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Home My WebLink AboutE2023-0980 - Permits�EWPO�T City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G ems. Permit Counter Phone: (949) 718-1888 q4 FoaN�r newportbeachca.gov/civic 11�111 11111111111111111111111111111111111111111111 111jj Electrical Permit : E2023-0980 E 2 0 2 3 0 9 8 0 Plan Check No : PC2023-1237 Work Class : Other Issued Date : 12/06/2023 Final Date: Permit Status: Issued Inspection Area : 1 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 : 5409 LIDO SANDS DR Legal Dose : N TR 3162 BLK LOT 82 Description : ELEC INSTL DISCONNECT *H2O23-0763* Owner: HAROLD GUBERNICK Address : 5409 LIDO SANDS DR NEWPORT BEACH, CA 92663 Phone: (714)401-4132 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: 0, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: C4�� SPECIAL CONDITIONS: Contractor : TRUE HOME HEATING A/C Address : 4 FARADAY IRVINE, CA 92618 Phone: (949)382-6337 , Con State Lic : 1025397 Lic Expire : 04/3012025 ; 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 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) 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 ie permit to Me 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 rofessions Code) or that he or she is exempt from Ilcensure 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 ponalty of of more than five hundred dollars ($500), 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (J all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, :usiness and Professions Codes 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 nprovements are not intended or offered for sale. If, however, the building or improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or nproved for the purpose of sale). 3 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 pply 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' Stele License Law for the following reason: :y 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 legally aft a structure that I have built asan owner-buildor if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and 'rofessions Code, is available upon request when this application is submitted or at the following WED sitethttp:t/www.leginio.ca.gov/calaw.html. signature of Property Owner or Authorized Agent . Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Sectio OOP) f_Qi.. 3 of the B.urines nd Profe35a�C , nd my license is in full force nd effect. License Class License No a Cantu r Ignature PORKERS' COMPENSATION DECLARATION. rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H THOUSAND DOLLARS (SI00.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under pene'ty of perjury one of the following declarations: I have and will mair,t.,in 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 'nnnance of the .vcrk fir 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 for which this permit is issued My workers' carrier at,c i,cilcy number are: Policy Number I., u` Agent certify that, in the performance work for which this ,f i s;Iould became seeis the workers' compens '. lature of ADfflir Aril Date .rued. I shall not employ any person in any manner so as to became subject to the workers' ccompensatio�l f California, and agree of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. Dater 7/ WCTION LENDING AGENCY tc� I hereoy affirm u. Idrr penait fury that there IS a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name _ Lender's Address _ By my'. By my signature b certify to each of the (olio ng: 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 provide correct. i agree to comply with all applicable city and county ordil as and vs relating to building construction. I authorize representatives of this city or county to r She Gt - entitled property for inspection purposes. �// Signature of Property Owner or Author' Agent Pnnt Pro arty Owner's or Authorized A enYs�llieme b�` Let l ACTION DATE BY F.CI TGN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY .GULATIONS PART St OF TITLE 40 AND AQMO Rf 1403 PERMIFEXPOLED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED IIEPA PERPAITEXTENDED ! DAQMD PERMFICATEFINAL' ASBLS rUS NIOLITI ATIDN IS NOr APPLICABLE 'TO CERTIFICATE Of PROoOSrD DEMOLITION OCCUPANCY ISSUED 111... SIGNATURE.