HomeMy WebLinkAboutE2023-0039 - Permitsc�6`WPO?T City of Newport Beach
0 e Community Development Department- Building Division
F `tn� 160 Civic Center Drive, Newport Beach, CA 92660
6 o- S Permit Counter Phone: (949) 644-3288 r
C"9C�FORN`P Inspection Requests Phone: (949) 644-3255
newiportbeachca.gov/inspectjons
Electrical Permit : E2023-0039
Plan Check No:
Work Class : Other
Issued Date : 01/24/2023
Inspection Area: 2
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 : 206 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 2 BLK 7 LOT 15
Description : ELEC: INSTALL ELECTRICAL FOR HEAT PUMP (H2O23-0054)
Owner:
BANKERS JOHN L TR
Address :
206 CORAL AVE NEWPORT BEACH, CA 92662
Phone :
(949) 463-8002
Applicant:
VELASCO AIR
Address :
8855 BUCHANAN CIRCLE ANAHEIM, CA 92805
Phone:
(714)390-4253
Owner/Builder
:
Address
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY: B;s
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Contractor: VELASCO AIR
Address :
8855 BUCHANAN CIRCLE ANAHEIM, CA 92805
Phone:
(714)390-4253
Con State Lic
: 836118
Lic Expire:
09/30/2024
Bus Lic :
BT30074136
Bus Lic Expire: 01131/2024
Workers' Compensation
Insurance
Carrier:
CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy No:
CWC00101200
W. C. Expire:
8/30/2023
Fire Hazard Zone : NO
Occupancy Groups: U
30" VVIEDE X 36" DEPTH
REQUIRED FOR
NC DISCONNECTS
NO CONM zee ?` I,-4N.l NOISE
caeo
° .
ON T ri F,0-VE END
OWNER -BUILDER
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
ie pormlt 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a clvil ponaRy of
otmore than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;uslness and Professions Cade: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nlproved for the purpose of sale).
,J I, as owner of the property, am exclusively contracting with licensed Contractors to Construct the project ($action 7044, Business and Professions Code: The Contractors' State License Law does not
ply to an owner of property wfro builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensors under the Contractors' State License Law for the following reason:
.y 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 entirety 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:Uwww.leginfo.ca.gov/calaw.Btml,
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of pe�r ury t t m licensed under previsions� Cyp�Ptgg cammenGing with Sactian 70 t p v sip of the Business and Profossia C lips V in Full force
nd effect. License Class C�' � 0 License No lhtl Data Contractor Signature L
VORKERS' 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 1 00,0001, IN ADDFTION TO TH'.
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES.
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 11
orformance of the work for which this permit is issued- Policy No.,
�I have and will mar tarn 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' compensation
nsurence C Ind .Ile u berrgr C l r 1 G O� I
-armor Qr JU r Policy Number VV 1. .1(jJJ Expiration Date
dame of Agent WN Phone
��r7+1 certify that, in the part r -ance oft rk 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, and agre
.hit, if 1 should become subj ct Id the rs' DID a sation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
signature of Applicant _ _ Data 3
XCLARATION REGAR M G-CONSTRU ION LENDING AGENCY
hereby affirm Linder penalty of perjury that are is a construction lending agency for theperformance of the Work for which this permit is issued (Section 3097, Civil Code).
.enders Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property ovine 's behalf.
I have read this application ar J the i, formation I hilve provided is orrect.
I agree to comp) ^with 3'1 applicable �Ny and count+/ rdinam; sla state laws relating to building construction.
I authorize representatives of this city or county [o a stir ¢tt i l pfi property for inspection purposes,
Signature of Property Owner or Authorized A ens '1/ U W I �f Print Property Owner's or Authorized A ent's Name I Data v�
ACTION DATE RV 1€ ECLARATION O COMPLIANCE WITH. CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PA.T 630E TITLE 40 AND AQMD RULE
PEAMITEXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT£XTENDED
UAOMD
PERMIT FINAL
1
_
_
❑ASBESTOS N011FICATION IS NOT APPLICABLE TO
CERTIFICATE OF
I
PROPOSED DEMOLITION
OCCUPANCYISSUED
S
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