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HomeMy WebLinkAboutE2025-0006 - PermitsagWPORT City of Newport Beach II III I I IIII III III III IIII IIIIIIIII II COMB Permit : E2025-0006 0� ,@ Community Development Department- Building Division E 2 0 2 5 0 0 0 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: U - S Permit Counter Phone: (949) 718-1888 Issued Date : 01/02/2025 a.� newportbeachca.gov/civic Final Date: 01/30/2025 Cq</F00.��P Combination Type - BLDG Permit Status: Final Work Class - Other Inspection Area : 8 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 : 413 HOLMWOOD DR Description : ELEC INSTALL (1) DISCONNECT Owner: BAKER THOMAS GERALD TR Address : 413 HOLMWOOD DR NEWPORT BEACH, CA 92663 Phone: (949)646-6558 Applicant: ODETTE LEONELLI Address: 2219A HUNTINGTON LANE Redondo Beach, CA 90278 Phone: (310)807-4800 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction Occupancy Groups: Bldg Height : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone : X Use Zone; R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: H2O25-0004 Legal Desc : N TR 1136 BILK LOT 32 Contractor: ASSOCIATED HEATING & AIR INC Address : 1320 #B N HANCOCK STREET ANAHEIM, CA 92807 Phone: (714)777-8833 Con State Lic : 608210 Lic Expire: 12/31/2026 Bus Lic: BT30078570 Bus Lic Expire : 01/31/2025 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WPL507565100 W. C. Expire : 2/1/2025 Fire Sprinklers : Fire Hazard Zone Fire Alarms No of Units No of Stories No of Basement Architect Address Phone: State Lic Engineer: Address Phone Designer: ASSOCIATED HEATING & AIR INC Address : 1320 #B N HANCOCK STREET ANAHEIM, CA 92807 Phone: (714)777-8833 NO Construction Valuation : $0.00 NO Added/New/Ti sq. ft. Bldg : 0 NO Alteration sq. ft. Bldg : 0 Add/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 3eclion 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 10 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovemenls 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 nproved for the purpose of sale). 1 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' State License Law). 7 I am 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 Iegath ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 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 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature VORKERS' 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 I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 erformance 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 Cade, for the performance of the work for which this permit is issued. My workers' rance carder 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. ignature of Applicant Dale_ _ 'ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). enders Name Lenders Address y 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 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. i9nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized Anent's Name ACTION I DATE BY DI�IARATION OF REGULATIONS PART 0MPLIANCE WITH CODE OF 61 OF TITLE 40 Al AOMD RULEFEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED I I ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED ❑AQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUEO SIGNATURE: