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Home My WebLink AboutE2024-0242 - Permits�E«'PogT City of Newport Beach @m Community Development Department - Building Division Yi n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 'oq o r newportbeachca.gov/civic Electrical Permit : E2024-0242 Plan Check No : Work Class : Other Issued Date : 04111/2024 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, 1/2 Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 12 LOT 3 Description : ELEC INSTALL ELECTRICAL FOR (N) HEAT PUMP (H2O24-0204) Owner: PAULSACKMAN 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: Contractor : TRUE HOME HEATING A/C Address : 4 FARADAY IRVINE, CA 92618 Phone: (949)382-6337 Con State Lie : 1025397 Lie Expire : 04/30/2025 Bus Lie : BT30064629 Bus Lie Expire:10/31/2024 Workers' Compensation Insurance Carrier : TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No: UB9S682838232SG W. C. Expire: 12/l/2024 Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION I hereby affrml 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 items) (Seciion 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 L) 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). Q 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 Lapply (D 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). Q I am exempt from licensure under the Contractors' State License Law for the following reason _._ __.._. —._ — legally{ — 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 'sell 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, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.co.gov/calaw.html, ilSignature of Property Owner or Authorized Agent _„ Date LICENSED CONTRACTOR'S DECLARATION II hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 )sjp 3 of the Business and Profess' ode, and my license is in full force and effect. License Class License No Date L,cru- Contractor Signature ('WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE FUN THOUSAND DOLLARS 15300.030), rN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 Cade, for the Deriprnance of the work for which this permit is issued. Policy No.. and will raintain 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' Garter and policy number are: Policy Number of Agent Date 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 agree if I should become subject to i}�f�'wor/kers �o perlsation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. Iature of Applicant :I ARATION RFCARPAI TRACTION 1 FNO dfi . N11 ACFNCY affirm under pe y 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). Name Lender's Address 3y my signature b^!1W I certify to each Of the following: : Lr.l :he pro;'rr'y owner or authorized to act on the properly owners behalf. I have read this egnllcation and the information I have provided is correct. ' agr^e to comply withall applicable city and county ordinances and sta laws relating to building construction. f authorize representatives of this city or county to enter the abo entitled property for inspection purposes. i igraturA of Properc U,,vner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION I DATE BY Al N OF COMPLIANCEvvITH CODE OF FEDERAL FOR OFFICE USE ONLY i l TIONS PART 53 OF TITLE 40 AND AOMD RULE 1403 �ERrvn i rXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO --___....._...._.._ ..._.L.. __ ._ PERNPIT CANCfiEEn CIEPA 7ERM1T XTENl3fC QAOM:D PPRNIf7FlNAL •LtII UASHES [05 NOT IFICA'TION 15 NOT APPLICABLE 10 CERTIFICATE OF t1�U 1�PROPOSED DEMOLITION OCCUPANCYISSUEO (-(�._ J SIGNATURE: