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Home My WebLink AboutE2024-0241 - PermitsCity of Newport Beach p`` dei T Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 yVV`auy,>+� r Permit Counter Phone: (949) 718-1888 1cy`*� C pN newportbeachca.gov/civic h. P Electrical Permit: E2024-0241 Plan Check No : Work Class : Other Issued Date : 04/11/2024 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 : 204 ONYX AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BILK 12 LOT 3 Description : ELEC INSTALL ELECTRICAL FOR (N) HEAT PUMP (H2O24-0203) Owner: PAUL SACKMAN Address : 204 ONYX AVE NEWPORT BEACH, CA 92662 Phone: (949) 533-3751 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: 7, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 07 Contractor : TRUE HOME HEATING A/C Address: 4 FARADAY IRVINE, CA 92618 Phone : (949) 382-6337 Con State Lic : 1025397 Lic Expire : 04/30/2025 Bus Lic: BT30064629 Bus Lic Expire:10/31/2024 Workers' Compensation Insurance Carrier : TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No: UB9S682838232SG W. C. Expire; 12/1/2024 Fire Hazard Zone : NO Occupancy Groups: I hereby affirm under penalty of perjury that 1 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 Cade: 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 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 (_) 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). ❑ I, 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 licensure under the Contractors' State License Law for the hollowing reason By my signature below I acknowledge that, except for my personal residence in which I must have rosided for at least one year prior to completion of the improvements covered by this permit, I cannot legall; sel, a structure that I have built as an owner -builder 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, isavailable upon request when this application is submitted or at the following Web site:htip:flwww.leginfo.ca.gov/calaw.html,. Signature of Property Owner or Authorized Agent Date, LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Di in of the Business and Pr d my license is in full force and effect. License Class License No Date Contractor Signa WORKERS' COMPENSATION DECLARATION WARNING: 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 tStaR.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR W SECTION 170e OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following 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 Ih 'erfcjjmance of the work for which this permit is issued. Policy No.. 3Ivrrava 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' compensatiol 5�urance carrier and policy number are: farrier Policy Number Expiration Date fame of Agent Phone # ,1 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' compensati n laws of California, and agre rat, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. ) C tgnature of Applicant r_, ....._.. ... ___.._...._.,.r.M..._.v.._.........�.._.__�_n.._.._...... fECLARATION REGARDf CONST ION LENQN>; AGENCY hereby affirm under penal ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .Doctors Name Lender's Address ly my signature 68fnw, Icertify to each of the following: I Err'.'fie praperty owner or authorized to act on the property owners behal€. I have read thisapplication and the information I have provided is correct. I agree to comply withall applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to a the oho ehtified property for inspection purposes. /AAA ,f/p CF / tgngture of Property owner or Authorized A ent Print Property Owner's or Authorized Agent's Name ✓ "_ "` G` Date ` ��( Z ACTION I DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE vLR, mI, l-XPIRED PERMIT -WENDED _.. " ........___..-.__.._. PERMIT F7lJAL CERTIFICATE OF OCCUPANCY ISSUED UASBPSTOS NOTIFICATION 15 NOT APPLICABLY' "fO PROPOSED DEMOLITION