HomeMy WebLinkAboutE2023-0430 - Permits��WPoR� City of Newport Beach
Ok scn Community Development Department- Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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Cq� FoaN�P newportbeachca.gov/civic
11IIIIII111111111111111111111111111111111111111111II 11 Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 0511112023
Inspection Area: 6
E2023-0430
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 : 1 MONTEREY PINE
Description: ELEC 2 A/C DISCONNECTS
Legal Deep: N TR:14.103 BLK LOT.26 UN 5 TRACT 14103, LOT 26 OF PROJECT 93 5-90 LOCATED ON
Owner: LEE JOHN JOON TR LEE LIVING TR
Address : 1707 PORT STIRLING PL NEWPORT BEACH, CA 92660
Phone :
Applicant: 1ST CHOICE HEATING & A/C
Address : 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630
Phone: (949)305-5754
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks:
Flood Zone
Use Zone:
PROCESSED BY:
SPECIAL CONDITIONS:
X
PC - Newport Coast
Contractor : 1ST CHOICE HEATING & A/C
Address : 20371 LAKEFORESTDR STE A-5 LAKE FOREST, CA 92630
Phone : (949) 305-5754
Con State Lic : 1006824
Lic Expire : 08/31/2023
Bus Lic: BT30064046
Bus Lic Expire:08/31/2023
Workers' Compensation Insurance
Carrier : TECHNOLOGY INSURANCE COMPANY
Policy No : TWC4228415
W. C. Expire: 2/15/2024
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Fire Hazard Zone : YES
-'
Occupancy Groups : U-:
I
OWNER -BUILDER DECLARATION
t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasan(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
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 Icommencing with Section 7000) of Division 3 of the Business and
Irofassions Code) or that he or she is exempt from llcehsure, 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 penaftyof
of more than five hundred dollars
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Lusiness and Professions Code: The Contractors State License Law does no[ 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 Ownar-Builder will have the burden of proving that it was not built or
n roved for tine purpose of sale).
1, as owner of the properly, alit exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
poly to an owner of property who builds or improves thereon, and who contracts for the projects with alicensed Contractor pursuant to the Contractors' State License Law).
I I ant Exempt from iicensure under the Contractors' Slate License Law for the following—
ly my signature below € 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
all a structure that I have built as an owner -builder It it has not boon 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 availableupon request when this applications submitted or at the following Web site:http:iiwwwJeginfo.ge.gov/calow.htmi.
ilgnaturo of Property Owner or Authorized Agent Date .
JCEN'SED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect o 7 00of Division 3 of the Business and Pro} :j sions Code.. and my license is in full force
no effect License Class License No Date 5 l l- 2 Contractor Signature's
dORFIERS' COMPENSATION DECLARATION'S
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAXD DOLLARS ($100.000). IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ST06 OF THE LABOR L00E, INTEREST, AND ATTORNEY'S FEES.
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 Im
edormartoo of the work 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`
carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the perfer nea 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 Signer
1, If 1 should became sub t tothe workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
nature of ApplicantCNA��- LJ �_'` _ „ DaJ(j�
CLARATION REGA ING UCTiON LENDING AGENCY
ireby affirm under penalty 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).
Ider's 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 o or the above -identified property for inspection purposes. 'A`
nature of Prooer v Owner or Authorized Anent \ ll �%�i L.J �—�b Print ProceM Owner's or Authorized Aoent's Name X /orb-v: S 'I"�-✓ dale
.ACTION DATE ( BY DECLARATION OF COMPLIANCE WITH CODEOF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMb RULE
SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL UA58ESrO$ NOTIFICATION I$ NOT APPLICABLE TO
CFRTIFICAYE Of / //./ PROPOSED DEMOLITION
OCCUPANCYISSUED ��� ����--sfFf+++I"- SIGNATURE: