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HomeMy WebLinkAboutE2023-0328 - Permits"EWPO City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 CqL Fp0.N�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 1pil11111111111111111111111111111111111111111111111 jj Electrical Permit Plan Check No: Work Class : Other Issued Date : 04/17/2023 Inspection Area: 4 E2023-0328 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 : 2328 VISTA HUERTA Legal Desc : N TR 5798 BILK LOT 98 TR 5798 (L.L.B4-245722) PAR 98 Description: ELEC -MAIN SERVICE PANEL UPGRADE TO 200A Owner: MICHAEL JACOBS Address : 2328 VISTA HUERTA NEWPORT BEACH, CA 92660 Phone: (949)439-6012 Applicant : MICHAEL JACOBS Address : 2328 VISTA HUERTA NEWPORT BEACH, CA 92660 Phone : (949) 439-6012 Owner/Builder: MICHAELJACOBS Address: 2328 VISTA HUERTA NEWPORT BEACH, CA 92660 Phone : (949) 439-6012 Code Edition : 2022 Type of Construction Building Setbacks : Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: O/B FORM ATTACHED Contractor Address Phone: Con State Lie Lie Expire: Bus Lie: Bus Lie Expire: Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: R3 aeoo� I hereby affirm 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 iteril 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 to permit to file a signed statement that he or she is licensed pursuant to the previsions 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 licensors and the basis for the alleged exemption. Any violation of Section 7031Z by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, 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, 'usmess 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). I, as owner of the property, am exclusive) contracting with licensed Contractors to construct the project Section 7044, Business and Professions Code: The Contractors' Stale License Low does not Y 9 P 1 { poly 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). 1 I am exempt from licensors under the Contractors' State 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 legally ell a structure that. I have built as an owner -builder If it has not eon const to In its entirely by licensed contractors. I understand that a copy of the applicable few, Section 7044 of the Business and 'rofessions Code, is available upon request when this applic to sub e r at th Ito ' Web site:htt www,leginfo.co.gov/calaw.html. iignalure of Property Cv.ner or Authorized Agent,tee,--- Date ,ICENSED CONTRACTOR'S DECLARATION ' hereby affirm uru]cr penalty of perjury that I am licensed under provisions of Chapter 9 (c encing with Section 7000) of Division 3 of the Business and Professions. Code, and my license is In full force nd effect. License S,ase License No Date Contractor Signature V,)IRKERS' COMPENSATION DECLARATION ARNING; FAILURE TO SECUPE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C ST OF an MPENSArlad, C VV OES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J I havt and w`P 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 lm erformance of the work for which this permit is issued. Policy No.. have and will mairiNn 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' ranee carter end poncy number are: Policy Number of Agent Date 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _ _ Date—�, IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the Work for which this permit Is issued (Section 3097, Civil Cade), onders 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and u ty ' anc s and state I we relating to building construction. I authorize representatives of this city or cc of a - th ove-tdenti' d property for inspection purposes. 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