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Home My WebLink AboutE2022-0533 - PermitsO�WP�Re olmmOtNDeWpOrtBPamhnt- BuildingDivision IIIIVIIIIIIIIIIVIIIIIIII II Electrical Permit:E2U22-0533 r ; • + 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No U N°� Permit Counter Phone: (949) 644-3288 Issued Date : Other Other Work Class : o-� Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 8110/2022 Inspection Area : 6 I io ECTOR 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 : 1510 SANDCASTLE DR Legal Desc : N TR::6152 BLKILOT .51 Description: ELEC: INSTALL ELECTRICAL LINE FOR EXT LIGHTING Owner: MONGDIEP VOVAN - Contractor i Address : 1510 SANDCASTLE DR CORONA DEL MAR, CA 92625 Address Phone: Phone:. Con State Lie Applicant : MONGDIEP VOVAN Lie Expire i Address : 1510 SANDCASTLE DR CORONA DEL MAR, CA92625 - Bus Lie : Phone: Bus Lie Expire: Workers' Compensation Insurance Owner/Builder: MONGDIEPVOVAN -- - Carrier: Address: 1510 SANDCASTLE DR CORONA DEL MAR„CA 92625 - Policy No Phone: W. C. Expire: Code Edition : 2019 Fire Hazard Zone: N Type of Construction : Occupancy Groups : ` U Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6.,. Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY a•a• • a •aae o a• o a®• au c oa o 0 a VOC'• • o" • o VV ` J]cJ e aeaoc eaaa o aocco 0 Q.. 3• • Qca e • • • o • a• aoa�aa ca a a a a • c.,�� • •a I hereby alfimn under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.b. Business and Professions Code: Any city or county that requires a permlt io 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 vdth 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 ponalty of not more than five hundred dollars ($500). Q t 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' 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 mproveinents 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 I4rm�tgr,oved 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 apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law), D I 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 legal sell a structure that I have built as an owner budder If it has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable lav+, Section 7044 of the Business and Professions Code, is available upon inquest when appl' A' submitted or at the following Wob site:http:/Av .leginfo.ca gov/calaw.hfmi. 's Signature of Property Owner or Authorized Agant Date ` LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter9 (commencing with Section 7000) Of Division 3 of the Business and Professions Code, and my license is in full farce and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION. WARNING: FAILURE TO SECURE WORKERS' OOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,00Ui, IN ADDITION TO THE COST OF COMPENSATFOR DAMAGES AS PROVIDED FOR IN SECTION 3704 OFTHE LABOR CODE; INTEREST, AND ATTORNEYS FEES, t hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a eertlficate of consent to self -insure for workers' compensation, issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Cade, for th performance of the work for which this permit Is issued. Policy No. Ell have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My workers compensatiol insurance carrier and policy number are! Carrier Policy Number Expiration Date a e of Agent - Phone #. 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, ancl agre that, if I should become subject to the rl et'•. ,eomlr nsalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant.- - Date}„ DECLARATION REGARDING C(r1NS1RU15T10N LENDING AGENCY 4. hereby affirm under penalty of perjury that there is a construction lending agencyfer the performance of the work forwhich this permit Is issued (Section 3097, Civil Code), Lender's Name Lender's Address By my signalwe"low, I certify to each of the following: I am the pr&90 owner or authorized to act on the property owner's behalf. +. ..:d have regd jpjs application and the Information I have provided is correct. • 1 agreelo eq%ply with all applicable city and county ordinances and state laws relating to building construction. • '.1 authodz representatives of this city or County1 e-Idenlifte•••d property for inspection purposes. , • S nature of Pro a Oevner or Authorized Anent Print Pro e Owner's or Authorized Agent's Name/' /` • A ION •••••• DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • •• • REGULATIONS PART61 DFTITLE 40:ANDADMDRULE •s .• •+e• • • 1403 ••+•qE fvfiT EXCJIi • lSUBMIT'fEO ASBESTDS NOTIFICATION Ttl • • • •-=NtMIFCHrvc?u€o EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall • REHR— D be in pl ace prior to approval to fill poollspa & shall remain in place & be maintained for the ASBESTOSNOT3FIATIONisNOTAPPLICA3LETOlife of the pool. •: 2.4-u- P�— PROPOSED DEMOLITION Fee Name Transaction Date Payment Method Building Electrical - Issuance Fee Separate Circuit Fee GRAND TOTAL: PERMIT FEE DETAILS FOR PERMIT E2022-0533 Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $39.00 $0.00 $7.00 - $0.00 0 a a �a o •••e • e • ••s• •s•ess • •• • • • • • •• • • • • • •• • • • • ••••ee • • • e • •• •u• saes• • 1.9• •ef•• • •••eu • • • • •• • • • � e •eases •• • • • •c •e•s • • •