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Home My WebLink AboutE2023-0173 - PermitsCity of Newport Beach e��WP�Rr p ! @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u r Permit Counter Phone: (949) 644-3288 cgta., Inspec tion Requests Phone: (949) 644-3255 Nor. Fpft newportbeachca.gov/inspections 111�111 11111111111111111111111111111111111111111111 111� 11Electrical Permit : E2023-0173 Plan Check No: PC2022-2497 Work Class : Other Issued Date: 03/06/2023 Inspection Area : 4 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 : 1927 PORT CARDIFF PL Description : ELEC TEMP POWER POLE Legal Desc N TR 6623 BLK LOT 40 Owner: LETOURNEAU ERIC TR BLUE WATER CAPITAL TR Address : 1927 PORT CARDIFF PL NEWPORT BEACH, CA 92660 Phone: Applicant: JEREMY GRISSINGER Address: 11912 ARROYO AV SANTA ANA, CA 92705 Phone: (949)922-5755 Owner/Builder : Address Phone : Code Edition : Type of Construction Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Contractor : JEREMY GRISSINGER Address : 11912 ARROYO AV SANTA ANA, CA 92705 Phone: (949)922-5755 Con State Lic: 807874 Lic Expire 05/31/2024 Bus Lic: BT30043274 Bus Lic Expire: 05/31/2023 Workers' Compensation Insurance Carrier : Policy No : NONE W. C. Expire: Fire Hazard Zone : NO Occupancy Groups t 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 item(s) Section 7031,5, Business and Professions Code: Any okty or county that requires a permit to consirucit, altar, improve. demolish, or repair any structure, prior to is Issuance, also requires the applicant for he permit to file a signedstatement that he or sheds 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 7031.5 by: any applicant fora permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do I all of or (, portions of the work, and the structure is not intended or offered for sale (Section 7044, justness 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 theproperty;provided that the rmovements are not intended or offered for sale. €L however, the building of improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that It was not built or reproved 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 Ippiy 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 I am exempt from licensure under the Contractors' State License Law for the following reason: iy my signature below I acknowledge that, exceptfor my personal residence in which I must have resided for at toast one year prior to completion of the improvements covered by this permit, I Cannot iegaili all a structure that I have built as an owner-bulldar if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Cods, is available upon request when this application Is submitted or at the following Web site:http9lwww,leginfo.0a.gov/calaw,html. Signature of Property Owner or Authorized Agent - Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensers under provisions of Chapter 9 (commencing' with Section C f 3 df the Business and Pro scions Cod , my Ili so is in full force ind effect. License Class License No Date' P- Contractor Signatur _ VORKERS' COMPENSATION DECLARATION It (ARMING: FAlLURETO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUND T U DOLLARS tE100,0001, IN ADDITION TO THE 'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 170f OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFees. hereby affirm under penalty of perjury one of the following declarations: 11 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 erformance of the work for which this permit Is issued, Policy No, have and will maintain workers` compensation insurance, as required by Section 3700 of the Labor Code, for the performance as the work for which this permit is issued. My workers' mnce carrier and policy number are: Policy Number Expiration Date of Agent Phone N dify that, in the performance of the work for W hich this permit is issued, i shalt not employ any person in any manner so as to become subgect to the 4 should becom subject to the war " mpens '.: isions of Section 3700 of the Labor Code,I shall forthwith comply Win those provisions. ure 01 Applicant M1RA?EON RE NB, CON— G ON LENDING AGENCY m Iy affirm under p. nelt f th there is a construction lending agency for the performance of the work for which this. permit is issued (Section rs Name Lender's Address Cy my Signature below, i cerUly to Each lot 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 corr, agree to comply with all appl€GabiD city an co my ordinances s to taws routing to building construction. I authorize representatives of this. city orcou to enter the e� an roperty, for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ACTION DATE By f G I OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY g R IAT1 PART 61 OF TITLE 40 AND AQFAD RULE rtnmu enrrrttu V ASBESTOS NJTiFICA) ION TG _ PERMIT CANCEL€EP �15T08MiTrED U.lEPA �. �. ___. PraMir EXTENDED ('.MD PERM1FflNAt A58ESr05 NOTIFICATION 15 NOT APPLICABLE TO C€H7IFICATEBF 70-713 PROPOSED DUMOLITION OCCUPANCY ISSUED SIGNATURE, compensation laws of California., and hip-/ - 2 aJ Cade), Date