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Home My WebLink AboutE2024-0090 - PermitsF ��WPORT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 C9C�OFN�P newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 02/15/2024 Final Date: Permit Status: Issued Inspection Area : 1 E2024-0090 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 Legal Dose: A TR NEWPORT BEACH CITY BLK 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 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 : 08/31/2024 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: PROCESSED BY: 81 SPECIAL CONDITIONS: HIGH DENSITY & LIQUEFACTION ZONE Ca,Jn NS�l�� 1 1'` � ON SA"rURDAYS 30" WIDE X 36" DEPTH REQUIRED FOR A/C DISCONNECTS OWNER -BUILDER DECLARATION I hereby affirm tinder penalty 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 Isstinm e, also requires the applicant for in, 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 Ilcensure 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 at 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, iusiness and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 n roved 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 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' Slate License Law). 3 1 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, oil a structure that I have built as an owner -builder if it has not boon 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:flwww.leginfo.co.govlcalaw.html. signature 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 F, (commencing with Section 7) o �cvis_S n f a Business and Professio ode and my license is In full force nd effect. License Class License No Date `` .7 ' - Contractor Signature/-� VORKERS' COMPENSATION DECLARATION. rARNINGz FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COLLARS ($104000), IN ADOn10N TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CORE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 eyormance of the work for which this permit is issued. Policy No.. I 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' compensatiO Isurance carder and policy number are: Policy Number Expiration Date lame of Agent Phone ti 11 certify that, in the performance of the work for hick 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 agre tat, if I should become subject to the work coin to ov[ I9iohs of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _ Date ��2 / 5--e2oz y eCLARATION 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), enders Name _ Lender's Address y my signature below, I certify to each of the following: I am the property.,wnGr or authorized to act on the property owner's behalf. I have read this af.p;icit on ar.d tLe reformation I have provided is correct. I agree to comply "All all applicable city and county ordinances and state laws relating to building construction. I authorize represr.otafi�as of this chv or county to enter t bove-identified property for inspection purposes. //� —7 ianature of ProDerty Owner or Aulhodzad Agent J�—L Print Property Owner's or Authorized Aqent's Name . 1 VC/� LiY (. %d %dl._ Date- /5', DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE PERMIT EXPIRED PERMrTEXTENDED PERMITFINAL W117Izy I DL+6 v' ( I -_I ASBESTOS NOTIFICATION]$ NOT APPLICABLE TO CERTIRCATEOF i PROPOSED DEMOLITION OCCUPANCY ISSUED CMS ; SIGNATURE: