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Home My WebLink AboutH2023-0586 - Permitsa'�-WPoR� City of Newport Beach Q p � Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 to i Permit Counter Phone: (949) 718-1888 1q r `L,y F00.N� newportbeachca.gov/civic a/ Mechanical Permit Plan Check No : Work Class : Other Issued Date : 09/08/2023 Inspection Area : 6 H2O23-0586 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 : 27 JASMINE CREEK DR Legal Desc : N TR 8426 BLK LOT 51 Description: MECH - R/R 4 TON AC. TAMPER REISTANT CAP REQUIRED Owner: FERN D RAJIC Address : 27 JASMINE CREEK DR NEWPORT BEACH, CA 92625 Phone : (714) 928-1253 Applicant: JERMAINE MAEWEATHER Address : 3675 RUFFIN RD. SAN DIEGO, CA 92123 Phone : (619) 677-8487 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks : Flood Zone : X Use Zone : PC - Jasmine Creek PROCESSED BY: govk SPECIAL CONDITIONS: Fire Hazard Zone Contractor : BAKER ELECTRIC HOME ENERGY Address : 2120 HARMONY GROVE RD ESCONDIDO, CA 92029 Phone : (760) 546-6000 Con State Lie : 858088 Lie Expire : 04/30/2025 Bus Lie : BT30078039 Bus Lie Expire: 01 /31/2024 Workers' Compensation Insurance Carrier : OLD REPUBLIC INSURANCE COMPANY Policy No: MWC31255523 W. C. Expire: 3/1/2024 NO Manufacturer: (: t -, 2 <� Model# :3�; ;u1UZA a ird AA3 1 +"°� *ems �-- •�. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perfury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(s) Section 7031.5, Business and Professions Code'. 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 lie permit to file a signed statement that he or she Is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and crofessfons Code) or that he or she is exempt from licensure 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 Tot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Codal 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 of Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it Was not built or 'moroved for the purpose of sale'). ❑ 1. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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' Stale License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for file following reason „_ __ ._ _......... . ...._....... .. By my signature below l 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 legallt sell a structure that I have built as an owner-buildar 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 Professions Code, is available upon request when this apphraten Is submitted or at the following Web site:http:7iwww.leginfo.ca.govlcaiaw,html. Signature of Property Owneror Authorized Agent ..�.—..�.—.-.------ eta LICENSED CONTRACTOR'S DECLARATION r I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o rsn a Business and Professi Code, and my license is in full force and effect. License Class License No Date Dntractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDES FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 'ormance of the work for whichthis permit is. issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permll is issued. My workers' compensa Trance carrier and policy number are: Policy Number of Agent Ripe] —1I certify that. in the performance of the work for will this permit issued, I shall not employ any person in any manner so as to become subject to the workers' compensetion laws of California, and agre mL, it I should become subject to the workers' compe sa n visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lgneture of Applicant „_ Date tECLARATtON REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3007, Civil Code). .enders NameLender's Address ly my signature below, I certify to each of the following: I are the property owner or authorized to act on the property Owner's behalf. I have read this application and the IMorma lion 1 have jBrovided is correct.. I agree to comply with all appl cable city and "Unity .1 finances and state laws relating to building construction. I authorize representatives of thiH city or count" to Per the atl,�^ tilled property for Inspection purposes. ;iunature of Prooedv Owner or Aulh,ozed Agent _ '� _Print Property Owner or Authorized Agent's Name ACTION FXPlaI DATE Ry nEC'AP'A110N OF COMPLIANCE WITH CODE OF FEDERAL RFGLIIATIONS PART 61 OF TITLE 40 AND A0W10 RUIF NOTIFICATION TO PEPoVr(T FXTFNOED AOCiD _ PFRMIT FINALASBESTDSNOIIFICATISNOTAPPLICABLE TO CERTIFICATE OF--�l�dl �� ONI -- '. PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: FOR OFFICE USE ONLY