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HomeMy WebLinkAboutE2024-0162 - Permits��gaaoRr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 71 B-1888 C9�ORN\P newportbeachca.gov/civic iiiiiiiiiii II Electrical Permit Plan Check No : Work Class : Other Issued Date : 03/13/2024 Final Date: Permit Status: Issued Inspection Area : 6 E2024-0162 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 : 720 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BLK 737 LOT 22 Description: ELEC - AC DISCONNECT & ADD 35 AMP CIRCUIT (H2O24-0137) Owner: KATHLEEN SKIBICKI Address : 202 TERRAMAR SAN CLEMENTE, CA 92673 Phone: Applicant: SAUL MARTINEZ Address : 2075 N SHAFFER ST ORANGE, CA 92865 Phone: (714)998-7879 Owner]Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - T o-Unit Residential PROCESSED BY: Contractor : ABELL HVAC Address : 29501 ANA MARIA LN LAGUNA NIGUEL, CA 92677 Phone: (949)702-7451 Con State Lie : 1035909 Lie Expire : 08/31/2025 Bus Lie : BT30083832 Bus Lie Expire:03/31/2025 Workers' Compensation Insurance Carrier : CLEAR SPRING PROP. Policy No: CWCO2455800 W. C. Expire: 8/29/2024 Fire Hazard Zone : NO Occupancy Groups: I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasen(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 pormit 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 heartache andthe basis for the alleged exemption. Any violation, of Section 7031.5 by any applicant fore 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 L) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business and professions Cade: 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 Improved for the purpose of sale). F, 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 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). El 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 the improvements covered by this permit, I cannot legall, sell a structure that I have built asan owner -builder if it has not been constructed in its entirely 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 site:htip:ttwww.leginib.ca.govlcalaw.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 700q) of bis'rgn of the Business and Professions ode an y license is in full force and effect. License Class License No Date 7—� C Contractor Signature �7 WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORBERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby af£Irm under penalty of perjury one of the ellowing declarations: F1 I have and will maintain a cerlipcate 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 th p©rforrnance of the workfor 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' ranee carrier and policy number are: Policy Number __.. _........ Expiration Date of Agent 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 agre if I should become subje the workers' com"hsatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply withthose provisions, Of 'LENDING AGENCY -- --------- - hereby affirm under penalty of perjury that there Is a construction lending ageneytor the performance of the work for which this permit Is issued (Section 3097 ender's Name Lender's Address y my signature beiew, I certify to each of the following: I am the property owner or authorized to Oct on the property owner's. behalf. I have read this application and the information I have provided is correct. I agree to comply withall applicable city and county ordinances and state ws relating to building construction. I authorize representatives of this city or county to enter the jo ennt 11 property for inspection purposes. 1 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART £1 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIR!:u _ I SUBMITTED ASRFSTOS NOTIFICATION TO CANC•UkD PERMIT EXTENDED_ _ Lt40MD _ ERMITFINA C51 €RT7F7CATf OF i rj�rr�AJ /f �� /) IASSES 'rOS NorIPICAT10N 15 NOT APPLICABLE TO I'� i ��✓�e ✓ Ij pROPOSI.D DEMOLITION OCCUPANCVySSUEU SIGNATURE: Civil Cede).