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Home My WebLink AboutE2023-0763 - PermitsCity of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-18B8 newportbeachca.gov/civic II�III�I��I�IIIIIII��I�IIII��I II Electrical Permit : E2023-0763 F 2 0 2 3 0 7 6 3 Plan Check No : Work Class : Other Issued Date : 08/29/2023 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 : 44 HILLSDALE DR Legal Desc : N TR 11785 BILK LOT 4 UN 20 TR 11785 LOT 4 UNIT 20 Description: MECH R/R HEAT PUMP AT SIDE **TAMPER RESISTANT. CAPS REQUIRED & TIMERS PROHIBITED** Owner: MARINUS VOS Address : 44 HILLSDALE DR #26 NEWPORT BEACH, CA 92660 Phone: (310)460-8300 Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818)735-7876 Owner/Builder Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: PC - Aeronutronic Ford QS Contractor : JUST RIGHT SERVICES PLUMBING HEATING & & A/C Address : 23462 PERALTA DR LAGUNA HILLS, CA 92653 Phone: (949)228-2108 Con State Lic : 970383 Lic Expire : 04/30/2024 Bus Lic: BT30066798 Bus Lic Expire:04/30/2024 Workers' Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1452087 W. C. Expire: 7/15/2024 Fire Hazard Zone : NO Occupancy Groups: U 30" WIDE X 36" DEPTH REQUIRED FOR SPECIAL CONDITIONS: A/C DISCONNECTS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the chackmark(s) I have placed next to the applicable items) (Sedlon 7031.5.. Business and Professions Code: Any city or count' 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 70DO) of Division 3 of the Business and Professlons Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permd subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 11 I, as owner of the ;property, or my employees with wages as their sole compensation, will do L) all of or L) 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 property, 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-Suilder will have the burden of proving that It was not built or improved for the purpose of sale). Q 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale Licensee Law does not lapply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I� I am exempt from licensors under the Contractors' State License Law for the following reason IBy my signatura below I acknowledge that, excolet 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 legally sell a structure that I have built as an ovrner-builder If it has not been constructed in itsentirety by licensed contractors. t 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:I/www.leginfo_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 provisions of Chapter 9 (commencing with Section 700 on of the Business and P ions Code, and my license is in full force and effect. License Class License No Date Z Contractor 5Jgriffu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG ND DOLLARS (ff40.0e0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 6766 OF THE LABOR CODE.. INTEREST', AND ATTORNEY'S FEES. I hereby affirm untler penalty of perjury one of the following declarations: 13 1 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 performance 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 �I certify that, in the performance of work for which this permit ie�I shall not employ any person in any manner so as to become subject to the workers' compe at' 6ws.. a,and agree wl, i(I should become subject In wvnrkers' Compel au ovislons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _____ Date_---. tEG LARATION REGARDING CONST _ION LENDING AGENCY hereby affirm tinder penalty of atthere is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). ander'a Nam P. ..._...,—.._..._..—�___.._._ Lender's Address ly my signature bAlun!T certify toeachof tha following. I ant Ole 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 aid county anew and state laws relating to building construction. I authorize representatives of this city or county to ter the above identified property for inspecllon purposes. innature of Prooelty Owner„ Au,honced Apent _ _ Ptnni Property Owner's or Authorized Agent's Name ACTION DATE BY 1 D€CLARAT{ O PJANCE Vs ITh CODE OF FEDERAL FOR OFFICE USE ONLY RF SPART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED ILILJ I SUBMITTED ASBESTOS NOT] FICATION TO PERMIT EXTENDE / LJAQMD PERMI7 ElNAt ,� - / y�0ASHrST05 NOI[FICA 'rION 15 NOT APPUCABLI: TO CERTIF CATE OF ✓ ��d' PROPOSED DEMOLITION OCCUPANCY65UrD _ (� SIGNATUREt Zit