The URL can be used to link to this page

Home My WebLink AboutE2024-0125 - Permitse`�wPORr City of Newport Beach Community Development Department - Building Division ?i' 0 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 cgtiFORN�P newportbeachca.gov/civic Electrical Permit Plan Check No: Work Class : Other Issued Date : 03/01/2024 Final Date: Permit Status: Issued Inspection Area : 2 E2024-0125 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 : 729 VIA LIDO SOUD Legal Desc : N TR 907 BILK LOT 27 Description: ELEC INSTALL DISCONNECTS FOR HVAC (H2O24-0118) Owner: EAGLE DEVELOPMENT AND CONSTRUCTION INC Contractor : TRUE HOME HEATING A/C Address : 23679 CALABASAS ROAD #724 CALABASAS, CA 91302 Address : 4 FARADAY IRVINE, CA 92618 Phone: (818) 597-1326 Phone : (949) 382-6337 Con State Lie : 1025397 Applicant: BEN MEDINA Lie Expire : 04/30/2025 Address : 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Bus Lie: BT30064629 Phone: (818)735-7876 Bus Lie Expire:10/31/2024 Workers' Compensation Insurance Owner/Builder : Carrier : TRAVELERS PROPERTY CASUALTY CO OF AMERICA Address : Policy No: UB9S682838232SG Phone: W. C. Expire: 12/l/2024 Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups NO CONSTRUCTION WORK Building Setbacks: Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone: X Use Zone: R-1 - Single -Unit Residential ss ii[�g�-� �! PROCESSED BY: 6 � ''0N Ss�.T tJf-at. A'Y<S SPECIAL CONDITIONS: HIGH DENSITY ZONE - 30" WIDE X 36" DEPTH - - REQUIRED FOR A/C DISCONNECTS 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 Rem(s) ieclion 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 is 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 7031.6 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 U 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 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 nproved for the purpose of sale). 1, 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). I am exempt from licensure under the Contractors' Slate 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 legal 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 requestwhen this application is submitted or at the following Web site:http:l/www.leginfo.ca.govlcalaw.html. Iignature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 .7,pf/the Business and Professioode y license is in full force nd effect. License Class License No Date 1 Contractor Signaler VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIWL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADOrTON TO TH 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: 7 1 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 t erfonWnce 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 ne of Agent certify that, in the performance of the work for which this permit is issued, I , if I should become subject to the workers compensation provisions of Date rmptoy any person in any manner so as to become subject to the workers' compensation I ws of Califomia, and agree of the Labor Code, I shall forthwith comply With those provisions. F Date v hereby affirm under penalty o tere is a construction lending agency for 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 owner or authorized to act on the property owner's behalf. I have rend trns application and the information I have provided is correct. I agree to uun,ply with all applicable city and county ordinances and state laws reran goo inspection construction. /� (/ r �� r I authorize representatives of this city or county to enter the above-identif perty for inspection purposes. {�p /� / ^ ionature of 1,opa::v Owner or Authorized Agent Pnnt Property Owner s or Authonzed Agent s home /-Gt Date U r DATE I ��TION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AQI RULE TO PFhr MITCAI:CELL�P I PERMIT EXTENDED LdAQMO PERMIT FN U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE')` �g�'�'� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: