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Home My WebLink AboutE2022-0807 - PermitsCity of Newport Beach u4". 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 newportbeachca.gov/inspections Electrical Permit Plan Check No: Work Class: Other Issued Date: 10/26/2022 Inspection Area: 6 E2022-0807 PERMITS EXPIRE 1 BO 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: 101 HARBOR WOODS PL Legal Desc : N TR 11935 BILK LOT 3 UN 100 TR 11935 LOT 3 UNIT 100 OF PROJE CT LOCATED ON AP Description : ELEC: INSTALL ELECTRICAUDICONNECT FOR HVAC REPLACEMENT (H2O22-0600) Owner: JEFFREY BOLEMAN Address : 101 HARBOR WOODS PL #101 NEWPORT BEACH, CA 92660 Phone: (949)239-3632 Applicant: Energuy Inc Address : 26111 Ynez Road C3 Temecula, CA 92591 Phone: (877) 600-0123 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction : Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: X RM - Multiple Residential 675 Contractor : NEXGEN A/C INC Address : 700 N VALLEY ST STE K ANAHEIM, CA 92801 Phone : (657) 208-1987 Con State Lic : 1011173 Lic Expire : 02/29/2024 Bus Lic : BT30055503 Bus Lic Expire:06/30/2023 Workers' Compensation Insurance Carrier : OLD REPUBLIC GENERAL INSURANCE CORPORATION Policy No: AlCWAD011502 W. C. Expire: 3/1/2023 Fire Hazard Zone : NO Occupancy Groups : R2/U 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 haveplaced next to the applicable items) 'action 7031 S, 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 to pormit 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 'rofassions 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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my emplovees with wages as their sole compensation. will do U all of or L) 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 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). 31, 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).. I am exempt from licensure under the Contractors' Stale 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 legall; 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 copyof the applicable low, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:GAW .leginto.ca.govtcalaw.html. signature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjure that I am licensed under provisions of Chapter 9 (commencing with Section 7Alf�Div/iJ'�7ion 3 0# the Business and Professip ode, and my IceKs in full Tor nd effect. License Class License No Date A-7' "( Contractor Signature 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 (4/00,000I. IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th e4minance 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 workfor whichthis permit is issued. My Workers' rance, carrier and policy number are: Policy Number Expiration Date Agent Phone If certify that, in the performance of the work for which this elmit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws f California, and agre If I should become subject is workers compen n provisions of Section 3700 of the Labor Code. I shall forthwith comply With those provisions. Id Az or Applicant��1,��, ^_— Date ._...-1,...y/Lt�._.... CLARATIESN ttEG G CONSTRUCTIO LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). IdPr s Name Lenders Address my signature below, I certify to each of the following: am the property owner or authorized to act on the property o ner's behalf. 'have read this application and the 'information 1 have p f is correct. ' agree to comply with all applicable city and county or nces end stat vs relating to building construction. i / buthorize representatives of this city or county t r the above-i led property for inspection purposes. '�� Date /�/� nature of Procortv Owner or Authorized Agent ,r� Print Probertv Owner's or Authorized Aoenta Name ,G -� DATE j 6Y17 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRE& { LJ I SURMI_T_TF.D ASBESTOS NOTIFICATION TO FERMT CANCELLED {-121PA PERMIT EXTENPc1J_ r ruCIM,D PERMITF1NAt II, ❑ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY 1550ED i SIGNATURE: