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Home My WebLink AboutE2022-0696 - Permits�eWPoRT City of Newport Beach D� -+ Community Development Department- Building Division a �y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 e+� Inspection Requests Phone: (949) 644-3255 °9crr:oaN�� newportbeachca.gov/inspections IIII I I II I II I II II II I I II II Electrical Permit : E2022-0696 Plan Check No : 1742-2021 Work Class : Other Issued Date : Inspection Area: 5 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 : 524 SEAWARD RD Legal Desc : N TR 1237 BLK LOT 185 j Description : ELEC-TEMP POWER POLE (X2021-1993) Owner: 524 SEAWARD RD ACQUISITION LLC s��.�.>^""""' ConttKf tg[ 'irable-. Address : 7545 IRVINE CENTER DR, STE 200 IR I Add s Y Phone : (949) 677-6719 _� Phone : ,,rip/e Or �] i+s Con 19t td L . Applicant: 524 SEA RD RD ACQUISITIO Lic Expire: Address: 7545 IRVI CEt TaW, IRVI E CA 92 8 Bus Li¢¢ him Phone : (949) 877-6 19 i r.A,.,, Li3�xire: 'COON orkers' Compensation Insurance F Owner/Builder : 524 SE ARvo IS17 N L>G'"y' yy��f, ` Carrier Address : 7545 IRVINE ENE 20�,biVLCA 92618 Pre No �, Phone: (949) 877i671 xpire : s B"'' _ 9"' I TP Code Edition : 20 E r�zard Zone : YES Type of Construction :; t Occupancy Groups U liar Building Setbacks : Fron 5, : 6, Rear: 6 �^ i""""""� Flood Zone : V- a'✓� , sta('te�! Use Zone : 4"1-6 00 -Single-Uni esident (6000 jpdi mum lot ar `10 �rpC C PROCESSED BY: 0 1n5Pii^,i2ials: SPECIAL CONDITIONS: Note. _•�� 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 city or county that requires a permit to conshoot, oiler, improve, demolish, or repair any structure, poor to its issuance, also requires the applicant for io 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 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 7031.5 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 L) all of or (, portions of the work, and the structure is not intended or offered for sale (Section 7044, Wsiri and Professons Coda: 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 n roved 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 dons not to an owner of property who builds at improves thereon, and who contracts for the projects with a licensed Contractor pursuant to rho Contractors' State License Law). I inexempt fron, licensore under the. Contractors' State License Law for the following reason Sy 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 lsgall. structure that I have bull( as an owner -builder if it has not boon c ctod in its entirely by licensed contractors. I understand that a copy of 1350 applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request wh t is appllcatra e r sita:f)itp:/fwww.laginfo ca.govfcalaw.html.. Signature of Property Owner or Authorized Agent _ ,,,,`_ _.__ Date —1-P_ -ICENSED CONTRACTOR'S DECLARA' hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cotle, nd my license is in full force Ind effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION JANNINO: FAILURE TO SECURE WORKERs' COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), P1 ADDITION TO THE :CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION JDM OF THE LABOR CODE, INTEREST. AND A11 ORNEY'S FEES. hereby affirm under penalty of perjury one of the following declaratiori J I have and will maintain a certificate of consent to self rwure for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the tabor Code, for Ih< )erformance of the work for which this permit is issued. Policy No.. :1I have and will maintain Workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the words for which this permit is Issued. My workers' compensatior insurance carrier and policy number area ,arrler Policy Number Expiration Date Zixn8 of Agent Phone 0 F rtify that, in the performance of the work fort: ich this permit is issued I shall not employ any person in any manner so as to beeome subject to the workers' compensation laws of California, and agre( , f I should became subject to thew c5 o141pans �ryinjf the Labor Code, I shelf forthwith comply with those provisions. _____ nature of Applicant _ _ _ r t7gis j ci )ECLARATION REGA G CONSTRUCTtpN Lm NG At3ENCY hereby affirm under penalty or perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _ander's Name Lenders Address 3y my signature below, I certify to each 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 correct. I agree to comply with all applicable city and county ordinar, late laws gelatin to building. construction. I authorize representatives of this city or county o ant _eve-i for insgection purposes. Signature of Property Owner or Authorized A en{ Tint Pro er Owner's or Authorized Agents Name Data ACTION DATE N DFCLARATrON OF COMPLIANCE WITH CODE OF FCOERAL FOR OFFICE USE ONLY i RIOULATIONS PART 61 OF rULE 40 AND AQMO RULE 140'3 PERMIT ERXRREf7 y j M I EUPM[TTF.a ASBESTOS P'OTIFICATION 70 PEAMIT CAACEt.tED �.. w j rjrtCFA ' PERN7IT EXFfNDED { MJ CEVJ ' PfRMA F)PJAL ASHt5r05NOTIFICATION IS NOT APPLICABLE TO C€RTiFiCAFE OF PROPOSCD DEMOLITION OCCUPANCY ISSUED ( E 51GNA7UrE: