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Home My WebLink AboutE2023-0774 - Permitsoz�,7, City of Newport Beach Community Development Department - Building Division E 2 0 2 3 0 7 7 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 08/31/2023 Final Date: Permit Status: Issued Inspection Area : 1 E2023-0774 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 : 1105 BALBOA BLVD E Legal Desc : A TR BALBOA TR EAST SIDE ADD BLK 18 LOT 2 Description : ELEC INSTALL ELECTRICAL DISCONNECT FOR HVAC (H2O23-0572) Owner: MISHICA CHRISTINE MARIE TR 2005 TR Address : NEWPORT BEACH, CA 92661 Phone : (949) 554-8110 Applicant: JERAD LAFOND Address: 21622 MARGUERITE PKWY, 270 MISSION VIEJO, CA 92692 Phone : (949) 285-7360 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone: R-2-TTwo-Unit Residential PROCESSED BY: V� SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor : FLOOD AIR INC Address : 23632 VIA FABRICANTE STE E MISSION VIEJO, CA 92691 Phone: (949)768-7733 Con State Lic : 797310 Lic Expire: 06/30/2025 Bus Lic: BT30078796 Bus Lic Expire:08/31/2024 Workers' Compensation Insurance Carrier: TRUCK INS EXCHANGE Policy No: F09448073 W. C. Expire : 4/14/2024 Fire Hazard Zone : NO Occupancy Groups : U NO CONSTRUCT i°CN WORK ON SATURr,), OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) �eclion 7031.5. Business and Professions Code: Any city or county that requires a permll to construct, alter. improve, demolish, or repair any structure, prior to Its Issuance, also requires file applicant fur t0 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 Torfessfons 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do f_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, .usiness 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 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 n roved for the purpose of sale). I, as owner of the properly, 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 State License Law). I I Bill exempt from licensure under the Contractors' Stale 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 least one year prior to completion of the improvements covered by this permit, I cannot legall) ell a structure that I have built ns an owner -builder if 11 has not boon Constructod 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:flop:/lWWW.leginfo.Ca.govlcalaw,html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Qp) Of rsktL �Df the Business and Professio/fsrGode, and my license is in full force lid effect. License Class License No Date ��66 -i 1 Contractor Signature UORKERS'COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORRIERS' 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 Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNFY'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 erformance 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 Date TIE of Agent Phone ff certify that, in the performance OfJqewoUk 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 agre L ff I should become subject tot rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply *fit those provisions. nature of Applicant ..,........ .. - .z.,.m ..__m......__. _......._. Date CLARATION REGARDING CON5 TIGN LENDING GENCY rreby affirm under penalty of perjury that there fs a constr t lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). Stars Name Lender's Address lily signalura below, I Certify to each of the following: I am the property owner or ad to act On the properly owner's behalf. I have read this application and the information I have provided is correct. I agree to complywit', all apphi @blc oily and County ordin'ajjcos and state laws relating to building construction. I authorize representatives of this ,dy orcounty to enteylitV above-fdentified property for inspection purposes J of Prooedl Owner of Au'hodz�d ACTION PERMIT CANCELLED PERMRfXTfNDfD PERMfTFINAL CERTIFICATE OF OCCUPANCY ISSUED BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61. OF TITLE. 40 AND AQMD RULE 1140 I3 SUBMITTED ASBESTOS NOTIFICATION TO V ASBESTOS NOT I PICA TION IS NOT APPLICABLE TO PROPOSED DEMOLITION Dale - `i