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E2023-0800 - Permits
City of Newport Beach II IIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit : E2023-0800 p4 e Community Development Department - Building Division E 2 0 2 3 0 8 0 0 Plan Check No : 100 Civic Center Drive, Newport Beach, CA 92660 Work Class : Other cq� 4 nN�P Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic _ �3 STR f GTION WORK `s Issued Date : 0911112023 Final Date: N�®�`,' fllJ iJ N Permit Status: Issued 1-Inspection Area : 2 ON SATUR®AY5 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 : 309 ONYX AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 18 LOT 32 BALBOA ISLA Description : ELEC - DISCONNECT FOR INSTALLATION OF NEW HEAT PUMP Owner: DARREN ZINZER Contractor : COMMAND AIR CORP Address : 337 1/2 E BAYFRONT Address : 18259 MOUNT BALDY CIRCLE FOUNTAIN VALLEY, CA 92708 Phone : (916) 832-0155 Phone : (714) 952-3900 Con State Lic : 942270 Applicant: COMMAND AIR CORP Lic Expire : 01/31/2024 Address : 18259 MOUNT BALDY CIRCLE FOUNTAIN VALLEY, CA 92708 Bus Lic : BT30077640 Phone: (714) 952-3900 Bus Lic Expire: 01 /31/2024 Workers' Compensation Insurance Owner/Builder: Carrier: NORGUARD INS CO Address : Policy No : COWC473961 Phone: W. C. Expire: 5/4/2024 Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : !.'O Occupancy Groups : R3/U Building Setbacks : Front: 8, Side: 4, Side: 4, Rear: 5\' Flood Zone : X Use Zone : R-BI -Two-Unit Residential, Balboa Isla��i- PROCESSED BY SPECIAL CONDITIONS: -..- r- -� ii_d L: �,� d n 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 item(s) (Section 7031.5, Business and Professions Coder Any city or county that requires a perrnit t0 ConstruLct, alter, 'improve, demolish, or repair any structure, poor to its Issuance, also requires the applicant 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 (fcensure 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 ($500). ❑ 1, 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 is riot Intended or offDred for sale (Section 7044, Business and Professions Code The Contractors' State Llcense Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the lmprovements are not intended or offered for sale, If, however, the building or improvementis sold within one year of Completion, the Owner -Builder will have the burden of proving that it was not built or I roved for the u ose of sale). - i, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: Tile Contractors' State License Law dees not ar�prply in 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). U I am exempt from licensure under the Contractors' State License Law for the following reason _ By my signature belove 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 agail, sell a structure that I have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. I understand that a ropy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application is Submitted or at the following Web site:http:Rwww,ioginfo ca.govlcalaw.html, Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisu3ns of Chapter 9 {commencing with Section 7 00 of wisi0n 3 of the Business and Pr- essio odan and no `•er, ' In f Gf(rrce and effect. License Class License No D� "2 Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR TNOVSAND DOLLARS F1100.000), IN ADDITION TO THE COST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. '"h'Iereby affirm under penalty of perjury one of the following declarations: �] I 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 In �pgormance 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 10 of Agent _ Date I certify that, in the performance the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre t, if I should become subjac wodters` camps anion provl ? Seni n 3700 of the Labor Code, shall forthwith comply with those provisions. ( 2 mature of Applicant ,,, ,.-,. _a CLARATION REO 4 NSTRUC LEN.CI�u CY ureby affirm under pen y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)„ ider's Name Lenders 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 this application and the information I have provided is correct, I agree to comply with all applicable city and county Crib ces and state laws relatl o building construction I authorite representatives of this city or county to a he bbJove-adentlfled pr y � r inspection purposes. /� d / q return of PmnRrty OwriAI' nr Anth.ill.rl Ananr. / //J3 /d��i Rr�nf Prnnartu ll u,er c nr A�itHnri>.wri dnnnl'c Name/ P-41V I9V SC/,%i)f_ k!iCw ACTION PERMIT EXPo?EO PERMIT CANCEL€£© PER MIT EXTENDED .-__._____.. _______ PERMIT ANAC CEftVFICATE OF OCCUPANCY ISSU£.7 HATE I BY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 D •,S- l iJ U ASBESTOS NOTIFICATION IS NO APPLICABLE TO € PROPOSED DEMOLITION SIGNATURE: FOR orna USE ONLY