HomeMy WebLinkAboutE2024-0185 - Permits�aEWPoRT City of Newport Beach
O @ Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
C,1�dOR��Pd newportbeachca.gov/civic
Electrical Permit : E2024-0185
Plan Check No:
Work Class : Other
Issued Date : 03/2012024
Final Date:
Permit Status: Issued
Inspection Area : 2
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: 718 MALABAR DR Legal Desc : N TR 1701 BILK LOT 88 TRACT NO 1701 LOT 88 AND POR
Description: ELEC INSTALL (3) DISCONNECTS FOR A/C UNITS (H2O24-0157)
Owner: MURRAY MARK A TR
Address : 718 MALABAR DR CORONA DEL MAR, CA 92625
Phone : (949) 280-5433
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 :
Front: 21, Side: 4, Side: 4, Rear: 10
Flood Zone:
X
Use Zone :
R-1Single-Unit Residential
'AS5
PROCESSED BY:
Contractor : CLIMATE AIR MASTERS INC
Address :
1139 N ANAHEIM BLVD ANAHEIM, CA 92801
Phone :
(951) 288-6822
Con State Lie
: 695854
Lie Expire :
08/31/2025
Bus Lie:
BT30083883
Bus Lie Expire:03/30/2025
Workers' Compensation Insurance
Carrier:
SIRIUSPOINT AMERICA INSURANCE COMPANY
Policy No:
WC4761003
W. C. Expire:
6/25/2024
Fire Hazard Zone : NO
Occupancy Groups:
30" WIDE X 36" DEPTH
REQUIRED FOR
A/C DISCONNECTS
OWNER -BUILDER DECLARATION
I hereby affnn 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 ftem(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
1e 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
'rofessions 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 (S500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
»proved for the purpose of sale).
3 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
poly 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' Slate License Law for the following reason:
ly 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 legall,
all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:hftp:l/www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000}y �vl6 f e Business and Professio nd my license is in full force
and effect. License Class License No Date r� _ L Contractor Signatur
YORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS (4100,0001, IN ADDRx)N TO THE
'.DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the fallowing 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
'ormance of the work for which this 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 permit is issued. My workers' compensa''.
Rance carrier and policy number are:
Policy Number
Date
to of Agent Phone p
certify that, in the performance of the work for which this e s e
rsd, I shall not employ any person in any manner so as to become subject to the workers compens tion Ia of California, and agre
if I should become subject to the worke' corn n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
wture of Applicant �ZU
Ireby affirm ,der pt!MI perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Iders Name Lender's Address
mS signature 7ee,,f, I certify to each of the following:
am the property owner or authorized to act on the property owners behalf. �1I(y� / /� Ojohave read t ps appluantaafion and the tyfor county) have prov rec�pyppv g ✓"" agree to comp.y with all applicable city and county ordinances and slate I relating to building construction.I authorize re re�enlatives oT this sit or coup to ent Fhe abo »lifted ro erl for ins ection our oses.
nature of Plo✓�,r,v Owner or Authorized Agent Print Pro ertOwner's or Authorized A enl's Name
O'TIUN DATE
B�DEC
ATION OF COMPLIANCE WITH CODE OF FEDERAL
IATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PERMIT EXPIRE?
I SUBMITTED ASBESTOS NOTI FICATION TO
PERI.7IT CANCE'LE9
UEPA
PERMITEXTENDCE'
AQMD
PERMITFWAL
CERTIFICATEOF {
OCCUPANCY ISSUED
D �
ASBESTOS ION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: