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Home My WebLink AboutE2023-0618 - Permits�eWP�R, City of Newport Beach Community Development Department - Building Division r1 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 cqr F<a��r newportbeachca.gov/civic Electrical Permit Plan Check No : 1538-2022 Work Class : Other Issued Date : 07/13/2023 Final Date: Permit Status: Issued Inspection Area : 6 E2023-0618 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 : 819 GARDENIA WAY Legal Desc : N TR 12245 BLK LOT 37 Description : ELEC REPLACE DISCONNECT *H2O23-0455* 60 ��i D LE CC; Owner: REYNOLDS CRAIG L TR Contractor : R C AIR CONDITIONING & HEATING INC Address : 819 GARDENIA WAY CORONA DEL MAR, CA 92625 Address : 169 N MAPLE ST STE D CORONA, CA 92880 Phone : (949) 887-8820 Phone : (951) 735-8046 Con State Lie : 657924 , Applicant: R C AIR CONDITIONING & HEATING INC Lie Expire : 06/30/2025 Address : 169 N MAPLE ST STE D CORONA, CA 92880 Bus Lie: BT30066849 Phone: (951) 735-8046 Bus Lie Expire:04/30/2024 Workers' Compensation Insurance Owner/Builder: Carrier: STATE COMPENSATION INSURANCE FUND Address : Policy No: 1354374 Phone: W. C. Expire: 7/1/2024 30" WDE X 36" UENTH Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : REQUIRED FOR ; Building Setbacks : Front: 5, Side: 4, Rear: 10 A/C DISCONNECTS Flood Zone : X Use Zone : PC - Jasmine Park j PROCESSED BY: SPECIAL CONDITIONS: I herebyaffirmunder 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) faction 7031.5, Business and Professions Cade: Any city of county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its ISSUanCe, also requires the applicant for to 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 rofessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects ftte applicant to a civil penalty of of more than five hundred dollars ($500). 3 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, :usmass 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 (hat the nprovements are not intended or offered for saler it, 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 nrproved for the purpose of sale). „1 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 ply 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 lirensure under the Contractors' State License Law for the following reason: ;y 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 theimprovements covered by this permit, I cannot legally oil a structure that I have built as an owner -builder If it has not boon constructod to its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofess ons Code, is available upon request when this application Is submitted or at the following Web site:httpJlvyr>r.leginto.ca.govlcalaw,htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perfury that I am licensed under provisions of C �Ier 9 m poling with Sac 000) a Dtvr�sto 3 oft a Iness and Professio od no my Ii • s is i� full force Ind effect. License Class L Z� License No e5 _ZZ7 e -7 !.7 2 0 it for Signature VORKERS' CON111UNSATION DECLARATION ARNING. FAILURE TO a {URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL F ES UP TO ONE HUNDREXTSUAND DOLLARS (S e0n, Ri ADDRION T'O THE 7ST OF "MPENSATION, OAMAGFS AS PROVIDED FOR IN SECTION 37H OF THE LAaOR CODE, INTEREST, AND ATTORNEYS FEES. 'lareby affirm unde, penalty of perjury one of the following declarations: I I hii and will -nnimin a certificate of consent to Belt -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th. 1 n dance of the work for which this permit is issued- Policy No. ve 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' compensator idL once carder and pnlioy number arw }artier Policy Number Expiration Date lame or Agent Phone N '.I comfy that, in the p61',•arman rk for which this permit is issued, Ishall not employ any person in any manner so AS to become subject to the workers' compensation laws of Califdrmat, and agree Tat, if I should n,C,i so to i w ers' Domp atiDrovisians of Section 3700 of the Labor Coda, I shall forthwith Damply with those provisions , ;Iurx'I r±of Appl. ,cIv , 4 hereby affirm under penpily of elfLlry that therq i a ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), ender Name - Lender's Address ty my signature below, t 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 ordn e nd state l>>>aws relating to building construction. I authorize representatives of this city or county to a r ih Bove-idd Arty far inspechan purposes. :ianature of Property Owner or , ent /vcd /%/J iA Print Property Owner's or Authorized ant'S ma ACTION PERMIT EXPIRED PERMIT CANCEYIED PERMIT EXTENDED CERTIFICATE OF OCCUPANCY ISSUED 13Y �tARATION Or CO7yt`R�CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFrul ATiONS pAH t OF TPLE 40 AND ALIMb Rl1LE y, ( U ASHES FOS NOTIFICATION 15 NOT APPLICABLE TO Y f PROPOSED DEMOLITION