboutE2022-0760 - PermitsE«'Po 'Re City of Newport Beach IIII I I III II I II II Illlull�ll Electrical Permit: EZOZZ-O%60 pF� Community Development Department- Building Division fl r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No yA. Permit Counter Phone: (949) 644-3288 Work Class : Other r r q�IFORN� Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections F E ' a pg N SC Issued Date : 4/2022 Inspection Areaa : 4 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 : 20 COLONIAL DR Legal. Desc : N TR 15389 BLK`LOT 44 Description : ELEC: INSTALL ELECTRICAL FOR (3) HEAT PUMPS "H2022 0564.; (X2021-2121) Owner: MICHAELPIETSCH Contractor:'. LIVING AIR DESIGN LLC Address : 20 COLONIAL DR NEWPORT BEACH, CA Address: 1250 ARROW WOOD DRIVE BREA, CA 92821 Phone : (949) 466-3919 Phone : (626) 734-2146 Con State Lie : 1091394 Applicant : LIVING AIR DESIGN LLC Lie Expire '< 05/31/2024 Address: 1250 ARROW WOOD DRIVE BREA, CA 92821 Bus Lie: BT30079898 Phone: (626)734-2146 Bus Lie Expire:10131/2023 Workers' Compensation Insurance Owner/Builder : Carrier : Address : Policy No: EXEMPT Phone: W. C..Expire: Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : Occupancy -.Groups : "R3/U - Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Aeronutronic Ford ®Doom ° a PROCESSED BY: IIC� Jam— °a�• SPECIAL CONDITIONS: ° • ° ° ° a °° ° 00 • oaooco oa •a°oo°. • o °° I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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,. after, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter g (commencing with Section 70DO) of Division 3 of the Business and Yofessions Code) or that he or she is exempt from Rcensure and'.. the basis for the alleged exemption. Any violation of Section 7031 iS by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, '.usiness 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 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 n{�roved for the purpose of sate). J 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 } ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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, all a structure that I have built as an owner -builder if it has not been constructed in its entirely 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 stir:httpJMnwa.leghfo.oa.gov/calaw.hent. .ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 'Rase is in full force nd effect License Class License No Date lO'/4 -72. Contractor Signature'/' PORKERS' COMPENSATION DECLARATION 'ARNING: 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 (§tSe,S80j, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ST§a OF THE LABOR CODE. INTEREST, AMC, ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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 th erfonpence of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is Issued. My workers` carrier and policy number are: m of Agent certify that, in the performance , if I should become subject�to injure of Apofcant f9� Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers'compensation laws of California, and ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. emby affirm under penalty of perjury that there is a Construction lending agency for the performance at the work for which this permit is issued (Section 3097, Civil Code). nder s Name Lenders Address my signature hall I certify to each of the following: I am thb preOn owner or authorized to act on the property owners behalf. 4have mad this application and the information I have provided is correct .// 155(n • `agree to comply with all applicable city and county ordine as d lEfaws relating to building Construction. yy/, •1 authernm representatives of this city or county to ejpL -1� tifi!5,p�pperty for inspection purposes. ACJION ..... • DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • • • • REGULATIONS PART 61 OF TITLE 40ANDAQMD RULE •. •••� 1493 •T ITAOT EXPIRED• • • • I I I LJI StjnmrrTFD ASRFSTOS NOTIFICATION TO jtL'}••j.-j,• iJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO 1j PROPOSED DEMOLITION • I SIGNATURE: