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Home My WebLink AboutE2022-0831 - PermitsQ ��WPORT City of Newport Beach o @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq<1F00.N\P newportbeachca.gov/inspections II III III I I II Electrical Permit : E2022,-0831 Plan Check No: Work Class : Other Issued Date : 11/01/2022 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: 2100 SANTIAGO DR Legal Desc : N TR 4224 BILK LOT 6 Description: ELEC- DISCONNECT FOR A/C CONDENSER INSTALLATION Owner: SIMONIAN ARMOND TR Address : 2100 SANTIAGO DR NEWPORT BEACH, CA 92660 Phone: Applicant: BASIC AIR INC Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714)469-4542 Owner/Builder : Address: Phone: Code Edition : 2019 Type of Construction : Building Setbacks: Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Contractor : BASIC AIR INC Address: 1157 SALINAS AVENUE COSTA MESA, CA 92626 Phone: (714) 469-4542 Con State Lie : 909834 Lie Expire : 01/31/2024 Bus Lie: BT30045172 Bus Lie Expire: 10/3112023 Workers' Compensation Insurance Carrier : PALOMAR SPECIALTY INS CO Policy No: PSIC1196402 W. C. Expire: 10/2212023 Fire Hazard Zone : NO Occupancy Groups : Ltd V i .— ! 8 0 171 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Iterate) (Section 7031.6. 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 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 licensee, 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 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 U portions of the work, and the structure is not intended 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 properly, 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 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). DI am exempt from licensors 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) soil a structure that I have built as an Owner-bulldor if it has not boon constructed in itsentirety 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 sito:http:llwww.leginfo.ce.gov/calaw.html. 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 7000) f Ivisi n 3 of the Business and Professions Code, an my license is in full force and effect. License Class License No Date Il 1 Contractor Signature / et WORKERS' COMPENSATION DECLARATION WARNING: 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 (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION a705 OP THE "NOR CODE, INTEREST, AND ATTORNEY-S PEES. I hereby affirm under penalty of perjury one of the following declarations: 1 have and Will maintain a certificate of consent to self-instwe for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh p formance of the work for which this permit is issued. Policy No. lhave and will maintain wodeors' 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' compensatio ance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone 0 [II certify that, in the performance of the work for which this permit )s issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicertt�A(,_, _ Dated 1(1Z�Z�� DECLARATION RIE R NG CDNSTRUCTI NDING AGENCY / I hereby affirm under pe ally, 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). Lender's Name Lender's Address By 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 with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county t ant identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 'Vi-`7 Gate ACTION DATE By 7 DECLARATION OF COMPLIANCE Wit CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 ' PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO „-PERM77 CANCELLED EPA PERMIT EXTENDED IIAOMG PERMITFINAL L_I ASBEST05NOIIFICATION IS NOTAPPLICABLE TO CERTIFICATE Of /./,' Z^�J P DEMOLITION OCCUPANCY 1$5UEO €/ '" SIGNATURE;