HomeMy WebLinkAboutE2024-0090 - Permits (3)�EwPoRT City of Newport Beach
Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
cy� Fcar�P newportbeachca.gov/civic
II���IIIIII�III�IIIII��II��I�III�I II Electrical Permit : E2024-0090
E 2 0 2 4 0 0 9 0 Plan Check No :
Work Class : Other
Issued Date : 02/15/2024
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 : 123 25TH ST, 1/2 Legal Desc : A TR NEWPORT BEACH CITY BILK 25 LOT 24
Description : ELEC INSTALL ELECTRICAL FOR (N) A/C UNIT (H2O24-0085)
Owner:
DEBRA SIDEBOTHOM
Address :
123 25TH ST NEWPORT BEACH, CA 92663
Phone :
(714) 336-5520
Applicant :
CHAGOYA MECHANICAL HEATING AND AIR CONDITIONING
Address :
10457 SLATER AVE #103 FOUNTAIN VALLEY, CA 92708
Phone :
(714) 243-7843
Owner/Builder
:
Address
Phone:
Code Edition: 2022
Type of Construction :
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: / ng\ M
SPECIAL CONDITIONS: HIGH DENSITY & LIQUEFACTION ZONE
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Contractor : CHAGOYA MECHANICAL HEATING AND AIR CONDITIONING
Address :
10457 SLATER AVE #103 FOUNTAIN VALLEY, CA 92708
Phone:
(714)243-7843
Con State Lie :
1042988
Lie Expire :
08/3112024
Bus Lie :
BT30083647 -
Bus Lie Expire:02/28/2025
Workers' Compensation Insurance
Carrier :
STATE FARM GENERAL INSURANCE COMPANY
Policy No:
92KNV6342
W. C. Expire:
1/30/2025
Fire Hazard Zone : NO
Occupancy Groups :
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable fern(s)
Section 7031.5, Business and Professions Cade: Any city or county that requires a parent( to construct, alter, improve, demolish, or repair any structure,prior to its Issuance, also requires the applicant for
me permit to file a signed statement that he or sheds 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 licensors 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).
1 1, as owner of the property,or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
:uslness and Proreselons Code: The Contractors' State License Law does not apply to an owner ofproperty who, through employees' or personal effort, builds or improves the properly, provided that the
nprovements 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
aproved for thepurpose of sale).
I I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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).
I I am exempt from licensure under the Contractors' Slate 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 feast one year prior to completion of the improvements covered by this permit, I cannot legally
oil a structure that I have built as an owner -builder if it has not been constructed in its ontirety 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:htlp://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 Ilcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,. and my license is in full force
DO effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: 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 ($100.000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOP, INTEREST, AND ATTORNEY'$ 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 IN
erformanceof 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'
ranco 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
fgnature of Applicant Date®
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
ander s Name Landers. Address
y my signature below, I certify to each of t1 a 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 correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
of Property Owner or Authorized Aga
DATE BY
➢ERMIT CANCELLED
PERMIT EXTENDED
P£RM7TFINALr
Lci_mpo
OCCUPANCYISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE. 40 AND AOMD RULE
1403
Eli SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED DEMOLITION
IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
Date