The URL can be used to link to this page

Home My WebLink AboutE2024-0512 - Permits� .w,aoRTo City of Newport Beach ��11111111p111111111111111111p111p11111111jjj jjElectrical Permit : E2024-0512 O �n4 Community Development Department- Building Division E 2 0 2 4 e s + ? ^!an Check No r >{ 100 Civic Center Drive, Newport Beach, CA 92660 Vomk Class : Other µS _ Permit Counter Phone: (949) 718-1888 - - issued Date : 08/02/2024 <9�� ,/ newportbeachca.gov/civic Final Date: Permit Status: Issued - - Inspection Area : 6 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 \CORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 31 CLERMONT Description: ELEC FOR AC CONDENSER (H2O24-0468) Legal Desc : N TR 14902 BLK LOT 82 Owner: Y-OSHIMIZZUNORIO-TR Conbact Address : 31 CLERMONT NEWPORT COAST, CA 92657 Address : 1895 S SANTA CRUZ ST ANAHEIM, CA 92805 Phone: (949)219-0845 Phone: (714)633-8892 Con State Lic : 667953 Applicant : BEN MEDINA Lic Expire : 04/30/2025 Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Bus Lic: BT30047511 Phone : (818) 735-7876 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: 63 L� Bus Lic Expire:06/30/2025 Workers' Compensation Insurance Carrier : INSURANCE COMPANY OF THE WEST Policy No: WSD507475500 W. C. Expire: 12/25/2024 Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt Irom the Contmcoors dale Lir:elisa Lawlor tdn ieason(s) indicated below by the checkmark(s) I have placed next to the applicable items) ;Section 70315. Business and Professions Code: Any city or county that r6qu"-res d oeunil to construct, altar, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he permit to file a signed statement that he or she is licensed pursuant to t;ierprovis.on; o'th2 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 cot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of nr U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The ContractorsState License Law does riot apply to an r;wnar of properly v ho, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the buildu.5 _r improvement is gold within one ye: r 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). ❑ 1 am exempt from licensure under the Contractors Stale 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 legallt 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://www.leginfo.ca.govlcalaw.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 0 ivisi rya the Business and Pr fe io my license is in full force and effect. License Class License No Date 2 G Contractor Signatur WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED SANS 111LAR1 IN ADDITION TO THE COST 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 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 i ce 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 for which this permit is issued. My workers Carrier and policy number are: Policy Number of Agent Date �I certify that, in the performance of the work for which this - Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and iat. if I should become subject to the w ins core Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant. _ _ _ _____ _ _ Date _ _ Z_ IECLARATION REG ING TION LENDING AGENCY hereby affirm under pen 0 ury that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). enders Name Lender s Address ------ ly my Signatur elow, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is coned. I agree to comply with all applicable city and county ordinances nd state laws relabi ding construction. I authorize representatives of this city or County to enter above-identifi party for inspection purposes. lignature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name ✓ r V ` Da U NCTION DATE BY DE TIO COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / EG NS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED PERMIT EXTENDED PERM/TFINAL Qq�Zg�2y pL7d CERTIFICATE OF C,W OCCUPANCY ISSUFO I SUBMITTED UASBESTOS NOTIFICATION ISNOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: