HomeMy WebLinkAboutE2023-0555 - Permits��EWP0,4T City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
cy� Foa"�r newportbeachca.gov/civic
1111111111111111111111111111111111111111111111111111 jj Electrical Permit
Plan Check No:
Work Class : Other
Issued Date : 06/22/2023
Inspection Area : 1
E2023-0555
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 : 404 62ND ST Legal Desc : N TR 772 BILK 21 LOT 2 TR 772 LOT 2 BLK 21 ALL (EX SLY 9 FT) THEREOF AND
Description: ELEC INSTALL ELECTRICAL AND DISCONNECT FOR HEAT PUMP (H2O23-0407)
Owner: KENNIE & JOSEPH RIZZO
Address: 404 62ND ST NEWPORT BEACH, CA 92663
Phone: (909) 273-0213
Applicant; SAUL MARTINEZ
Address: 2075 N SHAFFER ST ORANGE, CA 92865
Phone: (714)998-7879
Owner/Builder :
Address
Phone :
Contractor :
.ABSOLUTE AIRFLOW INC
Address :
14122 WILLOW LN WESTMINSTER, CA 92683
Phone:
(B33)482-2626
Con State Lic :
1049023
Lic Expire:
01/31/2025
Bus Lic:
BT30079754
Bus Lic Expire:09130/2023
Workers' Compensation Insurance
Carrier:
A I U INSURANCE COMPANY
Policy No:
WC053417721
W. C. Expire:
7/1/2023
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction : Occupancy Groups : U
Building Setbacks : Front: 5, Front: 5, Side: 3, Side: 3
Flood Zone: X
Use Zone: RA - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: LIQUEFACTION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 applicent 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 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Iloensure 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 (E50D).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 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
improved 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
apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
❑ I am exempt from licensure under the Contractors' Slate License Law for the following reason:
By my signature below 1 acknowledge that, except for my personal residence In which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as 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
Professions Code, is available upon request when this application Is submitted Or at the following Web site:http://www.toginfo.ca.govicalow.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 70 ) Ivi 3 of the Business and Professto ode, and my license is in full force
and effect. License Class License No Date '� Contractor Signature /
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLURS (000,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNET'S FEES.
affirm under penalty of perjury one of the following declarations:
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
)rmance of the work for which this permit Is issued. Policy No.
have and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers` compensa
ranee carrier and policy number are:
is of Agent
certify that, in the performance of the work
, if I should become subject to theyrorliegp'
of Applicant
Policy Number
Date
this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
atlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Z�
Date
areby 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,
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 th-s apolicalton and the information I have provided is correct.
r Rgrep to comply with all applicable city and county ordinances and slate laws relating to building construction.
I auLrorize representatives of this city or county to an/l� thee -identified property for inspection purposes. / V
nature of PMDertv Uwirer or Authorized Aaent ! / / 7� Print Prooerty Owner's or Authorized Aaen€s game
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61. OF TITLE 40 AND AQMD RULE
PI:A;v,l, �A77RED
tX
PERMITFINAL I "(-l'1•Lj J(C UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
Civil Code).
r)at.