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Home My WebLink AboutE2023-0543 - Permits4",-WPoRT City of Newport Beach p 6@ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 7 Permit Counter Phone: (949) 718-1888 cq r�r newponbeachca.gov/civic �/GOR E 2 0 2 30 5�I�� II Electrical Permit Plan Check No : Work Class : Other Issued Date : 06/19/2023 Inspection Area : 2 E2023-0543 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: 31 SAND DOLLAR CT Legal Desc : N TR 8835 BLK LOT 5 UN 1 TR 8835 LOT 5 UNIT 1 P-1, G-1, CP-1 OF PROJECT Description: ELEC NEW DISCONNECT FOR A/C (H2O23-0402) Owner: ERIK RAMIREZ Address: 31 SAND DOLLAR CT NEWPORT BEACH, CA 92663 Phone: (714)683-9277 Applicant: ABSOLUTE AIRFLOW INC Address: 14122 WILLOW LN WESTMINSTER, CA 92683 Phone: (833)482-2626 Owner/Builder : Address Phone: Code Edition : 2023 Type of Construction : Building Setbacks Flood Zone Use Zone: PROCESSED BY SPECIAL CONDITIONS: PC - Newport Terrace - UP 1621 Contractor : ABSOLUTE AIRFLOW INC Address : 14122 WILLOW LN WESTMINSTER, CA 92683 Phone : (833) 482-2626 Con State Lie : 1049023 Lie Expire : 01/31/2025 Bus Lie : BT30079754 Bus Lie Expire:09130/2023 Workers' Compensation Insurance Carrier : EMPLOYEE SERVICE GROUP Policy No: WC053417721 W. C. Expire: 7/1/2023 Fire Hazard Zone : NO Occupancy Groups: R3/U KbVIL Sb ;1,1DAPY%OVA:, 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 have placed next to the applicable ifem(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, alter, improve, demolish, or repair arty structure, prior to Its Issuance: also requires the applicant for s permit to file a signed statement that he or sheds licensed pursuantto the provisions of the Contractors' State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 703t:5 by any applicant for a permit subjects the applicant to a civil penalty of ofmorethan five hundred dollars ($500), 11, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work, and the Structure Is not Intended or offered for sale (Section 7044, tustness 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. It, 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 sale). 1, 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 licensors under the Contractors' State License Law for the following reason: ty 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 legally ell a structure that I have builtas 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 availableupon request when this application is submitted or at the following Web site:htip:lhvww.loginto.ca.govfcalow.html. signature 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 0 0 of Division 3 of the Business and Professions Code, and my i�se is In full force Ind effect License Class License No Date r( Contractor sfgnatvr VORKERS' COMPENSATION DECLARATION % IARNING: 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 ($10000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CORE, INTEREST, AND ATTORNEYS FEES, hereby affirm order Danalty of perjury one of the following declarations: I I hove end vfll Tointain 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 tabor Code, for Ibr erfot(nance of the wniK 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 which this permit Is issued. My Workers' carder end pnlioy number are: Policy Number Date ors of Agent Phone If certify that, in ,.ro Performance of the work for which this permit is Issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , III should becJme subject to the workers' oompgrtsation provisions of Section 3700 of the Labor" Code, I shall forthwith comply with those provisions. of Date��%��Z 3reby ifffrm u, Ider panalty 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), ,tiers Name - Lender's Address 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 toe r the above -identified pr art r inspection purposes. �/� riwturR of PranRrIV 0wAAr or Autfmn7nrl Arianf /�/�vO.�Q� Print PronertV Ownar'C nr Authnri7od Anant'A Name � r • o l ett, klc rj t ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / RE.(CULATIONS PART 61 OF TITLE 40 AND ACtMD RULE i 1403 PERMfr Expiato ISNOTAPPUCARLE TO CERHFICATEOF /$(23� PROPOSED DEMOLITION OCCUPANCY ISSUED