HomeMy WebLinkAboutE2022-0780 - Permits' Beaartmch
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Electrical Permit:E2022-0780
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_ 100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No
r S Permit Counter Phone: (949) 644-3288
Work Class: Other
o� Inspection Requests Phone: (949) 644-3255
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Issued /26/2022
R��P newportbeachca.gov/inspections
Inspection Area
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 : 8 VIA AMANTI Legal Desc
: N TR 16266 BLK LOT 2 UN 11'.TRACT 16266, LOT 2 OF PROJECT 936 -47 LOCATED ON
Description: ELEC: INSTALL ELECTRICAL/DISCONNECT FOR HVAC REPLACEMENT
(H2022 0590) ,
Owner: CAROLIN MORGAN
Contractor :' PLATINUM REPAIR INC
Address : 8 VIA AMANTI NEWPORT BEACH, CA
Address: 11647 SWINTON AVE GRANADA HILLS, CA 91344
Phone: (949)735-2090
Phone: (818)435-4442
Con State Lie : 991373
Applicant: PLATINUM REPAIR INC
Lie Expire 03/31/2024
Address : 11647 SWINTON AVE GRANADA HILLS, CA 91344
Bus Lie: BT30069872
Phone: (818)435-4442
Bus Lie Expire:11130/2022
Workers' Compensation insurance
Owner/Builder:
Carrier: STATE COMPENSATION INSURANCE FUND
Address :
Policy No: -- 9092354
Phone:
` W. C. Expire: 3/14/2023
Cade Edition : 2019 -
Fire Hazard Zone: NO
Type of Construction :
Occupancy Groups : U
Building Setbacks
Flood Zone: X
Use Zone : PC -Newport Ridge
TINIER REQUIRED ON, EQUIPMENT . .
TO SHUT OFF BE TWEEN 10 P.M. AND ✓ A.M. �
PROCESSED BY:-
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SPECIAL CONDITIONS:
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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 ltem(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
is permit to file a signed statement that he or she is licensed pumuant 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a Civil penatty of
of more than five hundred. dollars ($500).
11, as owner of the property, or my employees with "gas as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or affered 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
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
nproved for the purpose of sale),
.! 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
�rply 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).
.A I am exempt from €icensure under the Contractors' State License Law for the following reason:
ly my signature below t acknowledge that, except for my personal residence !n which I must have resided for at least one year prior to completion of the improvements Covered by this permit, I cannot Iega 11
ell a stratum that I have built as an ovmer-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
'rafessions Code, is available upon request when this application is submitted or at the following Web site:httpaANww.leginfo.ca.gov/calaw.htmL
signature of Properly 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 vqR a 3 of the Business and Professions d �'e'nd €asl
nd affect. License Class License No Data AV71 Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUILIECT AN EMPLOYER To CRIMINAL PENALTIES AND CNN. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (IltE0000), IN MINTION TO THE
051' OF COMPENSATION, DAMA01m AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
armance 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' compansa
mince carrier and policy number are:
Policy Number
to of Agent
certify that, in the performance of
if I should become subject t/o S�dc`'
lafure of ApplicanF .�!
hereby affirm under penalty of perjury that there is a construction lending agency for the
endePs Name Len:
ly my signature below, i certify to each of the following:
I am the psdpPt"owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is carve .
• +I+agree to Crrepi>j with all applicable ally and county ordinances ands eta r%ak
I authorize GwWW*e•ntatives of this city or county to ente�ytfy2aFr6v enti ark
Date
any person in any manner so as to become subject to the workers' compansation la s of California, and agre
Labor Code, I shall forthwith comply with those provisions.
mane of the work for which this permit is issued (Section 3097, Civil Code). -
building construction.
inspection purposes.
ACTION • • DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEF
• • • • • • • •. REGULATIONS PART 61 OF TITLE 40AND AQMD RULE
1403
CLLAdIY FYOW)A•••• I 1NrRf.hiTTCM1 aCGttYlIC All1TI C3fhTIl�N Trl
t • • y PROPLJ OSED EDEMOLITION
NOTIFICATION IS NOT APPLICABLE TO
OF lI Q, PROPOSED DEMOLITFON
19t; •) SIGNATURE:
FOR OFFICE USE ONLY