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Home My WebLink AboutE2023-0513 - PermitsQ aEWPORT City of Newport Beach IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit : E2023-0513 p e Community Development Department - Building Division E 2 0 2 3 0 5 1 3 n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: G y� S Permit Counter Phone: (949) 718-1888 Work Class : Other cy'" r�r newpodbeachca.gov/civic Issued Date : 06/07/2023 FOP Inspection Area : 1 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 : 121 BAY AVE E Legal Desc : A TR EAST NEWPORT BILK 1 LOT 5 Description: ELEC NEW CIRCUIT FOR FUSE DISCONNECT FOR NEW A/C (H2O23-0373) Owner: PEARSON JEFFRY K / PEARSON KARIN L Address : 121 E BAY AVE NEWPORT BEACH, CA 92661 Phone: (949)375-8421 Applicant: LUKE VUJNOVICH Address : 311 COLLEEN PL COSTA MESA, CA 92627 Phone: (949)345-5098 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : ABC HEATING AND A/C Address : 306 COLLEN PL COSTA MESA, CA 92627 Phone: (949)756-0064 Con State Lie : 940181 Lie Expire : 11/30/2023 Bus Lie: BT30043258 Bus Lie Expire:03/31/2024 Workers' Compensation Insurance Carrier : STATE FARM FIRE & CASUALTY CO Policy No: 92GOG2871 W. C. Expire: 9/24/2023 Fire Hazard Zone : NO Occupancy Groups: R3/U NO CONSTRUCTION NOISE c, r C I` TrTOP?3,D jtQVF„Trr (?,q ')N THE WEEKEND 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 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 is permit to Ole a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License. Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from Iicensure and this 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 at more than five hundred dollars ($500). 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 structureis not intended or offered for sale (Section 7044, rusiness 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 nyproved for the purpose of sale). J I, 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 pply 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 I am exempt from licensureunder the Contractors' State License Law for the following reason: iy 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 all a structure that I have built as an owner-bulider if it has notbeen constructed in itsentirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.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 7 0 of Division 3 of the Business and Profass'gns ode,�rfd my Iida��selsin full force nd effect. License Class License No Date 'LS Contractor Signature 5? Jt ,y{'j/"LL VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE Tn SRaURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNN. FRIES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. iereby ifirm under penalty of perjury one of the following declarations: hove 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 ifr,ance of the work for which this permit Is issued. Policy No.. and will meirtaln 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' carter and policy number. are; Polley Number. Expiration Date of Agent JI certif7 that, in the pa;Tormance, of the work for 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 agree fat, if I should be^cme bjjeecl tope workk its�' co/q,'I�p�t p/s�yti/0 provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. / ilonalwe Of Appdcenl _ T — !N r"' 1 Y-!'//./'� Date O — IECLARATION ;XcGA32 LNG C STRU�DNNDI AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work (or which this. permit is issued (Section 3097, Civil Code), enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owne(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 to Titer a abov ' ' ' arty for inspection purposes. / I�� `` // , signature of Property Owner or Authorized Agent � Print Property Owner's or Authorized ADent's Name rn L&4ke Vc d Lovi A r)ar,, ACTION I DATE ( BY ' I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART61. OF TITLE 40 AND AQMD RULE TO PERMIT EXTENDED I I I I I "QMO PERMIT FINAL & 13 Z} 1 R ASBESTOS NOTIFICATION ESNOT APPLICABLE TO CERTIFICATEOF ✓ PROPOSED DEMOLITION OCCUPANCY ISSUED .SIGNATURE: