The URL can be used to link to this page

Home My WebLink AboutE2023-0748 - PermitsCity of Newport Beach m, Community Development Department - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 C11/'I on r11� newportbeachca.gov/civic - 1111111111111111111111111111111111111111111111111jjj jj Electrical Permit : E2023-0748 E 2 0 2 3 0 7 4 8 Plan Check No : Work Class : Other Issued Date: 0812412023 Final Date: Permit Status: Issued Inspection Area : 4 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 : 18 HERMITAGE LN Legal Desc : N TR 7223 BLK LOT 107 Description: ELEC REPLACE DISCONNECT'H2O23-0546" Owner: KIMBERLY DOHERTY Address : Phone : (949) 923-0506 Applicant: AIR CONCEPTS Address : 801 S. LAKEVIEW AVE #E PLACENTIA, CA 92870 Phone : (714) 779-1000 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY SPECIAL CONDITIONS: Contractor : AIR CONCEPTS i Address : 801 S. LAKEVIEW AVE #E PLACENTIA, CA 92870 Phone : (714) 779-1000 Con State Lie : 534722 Lie Expire : 08/31/2024 Bus Lie : BT30075249 , Bus Lie Expire:05/31/2024 , Workers' Compensation Insurance Carrier : ACE AMERICAN INSURANCE COMPANY Policy No: C70047500 W. C. Expire: 10/1/2023 , Fire Hazard Zone : NO 30" WIDEX'Va DE13TH Occupancy Groups : U REQLAEID F� A/C DIS130NMGTS OWNER -BUILDER DECLARATION I hereby affirm under penally 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(a) (Section 7031.5. Business and Professions Cade. 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 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 ilcensure 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 not intended or offered for sale (Section 7044, Business 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 properly, provided that the improvements 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 improved for the purpose of sale). ❑ 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 apply 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' Slate License Law for the following reason. __- ________ By 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 legal) sell a structure that l have built asan owner -builder if it has not boon constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:U,' w",Ieginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _ Date,__ LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Secti 700 Division 3 of the Busine sine(and Profession Code, y lic a ense is In full force _of and effect. License Class License No Dat O' Con Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE UNDRED THOUSAND DOLLARS tEl eDAae), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penally 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 th kef�lmanca of the work for which this pir'mil is issued. Policy No. tainend will mainworker<' 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' compensatioanee Th. GarriaC and policy number arm: er _ Policy Number Expiration Date Name of Agent Phone # ❑I 'compensation certify that, in the p ,. rmancu or tin work for which this permit is issued, P shall not employ any poison in any manner so as to become subject to the worker laws of California, and ogre Iihat, II I should becor sebact to the workers' par}5atidn provisions of Section 3700 of the Labor Code, I shall PortYawilh comply Will those provisions. Signature of AD �ICJ_._.�1- 2-3DECLARATION nt _ ._._,.,�.J97 .._..Ihereby CAF7fF1G G+NSTFcUC I�N,OING AGENCY affir n r penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Sectionivil ode). Lomder's a Lender's Address _ By my signature belch, Fdertify to cacC. of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct I agree to comply with all appifc le City and county ordinances and state laws relating to building construction. I authorize representatives o is city or county to ante the abov tified property for inspection purposes. _� J Si nature of Properly Owner or utl razed Agent Print Property Owner's or Authorized is Name -'^. t c'r Jo / n - to ' L!{` ACTION E Of By DECLARATION OF COMPLIANCE WITH CODE OF FE DER FOR OFFICE USE O Y REGULATIONS PART 51 OFTITLE 40 AND AQMD RULF 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMF CANCELLED ❑EPA PERMIT EXTENDED . i QAOMD pSRMITFWAI IUS NOTIFICATION 15 NOT APPLICABLE TO CERTIPCATEOE -/ASBES ��yl 22 //�^ PROPOSED DEMOLITION ��777 OCCUPANCYISSUED / / SIGNATURE: 6C3