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Home My WebLink AboutE2022-0581 - Permits,EwaoRT City of Newport Beach IIII I I II I II I II IIII I III I II Electrical Permit : E2022-0581 p� A Community Development Department- Building Division u F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0957-2020 Permit Counter Phone: (949) 644-3288 r > Inspection Requests Phone: (949) 644-3255 Work Class :Othe CqC/FORN�P newportbeachca.gov/inspections Issued Date : Slj.9 /LY Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST CT ON, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY �J IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 620 POPPY AVE rev`® GONS��gaI Desc : N TRR 7 LK B LOT 11 i � S � Description: ELEC - PIGGYBACK METER (X2020-1242) �G y 1 ) P -CT Owner: JACKSON R PATTERSON TR ��``,,��ii�� G Contractor PATTERSON CONSTRUCTION Address : 620 POPPY AVE CORONA DEL MAR, CAQ625 - Address : 15 CORPORATE PLAZA STE.150 NEWPORT BEACH, CA 92660 Phone: Phone: (949).723-1800 Con State -Lie : 802367. Applicant: PATTERSON CONSTRUCTION Lie Expire i 07/31/2024 Address : 15 CORPORATE PLAZA STE.150 NEWPORT BEACH, CA 92660 Bus Lie: `_. BT021s10534 Phone: (949) 723-1800 Bus Lie Expire:09/30/2022 Workers' Compensation Insurance Owner/Builder: Carrier: STATE FUND Address : Policy No :: 9065406 Phone: W. C. Expire.: 8/1/2023 Code Edition : 2019 Fire Hazard Zone: Y Type of Construction : Occupancy Groups Building Setbacks : Front: 20, Side: 3, Side: 3, Rear 1.0 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: • • ram• 0 e o o c � o s ° �• ,ar omn r` w i hereby affirm under penalty of perjury that t am exempt from the Contractors' State License Law for the resson(s) Indicated below by the checkmark(s) I have placed next to the applicable Item(s) coon 7031.5,.Business and Professions, rode: Any city or county that requires a permit to construct altar, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for - permit to file a signed statement that he orshe is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 Df the Business and fessions Code) or that he or she is exempt from Iicensure 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 more than five hundred dollars ($504 1, as owner of the property, or my employees with wages as their sole compensation, wilt do f,.) all of or (_) portions of the work, -and the structure Is not Intended or offered for sale (Section 7044, :Ines 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 Irovements 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 ,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 fly town 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 Iicensure under the Contractors'State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have residedfor at least one year prior to completion of the improvements covered by this permit,.'. cannot legall 'a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ) understand: that a copy, of the applicable law, Section 7044 of the Business and �fessions Code, is available upon request when this application is submitted orat the following Web sitethttp:llw w,teginfo.ca.govicalaw.htmi. .1,.,......_ _...._,._.., _...._. _..--- --- --- .ICENSEF) CONTRACTOR'S IDECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Drvisiqn3 of the Business and Profess onsCode, and my license is In full force nd effect. License Class License No Date ?w Contractor Signatur WORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERTCOMPENSATIONCOVERNGE; IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL TINES UP TOONE-HURD 70 OLLARS t5i06.0001: IN ADDITION TO THE Oar OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LAEDR COaE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty. of perjury one of the following declarations: have and wtii 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 e60 coo the Work for which this permit fs issued. Polley Na. 1 IT ve and Wit 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' compensatioi Isu rice came, and policy number are: ,arrier. Policy Number Expiration Date fame of Agent Phone # It certify that, in the performance of the work tot which this permit is issued, i shall not employ any person in any manner so as to become subject to 'be workers' compensation laws of California, and agre rat, if i should became suoje ache-w.ritBrs' compensation provisions of Section 3T00 Df. the Lobar Code; I Shall forthwith comply with those provisions. %2C/ Signature of Appiiea it Date / iECLARATiON REGARDING CO RUCTION LENDING AGENCY. hereby affirm under penalty of urythatthere is a constructioniendng agency for the performance of the work forwhich this permit is issued (Section 3097. Civil Code).. .endeYs Name : - Lender's Address ly my signature below,. t ce . y to Bach 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 CorrecL I agree to. comply with all applicable city and county ordinances: and slate laws relating to building construction. I authorize representatives of this city orcoun n e hs a'I _idanlitied property for Inspection purposes, ACTION CERTIFICATE OF DATE OFFICE USE ONLY RULE lTtON. TO ... .. All required alarms, latches gates and -fences .*y17tfch seweaspgrt of 0 pool/spa barrier,. shalt be in place prior to approval t$fillpaolfspj & Ahdll sersaie mjDIJce,&$e maintained for the APPLICARF TO _ life of the pool' ;•, ••� ••• •+�