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Home My WebLink AboutE2024-0088 - Permitsre>w�fk City of Newport Beach p 4w' Community Development Department- Building Division n100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone: (949) 718-1888 cb<oaNnewportbeachca.gov/civic IIIII III I1III[I I1I11]1$II IIIIIIIIII IIIIIII II Electrical Permit : E2024�-10088 E 2 0 2 4 0 0 8 8 Plan Check No: P C 2 GL - Z1%} Work Class : Other Issued Date: 02/15/2024 Final Date: Permit Status: Issued Inspection Area : 4 PERMITS EXF IRE 180 DFYS A,7 TER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO COtJSTRUCTIOiJ REL4T�0 NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2812 CAROB ST Legal Desc : N TR 4892 BILK LOT 29 Description: ELE INSTALL ELECTRIC AIR HANDLER Owner: CROSS LARRY ARLEN TR THE CROSS FAMILY TR Address : 2812 CAROB ST NEWPORT BEACH, CA 92660 Phone: Applicant: HG HOME SERVICES Address: 1501 WESTCLIFF DR NEWPORT BEACH, CA 92660 Phone : (949) 877-2821 Owner/Builder : Address Phone: Contractor : HG HOME SERVICES Address : 1501 WESTCLIFF DR NEWPORT BEACH, CA 92660 Phone : (949) 877-2821 Con State Lie : 1077757 Lie Expire : 07/31/2025 Bus Lie : BT300768818 Bus Lie Expire:02/28/2024 Workers' Compensation Insurance Carrier : CLEAR SPRING PROP & CASUALTY CO Policy No : CWC00016801 W. C. Expire : 6/16/2024 Code Edition : Fire Hazard Zone : NO Type of Construction : Occupancy Groups Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reascri(s). indicated below by the checkmark(s) I have placed next to the applicable itemts) (Section 7031.5, Business and Professions Code: Any city Or County that requires a permit to construct, alter. approve, 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 (Chaplur 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from flcersure 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)_ ❑ 1, 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 not intended or rfrere.' for sale rSection 7044, Business and Professions Code: The Contractors' State License Law does rat apply to an owner of property who, through employees' or personal effort, bu:'ds oI imom,ps th^.pn,perly, provided that the improvements are not intended or offered for sale. If, however, the building or improvementis sold within one year of completion, the Owner -Builder will Fzvn the burden of prrving that it was not built or 'unproved for the purpose of sale). 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' Stet= L ocrse 'Law). , ❑ I am exempt from Idensure under the Contractors' Slate 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 Lnplavements'ce',ered Ly this harmit: I cannot legall•, sell a structure that I have built asan owner -builder if it has not boon 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:http:/lwvvw.leginfo.ca.govfcalaw.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 700(�t.gf he Business and Professions Cd my foense is In full force and effect. License Class License No Date l/ Contractor Signature NORK£RS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED O DOLLARS (IN00,000), IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA$OP CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm undarpenaity of perjury one of the following declarations: —1 1 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 th D KVa, nce of the work for which this permit Is issued Policy No.. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' comper iole carrier and policy number are: Policy Number Date ne of Agent Phone N certify that, in the performance of the work for which this permit is issued, f shall not employ any ,person in any manner so as to become subject to the workers' compensation lays of California., and agre t, if I should become subject to the workers' repensativn provisions of S P 3700 of the Labor Code, I shall forthwith comply with those provisions. /^ nature of Applicant�]�/.I,�,,,,,,,,__ Date_,._? C CLARATION REGARDING CONSTRUC �-L-OING AGENCY _..-. treby affirm under penalty of perju. t'fnere Is a construction lending agencyfor the performance or the work for which this permit Is issued (Section 3097, Civil Code). Ider's Name _ Lender's Address my signature below4tZZerly 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 withall applicable city and county ordinances and state laws relating to building conslrrq I authorize representatives of this city or county to enter the above -identified property for on ectt— purposes. II � 'Irl�.%��/% nature of Property Owner or Authorized Agent. '�� Print Property Owner's or Authorized Agent's Name V/ / S.? �� Uw{�/(� Date (A [5 BY j. D ARATI II ,MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY SPART 61 OFTlTLE 40 AND AOMD RULE FICATION TO PERMITFXTENDED OCCUPANCY ODEMOLITION SUED PROPOSED�("�'"*� SIGNATUREION IS NUT ApplicgaLl TO ATE