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Home My WebLink AboutE2023-0927 - Permits4 �EWPORr City of Newport Beach O Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 yr S Permit Counter Phone: (949) 718-1888 C4<�OM1�"P newportbeachca.gov/civic IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II Electrical Permit: E2023-0927 E 2 0 2 3 0 9 2 7 Plan Check No : Work Class: Other Issued Date Final Date: Permit Status: Applied 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 : 205 SAPPHIRE AVE Legal Desc : A TR BALBOA ISLAND SEC 2 BLK 9 LOT 3 Description : ELEC DISCONNECT FOR HEAT PUMP *H2O23-0724* Owner: VALERIEHOLLINGSWORTH Address : 205 SAPPHIRE AV NEWPORT BEACH, CA 92662 Phone : (760) 445-5075 Applicant: BAKER ELECTRIC HOME ENERGY Address : 2120 HARMONY GROVE RD ESCONDIDO, CA 92029 Phone : (760) 546-6000 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY SPECIAL CONDITIONS: Contractor : BAKER ELECTRIC HOME ENERGY ' Address : 2120 HARMONY GROVE RD ESCONDIDO, CA 9P029,'., Phone : (760) 546-6000 ' Con State Lic : 858088 Lic Expire : 04/30/2025 Bus Lic : BT30078039 • • ' Bus Lic Expire: 01131/2024 Workers' Compensation Insurance " Carrier: OLD REPUBLIC INSURANCE COMPANY Policy No : MWC31255523 ' W. C. Expire: 3/1/2024 Fire Hazard Zone : NO Occupancy Groups: 30" WIDE X 36" DEPTH REQUIRED FOR A/C DISCONNECTS I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the ressori indicated bt:,iow by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Cade: Any city or county that requires a permit fo 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 leensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora. 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 I_) 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 employeesor personal effort, builds or improves the properly, 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 trmyproveil for the purpose of sale). IJ 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State 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' State License Law), ❑ I am exempt from licensors 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 legall, sell a structure that 1 have built as an owner -builder if it has not boors constructed In its entirety by licensed contractors.. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application Is submitted or at the following Web site:http:/! vw.leginfo.ca.govlcalavr.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under prnally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Si ass and Professions C e, and my license is In full force and effect Llcal se Cless License No D e� ��'2- Cbntr for Signature �- M(1PK'fRS' COMPENSATION DECLARATION NARNING FAILURt "1`0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER IMINAL PENALTIES AND CIVIL FM UP TO ONE HUNDRED THOUSAND DOLLARS i$100A00), IN AODrTION TO THE COST C? COMPENSATION, OAVtAGES AS PROVIDED FOR IN SECTION 0704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. her- Ly affirm under penalty of perjury one of the following declarations: I have and Writ, ma,ntain a certificate of consent 10 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh dc, I Lance of the work for which this permit Is issued. Policy No. vo and Y'IP ms'nWin 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' compensatiol nsui carrier and policy number are: ;arrier _ G �\ �.Ql�\NC Policy Number Mw c Expiration Date Jame or Agent JT Phone !# 11 certfy that, on 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 hat, it I should b^.cc -6 subject to the workers omporealion provisions of Section 3700 of tire Labor Code, I shall forthwith comply With those provisions. ilgnature of AD cant, pa tt'17 )ECLARATt EGARDING CONSTRUCTI N LENp1NG AGENCY-��..._.........____..�.......�_-""— J her affirm un er 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 Cade). -ender's Name Lender's Address 3y my signature below, I 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 Groin cos and state laws relating to building construction. I authorize representatives of this cis county [D enter a above -identified property for inspection purposes. 3i ,nature of Property Ownar or Authorized A I Print Property Owner's or Authorize ent's Name�/ ACTION DATE _,,-BA ) DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONL •. r v KGsULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED -1 ,.,.., , , , , ) 0 I SUBM€TIED ASBESTOS NOTIFICATION TO PERMITENTENDED _ Nv t-TUACMD_ U IT PERMFINAL - LL`II- v +- - ASBEsTos NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSEODEMOUTION OCCUPANCYISSUED i SIGNATURE