HomeMy WebLinkAboutE2023-0216 - PermitsEWPoRT City of Newport Beach
Community Development Department- Building Division
y. 100 Civic Center Drive, Newport Beach, CA 92660
J 1,Pj S Permit Counter Phone: (949) 644-3288
cgr'F`. aN�r Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
11IIIIII111111111111111111111111111111111111111111II jj Electrical Permit : E2023-0216
Plan Check No:
Work Class : Other
Issued Date : 03/17/2023
Inspection Area :6
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 : 606 NARCISSUS AVE Legal Desc : A TR`CORONA DEL MAR BLK 641 LOT 8
Description : ELEC - MFR INSTALL (1) ELECTRICAL OUTLET
Owner: LONG KENNETH E TR
Address : 606 NARCISSUS AVE CORONA DEL MAR, CA 92625
Phone:
Applicant : GOETTL AIR CONDITIONING & PLUMBING
Address : 532 MALLOY COURT CORONA, CA 92880
Phone : (714) 462-8174
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY.
II \
Front: 20, Side: 3, Side: 3, Rear: 5
X
R-2 - Two -Unit Residential
SPECIAL CONDITIONS: HIGH -DENSITY
Contractor : GOETTL AIR CONDITIONING & PLUMBING
Address : 532 MALLOY COURT CORONA, CA 92880 „
Phone: (714)462-8174
Con State Lic : 10477BI
Lic Expire: 12/31/2024
Bus Lic: BT30077958
Bus Lic Expire:02/28/2024 ,
Workers' Compensation Insurance
Carrier : STARR INDEMNITY & LIABILITY CO
Policy No: 1000004860
W. C. Expire: 12/1/2023
Fire Hazard Zone : NO
Occupancy Groups : R2 '
NO CONSTRUCTION NOISE
ON THE WEEKEND
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License taw for the reasons) indicated below by the checkmark(s) i have placed next to the applicable item(s)
3eodon 7031.5, Business and Professions Code. Any city or county that requires a permit fo construct, alter, improve, demolish, or repair any structure, prior to its Issuance. also requires the applicant for
1e 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
'rofassions Code) or that he or she is exempt from licensure and the basis for the alleged exemption, Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do L_) all of or (_) portions of the work, and the structure is not Intended cr offered for safe (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply loan 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. It, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it Was not built or
n roved for the purpose of sale)
I, as owner of the property, am exclusively contracting with licensed Contractors to constrict the project (Section 70444, Business and Professions Code: The Contraotors' State License Law does not
pty 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
�y my signature below I acknowledge that, exceptfor 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 asan owner -bulkier 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
'rofessions Code, is available upon request when this application is submitted or at The following Web site:htip:ftwww.leginfo.ca.govtcalaw.html.
Ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f t of the Businessgr a, and my license is in full force
nit affect. License Class License No date ContractD urc� _
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE T4 ZLC'JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDIDON TO THE
1"T OF COMPENSATION, DAMAGES AS PROVIDER FOR W SECTION 37011 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm u,de,, nei.aity of perjury one of the following declarations;
t havd and will maintain a certificate of consent to self -insure for workers' compensatlon, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
brmance of thin work for which this permit is issued_ Policy No.
4i'le and will maintJ••n 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' compensa
series batter and rcicy number are.
Policy Numbtr. Expiration Date
of Agent Phone # _
Catti`y that,'n the' performance of the work for Which this permit is Issued, I shell not am ploy any person In any manner so as to become subject to the Workers' compensation laws of California, and agto
it I should became subject to the workers compensation provisions of Beaten 3700 of the Labor Code,. I shall forthwith comply With those provisions.
iature of Apoln"m — Data t2- 7
I hereby affirm under penal at there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Lenders Name Lender's Address
By my signature below —Cal 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 rect.
I agree to comply with all applicable City and county oralhorIEDs and state laws relating to building construction. i
I authorize representatives of this City or County to e rove -identified r inspection purposes, f-7 lJ
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name lity
ACTION DATE B TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGUI,ATICINS PARTbt OF IITLF. 40 AND AC1M0 AU LL
1403
PERMIT EXPIRED
NOTI
PERMit FINAL LJASBESTOSN Ft' CABLE To
CERTIFICATE orPRO
OCCUPANCY ISSUED