HomeMy WebLinkAboutE2024-0494 - PermitsCity of Newport Beach
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Electrical Permit : E2024-0494
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Community Development Department - Building Division
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Plan Check No
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100 Civic Center Drive, Newport Beach, CA 92660
Work Class : Other
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Permit Counter Phone: (949) 718-1888
Issued Date : OT/25/2024
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Final Date:
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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 : 14 KAMALII CT Legal Desc : N TR 7817 BLK LOT 4 UN 217 TR 7817 LOT 4 UNIT 217
Description: ELEC INSTALL ELECTRICAL FOR A/C (H2O24-0446)
Owner: BRYAN UECKER
Address : 14 KAMALII CT NEWPORT BEACH, CA 92663
Phone:
Applicant:
LUKE VUJNOVICH
Address :
311 COLLEEN PL COSTA MESA, CA 92627
Phone:
(949)345-5098
Owner/Builder
:
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks :
Flood Zone : X
Use Zone: PC - Newport Crest- UP1585
PROCESSED BY
Contractor : ABC HEATING AND A/C
Address :
306 COLLEN PL COSTA MESA, CA 92627
Phone :
(949) 756-0064
Con State Lic
: 940181
Lic Expire :
11/30/2025
Bus Lic :
BT30043258
Bus Lic Expire:03/31/2025
Workers' Compensation Insurance
Carrier:
STATE FARM FIRE AND CASUALTY COMPANY
Policy No :
92KDE0536
W. C. Expire:
9/24/2024
Fire Hazard Zone : NO
Occupancy Groups:
30" WIDE X 36" DEPTH
REQUIRED FOR
A/C DISCONNECTS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasonts) indicated below by the checkmark(s) I have placed next to the applicable items)
(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 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 L) all of or L) portions of the work, and the structure is not intended 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 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).
❑ 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 improvements covered by this permit, I cannot legall,
sell a structure that I have built as an owner -builder if it has not been constructed in its enfirety by licensed Contractors. I understand that a copy of the applicable law, Section 70" of the Business and
Professions Code. is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govic law.htmi.
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 7000) of Divit�jqjr; 3 of the Business and Profess license . an my license is in full force
and effect. License Class License No Date -�5' "�1 Contractor Signature /1�
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 ISIM.0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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
performance of the work for 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'
rance carrier 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
if I should become subl t to the rke ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions.
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Iature of Applicant �f/ �%��""" _ _ Date
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
enders Name Lenders Address
ly my signature below, I certify 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 with all applicable city and county ordinances and state laws relating to building construction.
I wthorize representatives of this city or county toynlej the above -identified property for inspection purposes. / ICC ' //v,n�,Vf G
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ACTION DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ! FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMIT EXPIRED
LJ I SUBMITTED, ASBESTOS NOTIFICATION TO
PERMIT CANC7:L-D
EPA
PERMIT EXTEI:DED
PERMIT FINAL
CERI FICATE Or
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ASBESTOS NOTIFICA?ION 15 -OT APPLICABLE TO
PROPOSED DEMOLITION
OCCUPANCY 6. UfO
SIGNATURE:
Civil Code).