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E2022-0451 - Permits
PORT City of Newport Beach ��E p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255.' C9��F00.M�� o✓✓ newportbeachca.gov/inspections ..q Electrical Permit Plan Check No : Work Class : Alteration Issued Date : Inspection Area : 4 E2022-0451 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 : 77 SEA ISLAND DR Legal Desc : TR 8444 LOT 1 UNIT 1 OF PROJECT LOCATED ON AP 442-251-01 TOG ETHER WITH AN U. NO 1/83 INT IN LOT 1 Description: DELTA 1 REVISION & ADD'L SCOPE: ADD RECESSED CAN LIGHT FIXTURES Owner: LESLIE BARNES Address : 77 SEA ISLAND DR NEWPORT BEACH, CA 92660 Phone: Applicant: HILTON BUILDERS Address: 425 31ST ST NEWPORT BEACH, CA 92663 Phone : (949) 673-4128 Contractor : HILTON BUILDERS Address : 425 31ST ST NEWPORT BEACH, CA 92663 Phone : (949) 673-4128 Con State Lic: 316788 Lic Expire ; 05/31/2023 Bus Lic: BT30063566 Bus Lic Expire 06/30/2023 Workers' Compensation Insurance , Carrier: FALLS+LAKE+FIRE+AND+CASUALTY+COMPAN Y Policy No: FLA00537105 W. C. Expire : 5/7/2023 'a Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : Y ' Occupancy Groups: R2/U , Building Setbacks Flood Zone : AE; X Use Zone : PC - Big Canyon PROCESSED BY: OWNEK-BUILDEK UEGLARAI ION I hereby affirm under penalty of penury that I am exempt horn the Contractors State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Renate) (Section 7031,5. Business and Professions Code: Any city or county that requires a permit to constn,ot. alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the-apPlICOnt(Or the permit to file a. signed statement tfiat he or she is licensedpursuant to the provisions of the Contractors` State License Law (Chapter 9 (Commencing with Section 7000)of Division 3 of the Buslness and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption, Any violation of Section 7031.5 by any oppllcant for a permit Subjects the applicant to acivil penalty of not. more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, Will do (_) all of or U portions ofthe work, and the structure Is not Intended or offered for sale (Section 7044, BUSIne$S and Professions Code: The Contractors State License Law does not apply to an owner of property who, through employees' or personal effort, builds yr improves the property; provided that the Improvements are. not Intended or offered for sale. If, however, the building or lmpravement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built: or Improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contractingwith. licensed Contractors to construct the project (Section 7044, Business and: Professions Code, The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License. Law), © 1 am exempt from licensors under the Contractors' Slate License Law for the following reason: By my signature below I acknowledge that, except for my psrsoaal residence in which I must have resided feral least oneyear prior to completion of the improvements covered by this permit, I.. cannot legall 'sell a structure that I have bulls n as an if It has not boon constructed In its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Coda, Is avallable upon request when this application is submitted or at the following Web site:httpa/www,leginfo.ca.gov/calow.html. Signature of Properly Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION rrr��� �'tf1A I hereby under penalty of perjury that I am licensed under provisions of Chapter 9(commenoing with Section 7000�� "Cb Business and Profession e a lie a Is In II fo ce and effect. License Class License No Dat ` `Mntractor Signature WORKERS' COMPENSATION DECLARATION WARN [NO: PAILU RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL: AN➢SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE➢THOUSAND DOLLARS ($100,000), IN ADD R ON TO THE COST OF COMPERSATIONI DAMAGES AS PROVIDED FOR IN SECTION 3706.,OF THE LABOR CODE, INTEREST,ANOATTORNEYS FEES. IIhereby affirm under penalty of perjury one of the following decfarallons: u 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'3100 of the Labor Code, for IN performance of the work for which this permit is Issued. Policy No. eve 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' oompensatior Insurance carrier and policy number are: , Policy. Number ame of Agent .11 cartl'y that, h the perform nos of IF[, If I should oecoma subeeE 1 to op Date not employ any person in any manner so asto become subject to the workers' compensation laws of California, and agre 1700 of the Labor Code, I shall forthwith comply with those provisions. `? � Data L2 gna,ureofApplicant /` f CCLJ.RATION REC STRUCTION LENDING AGENCY lerehy affirm under penalty of perjury thatthere is a construction tarei ng agency for the performance of the work for which this permit Is, issued.(Saction 3097, Civil Code). snder s Name Lender's Address y my signature bSIC4, I certify to each of the following: I am the propety owner or authorized to act. on the. property owner's behalf. '. tiara read INA applicationand the information I have provided is correct. I agree to corf,ly wa'h all applicable City and count ordaJ rr latmg to building Construction. \ authorize re^reserletives of this city or county �to/n ''Fig? ntl e pro, erty for Inspection purposes. Ionature of Prop^.r v O'vner or Authorized Agalri h Print Property Owner's or Authorized Agent's Name ACTION BATE aY DECLARATION OF COMPLIANCE WITH CODE - REGULATION5 PART 61 OFTITlE AO AND AOMD 1403 PE2MIT E'XPIREb I 1 1 U I SURMITTED A9RESTOS NOTIFICATION TO PERMIT FINAL 7�/� rj '3 � LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO ClplrflCATE Of PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: FOR OFFICE. Date All required alarms, latches gates and fences.which serve as part of a. pool/spa barrler, shall be In place prior to approval tofill pool/spa & shall remain In place & be maintained for the life of the pool.