HomeMy WebLinkAboutE2023-0678 - Permits�EwaoRr City of Newport Beach IIIIIIIIIIIIIIIII'llll�llllllll II
p� bm Community Development Department - Building Division E 2 0 2 3 0 6 7 8
> 100 Civic Center Drive, Newport Beach, CA 92660
u = Permit Counter Phone: (949) 71B-1888
cy Nor newportbeachca.gov/civic
Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 07/28/2023
Final Date:
Permit Status: Issued
Inspection Area : 5
E2023-0678
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: 4601 CAMDEN DR Legal Desc : N TR 3357 BILK LOT 134
Description : ELEC R/R ELECTRICAL DISCONNECTS FOR HVAC (H2O23-0484)
Owner:
JENNIFER SIMPSON
Address :
4601 CAMDEN DR NEWPORT BEACH, CA 92625
Phone:
(949)836-4015
Applicant:
Aura Energy Compliance
Address :
4370 Palm Ave., Ste. D250 San Diego, CA 92154
Phone:
(714)804-8886
Owner/Builder:
Address
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 6, Front: 30, Side: 6, Side: 6
Flood Zone:
X
Use Zone :
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
03 c
Contractor : ALISO AIR INC
Address :
29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARIT!
92688
Phone :
(949) 589-2021
Con State Lie
: 526420
Lie Expire :
03/31/2024
Bus Lie :
BT30019236
Bus Lie Expire:02/28/2024
Workers' Compensation
Insurance
Carrier :
LIBERTY MUTUAL INSURANCE COMPANY
Policy No:
WC2Z61036218093
W. C. Expire:
7/1/2024
Fire Hazard Zone : NO 30" WIDE X 36" DEPTH
Occupancy Groups: U
FEQUI'?r7^ C^q
)VC D►SCc,.' . -_,
30" WIDE X 36" DEPTH
REQUIRED FOR
A/C DISCONNECTS
CA
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 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
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
'professions 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
of more than five hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
.usiness 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
nprovements 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
uproved for the purpose of sale).
1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
pply to an owner of property who builds or improves thereon, and who contracts ror the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from Ifcensure under the Contractors' State License Law for the following reaserr:
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 legally
all a structure that I have built as an owner-bullder 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginio.ce.gov/calaw.html,
signature of Property Owner or Authorized Agent _____ Date___ _
.10EN'.SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TODD) of D€€vision 3 of the Business and Profession odB y license is in full force
no effect. License Class License No Date ZglT.3 Contractor Signature itti
VORKERS' COMPENSATION DECLARATION
'ARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS1100.0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S f FEE.
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
rmance of the work for which this permit Is issued. Policy No.
and will maintain workers' compensation insurance, as requiredby Section 3700 of the Labor Code, for the performance of the wadi for which this permit is issued. My workers'
carrier and policy number are.
Policy Number Expiration Date
of Agent Phone N _
certify that., in the performance of the Work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^1�
nature of Applicant ._ /L•-. r ...__.n.-._--.. ._...___...._......._'__.____........................_._.,_......,._,._._.....,....._. Date..__._ /L,_6z Z3
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
weby affirm Linder penalty of perjury that there Is a construction lending agencyfor the performance of the Work for which this permit Is issued (Section 3097, Civil Code).
Ider's Name _ Lender`s Address
my signature bSlow, cerhly to each of the fnllo�,viny:
I am the property owner or authorized to act on the property owner's behalf.
I have read tms application and the information I have provided is correct..
I agree to co,T,p,y withall applicable city and county ordinances and state laws relating to building construction.
' rc`.horize : aprusanlalives of this city or county to enter thg,above-identified property for inspection purposes. .
Date
AC; ION
DATE
BY p DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 ANT) AQMD RULE
1403
PERAvi EXpPRED
1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT ANGELLEJ
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...
PERM IT EXTENDED
.. ...
, umlI INAL
CERTIFICATE Of
I C `
IaQMD
n L„-I ASBE5fOS NOTIFICATION IS NOT APPLICABLE TO
J� PROPOSED DEMOLITION
1CCUPA'1CYISS6EO
SIGNATURE!