HomeMy WebLinkAboutE2024-0749 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2024-0749
Community Development Department - Building Division E 2 0 2 4 0 7 4 9 Plan Check No
�1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Class : Other
Permit Counter Phone: (949) 718-1888
°9arode. newportbeachca.gov/civic Issued Date : 11/14/2024
Final Date:
t =, Permit Status: Issued
Inspection Area : 9
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 : 11 VIA PALLADIO Legal Desc : N TR 14070 BLK LOT 87
Description : ELEC DISCONNECTS FOR HEAT PUMPS (H2O24-0734)
Owner:
HAWKINS MAURINE B
Address :
11 VIA PALLADIO NEWPORT COAST, CA 92657
Phone :
(714) 305-5292
Applicant:
ACCOLADE AIR INC
Address :
22622 DUNKENFIELD CIR LAKE FOREST, CA 92630
Phone:
(714) 709-6672
Owner/Builder :
Address
Phone :
Code Edition:- _ 2092 -
Type of Construction :
Building Setbacks :
Flood Zone : X
Use Zone: PC - Newport Coast
PROCESSED BY: 131
Contractor : ACCOLADE AIR INC
Address : 22622 DUNKENFIELD CIR LAKE FOREST, CA 92630
Phone :
(714) 709-6672
Con State Lic
: 1005513
Lic Expire :
07/31/2025
Bus Lic:
BT30072509
Bus Lic Expire:06130/2025
Workers' Compensation
Insurance
Carrier :
STATE FARM FIRE AND CASUALTY COMPANY
Policy No :
92KNB2112
W. C. Expire:
4/3/2025
moire-Hazard-Zo
Occupancy Groups:
30" WIDE X 36" DEPTH
REQUIRED FOR
A/C DISCONNECTS
OWNEK-NUILIJEK UCI.LAKA I IUM
I hereby affirm under 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 issuance, also requires the applicant far
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).
❑ 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.
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor 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
Im 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
Er
ra-ply 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).
LJ I am exempt from licensure under the Contractors' Slate 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 legally
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 70" Of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hllp:llw .leginfo.ca.gov/calaw.html. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I 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 �yy license is in full force
and effect. License Class License No Date llt j � l t4 LU Contractor Signature /
WORKERS' COMPENSATION DECLARATION
WARNING: 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 (51010.0001, IN ADDrrON 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:
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
pe Trance 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' compensator
insurance carrier and policy number are:
Cromer Policy Number Expiration Date
Name of Agent
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 1 should become subject to the workerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I `I'�
Signature of Applicant L _ _ Dale
DECLARATION REGARDING CONSTRUCTION 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 n . • Lenders Address
By my signatr�i eldv.y I'cert y to e'acM of.lhe following:
I am the property Jwner or authorized to act on the property owner's behalf.
'rave mad this 5Cpfcdtion and the 16fo rhaalon I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
authorize representatives of this Gily W QQUDI( to an the a ove-identified property for inspection purposes. I` I ILI
lsiw,ature of ProdLrtvbwner or Authorized- Agent` n Print Property Owner's or Authorized Agents Name Lay: r` Qd6L�1 Dale
ACIIPN
DATE
By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
FOR OFFICE USE ONLY
1403
VPMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
--�V IT CAN CELLED
PEiWfTEXTENDED
EPA
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rFPTIFICATE OF (��
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///�))///fff ASBESTOS NOTIFICATION IS NOTAPPUCABLE TO
/�J/ PROPOSED DEMOLITION
OCCUPANCYISSUCL
SIGNATURE: