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HomeMy WebLinkAboutE2023-0779 - PermitsCity of Newport Beach Community Development Department- Building Division 'p 1y > 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : D8/31/2023 Final Date: Permit Status: Issued Inspection Area : 2 E2023-0779 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 : 126 VIA ORVIETO Description : ELEC A/C DISCONNECT Owner: FREIDSON MAURY TR Address : 126 VIA ORVIETO NEWPORT BEACH, CA 92663 Phone: (714)742-1839 Legal Desc : N TR 907 BLK LOT 84 Applicant: COMMAND AIR CORP Address : 18259 MOUNT BALDY CIRCLE FOUNTAIN VALLEY, CA 92708 Phone: (714)952-3900 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 1.5, Front: 4, Front: 0, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Contractor : COMMAND AIR CORP Address : 18259 MOUNT BALDY CIRCLE FOUNTAIN VALLEY, CA 92708 Phone : (714) 952-3900 Con State Lic : 942279 Lic Expire: 01 /31 /2024 Bus Lic: BT30077640 Bus Lic Expire: 01/31/2024 Workers' Compensation Insurance Carrier : NORGUARD INS CO Policy No : COWC473961 W. C. Expire : 5/4/2024 Fire Hazard Zone : NO ' Occupancy Groups : U ✓Y ro' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable 1leme) Section 7031.5, Business and Professions Code: Any city or county that requires a perreft to Construct, alter. -improve, demolish, or repair any structure prior to Its Issuance, also requires the applicant for he 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 'rofesslons Code) or that he or she is exempt from licensure 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 lot more than five hundred dollars ($500). 1 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 its not intended or offered for sale (Section'7044, 3usinoss and Professions [lode. 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 mprovements 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 bulit or n loved for the purpose of sale). 1, as owner of the property, am Exclusively contracting with licensed Contractors to Construct the project (Seddon 7044, Business and Professions Code: The Contractors' State License Law does not Ippty 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 licensure under the Contractors' State License Law for file following reason- ---_._.. ion of ----- 3y my signature below I acknowledge Thai except for my personal rasidsnca in which I must have resided for at leas[ one year poor to completion of the improvements covered by this permit, I canna! IBgall, Tall a structure that I have builtas an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and �rofssslons Code, Is avaintafe upon request when this application is submitted or at the following Web site:http:lfwww.leginfo.ca.gov(calaw.htmL yignau❑e of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions ofChapter 9 (commencing with Send QQQQQQryryryry��//70 ) f Division 3 of the Business and Pro 1 Coda, and my lee is in f �rea Ind effect. License Glass License No D 2 Contractor Signature VORKERS' COMPENSATION DECLARATION. IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHAH SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ($100A00), IN "Drill TO THE '.DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1709 OF THE LABOR COOS, INTEREST, AND ATTORNKY'S FEES, �hereby affirm under penalty of perjury one of the following declarations, 't ..I I havo and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Rela€ions as provided for by Section 3700 of the Labor Code, for in erformance 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 of Agent Date -1I certify that in the performance D s 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 agre tat, it I should becom sit jeut t workers' con ensate provsia f Section 3700 of the Labor Code, I Shall forthwith comply with chose provisions. signature of Applicant - _ — DatZw_�_:ode). _31 - 23 IECLARATION REGAR ! STRU� hereby affirm under penalty of perjury that there Is a construction lending ageneyfor the performance of the work for which this permit Is issued (Section 3097, enders Name Lender`& Address y 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 cu nply with all applicable city and LOU ty or ances and state laws totaling to building construction. I authorize representatives of [ I^ ^I' or count t e the abov -ide led r any for inspection purposes. .p r y � / ry igrlature of Property Owner or Authorized Agent Print Property owner's or Authorized Aoent's Name Y A4fV`,yV Se9 iGill eta 75 '2%'23 PERMITCANCFUED PERMITEXTENDCD PLNM.h FINAL i CERTirtCAiE OF { OCCDPANCYiSSGED DATF BY M,44TFCLARAfM OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY _4 REGULATIONS PART51 OF TIT'LR 40 AND AQMD RULF 1403 SUBMITTED ASBFSTOS NOTIFICATION 7q u AsuLsroSNOTIHCAtIONiSNOTAPPLICABL1i TO PROPOSED DENiOLITiON