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Home My WebLink AboutE2024-0651 - Permits,Ew coRr City of Newport Beach a 2 Community Development Department - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 D r r Permit Counter Phone: (949) 718-1888 c9 • Nor newportbeachca.gov/civic Electrical Permit : E2024-0651 Plan Check No : Work Class : Other Issued Date : 09/27/2024 Final Date: 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 : 319 DIAMOND AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BILK 13 LOT 21 Description : ELEC FOR NEW HEAT PUMP (H2O24-90623) Owner: KEITH BROWN Address : 319 DIAMOND AVE NEWPORT BEACH, CA 92662 Phone: Applicant: DEPENDABLE GRAHAM AC Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone: (714)546-1653 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY Contractor : DEPENDABLE GRAHAM AC Address : 2952 CENTURY PLACE COSTA MESA, CA 92626 Phone: (714)546-1653 Con State Lic : 472690 Lic Expire : 04/30/2026 Bus Lic: BT01013104 Bus Lic Expire:12/31/2024 Workers' Compensation Insurance Carrier : SERVICE AMERICAN INDEMNITY CO Policy No : SAMTWC0072801 W. C. Expire: 7/1/2025 Fire Hazard Zone : NO Occupancy Groups: 27 VV DE X 36" DEPTH P-EQUIRED FOR A/C D[SCONNECTS OWNER -BUILDER I hereby affirm under penalty 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 item(s) (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 Drofessions 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 Tot 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, 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' Stale 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 tram 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 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:httpliw .leginfo.ca.govlcalaw.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 7000) of Division 3 of the Business and Prof ions C e, and y licens is in full force and effect. License Class License No Dateg 2 ;/— �-y Contractor Signature � i ✓E� WORKERS' COMPENSATION DECLARATION NARNING: 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.N01, IN AUCTION TO TILE COST OF COMPENSATION, DAMAGES AS PROV WED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 7f ance 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 pennit is issued. My workers' compensal Trance carrier and policy number are: r Policy Number Expiration Date of Agent Phone # _ 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 subject to the workers' compensption provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant freby 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, Civil Code). lder's Name Lender's Address 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 comnl'y wrtn all applicable cityandaounty ordinances and stale laws relating to building construction. I authoize represenWtives of this city or county t sinter the a6ove�identifjed property for inspection purposes. �. ACTION DATE BY DECIIRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 P&7M'FEXCPIIRE� MIT DI SUBMITTED ASBESTOS NOTIFICATION TO D OEPA PIRMh r14AL q/1lLJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CcRTIFr' ,'CATE OF `.'r �%J�-1�� PROPOSED DEMOLITION V _Y ISSUED SIGNATURE: