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Home My WebLink AboutE2024-0723 - Permits04"'. City of Newport Beach 1111111111111111111111111111111111p111Ip1111p1 jjjj Electrical Permit : E2024-0723 Community Development Department - Building Division E 2 0 2 4 0 7 2 3 Plan Check No: 100 Civic Center Drive, Newport Beach, CA 92660 Work Class : Other Permit Counter Phone: (949) 718-1888 Issued Date: 10131/2024newportbeachca.gov/civic 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 : 206 34TH ST Description: ELEC FOR HEAT PUMPS (H2O24-0703) Owner: TROY HICKERSON Address: 206 34TH ST NEWPORT BEACH, CA 92663 Phone : (949) 413-8088 Legal Desc : A TR LAKE TR BILK 133 LOT 4 Applicant: BRANDON HAYES Address: 21205 JUAN AVE, A HAWAIIN GARDENS, CA 90716 Phone: (562) 201-3014 Owner/Builder: Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-2-TRTwo-Unit Residential PROCESSED BY: 9:3 SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor: THOMSON AIR CONDITIONING Address : 21205 JUAN AVE, A HAWAIIAN GARDENS, CA 90716 Phone: (562) 201-3014 Con State Lic : 959811 Lic Expire : 04/30/2025 Bus Lic: BT30081704 Bus Lic Expire: 05/31/2025 Workers' Compensation Insurance Carrier : EMPLOYEE SERVICE GROUP Policy No: WC088413357CA W. C. Expire: 7/1/2025 Fire Hazard Zone : NO Occupancy Groups : 30" WIDE X 36" DEPTH REQUIRED FOR NO CONSTRUCTION WORK A/C DISCONNN _O I S OWNER -BUILDER DECLARATION I hereby affirm under penally 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 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 Professions 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044. Business and Professions Code: The Contractors' Slate 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). 0 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 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❑ 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 legallyl 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 sfe:http:llwww.leginfo.ca.gov/ alaw.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 700 o Division 3 of the Business and Profess ode, d my license is in full force and effect. License Class License No Dale (/ Contractor Signature WORKERS'COMPENSATION DECLARATION Y/ v WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE5 UP TO ONE HUNDRED THOUSAND DOLLARS (SINJU ), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. I hereby affirm under penalty of perjury one of the following declarations: phave 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 tabor Code, for IN perlprmance of the work for which this permit is issued. Policy No. M 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' compensatior 6urance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I 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 agre that, if I should become subje IS ers' Compensation provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date .__._ DECLARATION REGAkDINGTRUCTION LENDING AGENCY I 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). Lender's Name Lenders Address By my signature below, I certify to each of the 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 late laws relating to building construction. I authorize representatives of this city or county to a v Identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name OCl2 �1 Date J V ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY L REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE _ 1403 PERMIT EXPIRED I suemrTTED ASBESTOS NOTIFICATION TO PEPoAfT CANCELLED LIEPA PERMIT EXTENDFD OAQMD PERMIT FINAL E.' ASBE5T05 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE Or 2.U..'11j PROPOSED DEMOLITION OCCI IPANCY ISSUED J V SIGNATURE: