HomeMy WebLinkAboutE2023-0459 - PermitsQ
£WPOCity of Newport Beach 11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III jj Electrical Permit :E2023-0459
Community Development Department- Building Division E 2 0 2 3 0 4 5 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
TPermit Counter Phone: (949) 718-1888 Work Class : Other
q�Fo 0.Nnewportbeachca.gov/civic Issued Date : 05/16/2023
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 : 9 SEASCAPE DR Legal Desc : N TR 8381 BLK LOT 1 UN 1 TR 8381 LOT 1 UNIT 1 1-P, 1-G OF PR OJECT LOCATED
Description : ELEC DISCONNECT FOR NEW HVAC (H2O23-0336)
Owner: BRUCE DAVIDSON
Address : 9 SEASCAPE DR #27 NEWPORT BEACH, CA 92663
Phone :
Applicant : ALEXIS ALVAREZ
Address : 770 S Brea Blvd. Suite 229 BREA, CA 92821
Phone : (323) 541-6889
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction :
Building Setbacks :
Flood Zone : X
Use Zone: RM - Multiple Residential
PROCESSED BY :
SPECIAL CONDITIONS:
Contractor : EVOLUTION HEATING AND AIR CONDITIONING INC
Address : 747 S STATE COLLEGE BLVD #64 FULLERTON, CA 92831
Phone : (657) 295-5275
Con State Lic : 1082536
Lic Expire : 10/31/2023
Bus Lic: BT30077430
Bus Lic Expire:12/31/2023
Workers' Compensation Insurance
Carrier: OHIO SECURITY INSURANCE COMPANY ..
Policy No : XWS63838878
W. C. Expire: 9/20/2023
Fire Hazard Zone : NO
Occupancy Groups : R3/U
j,71
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 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
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 70DO) of Division 3 of the Business and
Professions Code) or that he or she is exempt from lcensure 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 (S500).
❑ I, 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,
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
improvements are not intended or offered for sate. 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)-
0 1, as owner of the property, am exclusively contracting with licensed Contractors to ConsWctthe 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 pursuantto the Contractors' State License law),
❑ 1 am exempt from licensors under the Contractors' Slate 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 legally
sell a structure that 1 have built as an cwner-buiidor if it has not boon constructed in its entirety by licensed contractors.. I understand that a copy of tho applicable law. Section 7C44 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:ffwww.leg.info.co.govlcalaw,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 af. Division 3 of the Business and Professions Code bid my" ense is in full force
and effect. License Class License No Date I'0. ^ n Contractor Signature �.
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS iE700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have and will mairapin a certificate of consent to self -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th,
performance of the ; P. iA ror which this permit Is issued. Policy No..,
have end will mrntain 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'
ranco carrier and po,,cy number are:
Policy Number
of 4gent -----
Date
oer:,fy that., in the performance of tine w rk f r 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
it I s'tould berore subject to the work r pansation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of APPlicani _ Date 7
I)LAAAFION REGA ING CONSTRUCTION LENDING AGENCY
:reby allirm unr:er p�Jr ity 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),
rr'e' , ^'eme Lender's Address
my sinnature below, iii. 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 ordinaries and s to laws relating to building construction.
I authorize representatives of this city or coup to enter the ove-.ids.. tad property for inspection purposes. ((^^ p// '!1' p
nature of Property Owner or Authorized Anent � IVY A.��L Print Proderty Owner's or Authorized ADent's Nnr� kDxiS fMia"i,- n.t..0
DATE BY ' s DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
j RFGULATiONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I I ! IJ ISUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED ¢ LJAQM..o
PERMIT FINAL E L„_IASBES(OSNO'ri FICATION ISNO'f APPLICABLE 10
CERFfFfCATE OF //t� PROPOSED DEMOLITION
OCCUPANCY ISSUED ' �✓ ( i SIGNATURE: