HomeMy WebLinkAboutE2024-0732 - PermitsCity of Newport Beach
�` '" r T, Community Development Department- Building Division
�. , < �. 100 Civic Center Drive, Newport Beach, CA 92660
j w® 2 Permit Counter Phone: (949) 718-1888
.lP newportbeachca.gov/civic
1111111111111111111111111111111111111111111111111111 jj Electrical Permit : E2024-0732
E 2 0 2 4 0 7 3 2 Plan Check No :
Work Class : Other
Issued Date : 1110512024
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 : 5506 SEASHORE DR Legal Desc
: N TR 17194 BLK LOT 1 UN 4 LOT 1 OF TRACT 17194 OF
Description
: ELEC A/C DISCONNECT
Owner:
SORENSEN SCOTT K TR S K
Contractor : ALISO AIR INC
Address :
5506 SEASHORE DR #6 NEWPORT BEACH, CA 92663
Address : 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA
92688
Phone :
(801) 419-4875
Phone : (949) 589-2021
Con State Lic : 526420
Applicant:
AURA ENERGY
Lic Expire : 03/31/2026
Address :
4370 PALM, D250 SAN DIEGO, CA 92154
Bus Lic : BT30019236
Phone:
(714) 804-8886
Bus Lic Expire:02/28/2025
Workers' Compensation Insurance
Owner/Builder :
Carrier : LIBERTY MUTUAL INSURANCE COMPANY
Address :
Policy No: WC2Z61036218093
Phone:
W. C. Expire: 7/1/2025
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
X
RM - Multiple Residential
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 reason(s) 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
1e 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property. or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal efforl, builds or improves the properly, provided that the
mprovements 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
nproved 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 ContractorsSlate License Law does not
poly 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).
1 am exempt from licensure under the Contractors' Stale License Law for the following reason:
ly 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:lfw .leginfo.ea.govlcalaw.html.
lignature 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 9 (commencing with Sects ODO) of Division 3 of the Business and P f ssions C de, end my license is in full force
.no effect License Class License No Dal Contractor Signatu �Ol
VORKERS' COMPENSATION DECLARATION
IY 9-
PANNING: 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 1$100.0001, IN ADDITION TO THE
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certficate 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
'ormance 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' compensa
Trance carrier and policy number are:
Policy Number Expiration Date
of Agent
JI 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
tat, it I should becomZeth w�orkAers�compen lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant_(/L� Data
IECLARATION RE NSTRUCTION LDIN __.
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, 1 it Code).
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 iiou%t' ordinances and state laws relating to building construction. I / ,r r C.�,I f/ �3
I authorize representatives of this city or county )b a ter a above-iden'hed roperty for inspection purposes. ` /����/Y "^-/v�1U ��l / l
lkmature of PrOUertv Owner or Authcrized Aeent x �/Print Prooertv Owner's or Authorized Aoenf s Name �/ ate
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LJ I SUBMI r . Fr AS3ESTOS NOTIFICATION TO
T EPA
PERMIT CANCELLED
PERMIT EXTENDED
QMD
PERMIT FINAL
T
-3 - LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATJKL•
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