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Home My WebLink AboutE2023-0211 - Permits (2)�EWPoRT City of Newport Beach D� �c'n Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIIE 2 001��I�� II Electrical Permit Plan Check No: Work Class : Other Issued Date : 03/15/2023 Inspection Area : 3 E2023-0211 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 : 1722 ORCHARD DR Legal Desc : N TR 456 BLK LOT 19 TR 456 LOT 19 NWLY 62 FT SELY 120 FT NEL Y 290 FT Description: ELEC (1) NEW CIRCUIT AND FUSE CONNECT FOR A/C Owner: WILL PRIOLEAU Address : 1731 ORCHARD DR NEWPORT BEACH, CA 92660 Phone: Applicant : LUKE VUJNOVICH Address : 311 COLLEEN PL COSTA MESA, CA 92627 Phone: Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone: SP-7 - Santa Ana Heights Specific Plan PROCESSED BY SPECIAL CONDITIONS: Contractor : ABC HEATING AND A/C Address : 306 COLLEN PL COSTA MESA, CA 92627 Phone: (949)756-0064 Con State Lie : 940181 Lie Expire : 11/30/2023 Bus Lie : BT30043258 Bus Lie Expire:03/31/2023 Workers' Compensation Insurance Carrier : STATE FARM FIRE & CASUALTY CO Policy No: 92GOG2871 W. C. Expire: 9/24/2023 Fire Hazard Zone : NO Occupancy Groups : R3/U JOR OWNER -BUILDER DECLARATION I hereby affirm under penalty 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(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 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 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 not 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 (_) portions of the work, and the structure is notintended 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 -Builder will have the burden of proving that It was not built or improved for the purpose of sale). 11 I, as owner of the properly, am exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Low does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' State 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 I have built as an ovrner-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 application Is submitted or at the following Web siterhttp://www.leginfo.ca.gDVlCalaw.html, Signature of Property Owner or Authorized Agent _ ,-,- Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Div'l�ion 3 of the Business antl Profe scans Cg s. and �y jfc9asg is In II force and effect. License Class License No Date 3'—IS_?_ Contractor Signature .- �` :%?f/L WORKERS' COMPENSATION DECLARATION. NARNIi FAILurE 70 SE:URE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CWIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS iSi00.000), IN ADDITION TO TH COST OF COMPE,.sATOA, DAMAGES AS PROVIDED FOR IN SECTION 310E OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES, I hwob affirm under penalty of perjury one of the fallowing declarations: QI have and, wFI mr.intain 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 ll ae�rormgnooe of the work for which this permit is issued. Policy No. _ and 'all man.tain 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. Expiration Date & Agent. _ Phone N _ La,efy that,. in theoerformance 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 If I should uecorne subject tVhe worjfers' cofnpensation,pfovisions of Seclion 3700 of the Labor Code, I shall forthwith comply with those provisions. Of 5-I5-23 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 3097, Civil Code). Ender's Name Lender's Address _ y my signature below, t 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to to the di d prop for inspection purposes. // / innathue of Prnnerty Owner or Atilhoniad Annul T -'e.�ZL� rZ Print Prooartv OwnaPs or Aulhnrizarl Aoenl'S Nam. � zlitke ✓ "�Jl�(tJ✓I �Gf ACTION DATE BY i DECLARATION OF OD fPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY (( REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMITEXPIRED ?0 I SUBMITTED ASBESTOS NOTIFICATION TO EPA PERMITCANCELLED PERMIT EXTENDED_T _ L1AgMp ASBESTOS X � 0POSED DEMOLITONION iS NOT AVFIICABLE TO CERTiFICATEOf „I .1 1� OCCUPANCYISSL) I (z V I� 5 R