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Home My WebLink AboutE2023-0432 - Permitsv��WPoR' City of Newport Beach p e� Community Development Department- Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 a.H Permit Counter Phone: (949) 718-1888 Cyr FO0.N�P newportbeachca.gov/civic E 2 0 2 3 0 4 3 2II Electrical Permit : E2023-0432 Plan Check No : Work Class : Other Issued Date : 0511112023 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 : 2245 VISTA HUERTA Legal Desc : N TR 5798 BILK LOT 21 TR 5798 (L.L.84-245722) PAR 21 Description: ELEC PANEL UPGRADE 200 AMPS Owner: RICHARD LEE Address : 6482 DORAL DR HUNTINGTON BEACH, CA 92648 Phone : Applicant: AXB ELECTRICAL Address : 306 CAZADOR LN, Apt E SAN CLEMENTE, CA 92672 Phone: (951)473-7390 Owner/Builder: Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: X R-1 - Single -Unit Residential Contractor: AXB ELECTRICAL Address : 306 CAZADOR LN, Apt E SAN CLEMENTE, CA 92672 Phone : (951) 473-7390 Con State Lic : 1103623 Lic Expire : 04/30/2025 Bus Lic: BT30081304 Bus Lic Expire:04/30/2024 Workers' Compensation Insurance Carrier : EXEMPT Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups : U OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itemfs) ;section 7031.5, Business and Professions Code: Arty city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to Its Issuance, also requires the applicant for :he permit to file a signed statement 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 'rofesaons 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 penalty of hot more than five hundred dollars ($500).. 7 1, as owner of the property, or my employees with wegas as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 31 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 mprovements 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 Ti 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 Lew does not apply to an owner at property who builds or improves thereon, and who contracts far the projects with a licensed Contractor pursuant to the Contractors' State License Law). 13 [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 legally sell a structure that 1 have built as an owner -builder if it has not been eonstructod in its entirety by Ilconsod contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llww�.leginfo.ca.gov/calaw,html,. Signature of Property Owner or Authorized Agent _ �_ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Division 3 of the Business and Prate t�s}o de. nd my license is in full force and effect. License Class License No Aate h`1 'I)- s Contractor Signature ��,7)' WORKERS' COMPENSATION DECLARATION f NARNING: FAILURE TO SECURE WORRERS' COMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISIDRQS01, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOe, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 lh performance of the work for which this permit is Issued. Palley No., ❑I have 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' eompensatio l insurance canter and policy number are: Carrier Policy Number Expiration Date N me of Agent Phone # ertify that, in the perfor ance of thework 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 agre. al, I outd ba: su act tha workers compensation provisions of Section 3700 of the Labor Code,: I shell forthwith comply with those provisions. fill Signature of Applicant _ Date ' �`� DECLARATION IiEGA IN ST CTION LENDING AGENCY I hereby affirm under p IN of perjury that there Is a construclion lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code), Lenders Name Lender's Address ly my signature below, I certify to earn 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 tour y ordinances and slate laws relating to building construction. I authorize representatives of this city or cou en It abb t identified property for inspection purposes. t , Si nature of Propert Owner or Authorized A enf r� Print Property Owner's or Authorized Agent's Name AtTION I DATE BY g D' ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PENNRT EXPIRED I I I LI I SUBMITTED ASBESTOS NOTIFICATION TO PEAMIT EXTENDED _ PERWI FINAL �LIAQMD ASBESTOS NOTIFICATION Is Nor APPLICABLE TO CERTIFICATE OF / PROPOSEDDEMOIITION OCCUPANCY ISSUED r� / SIGNATURE: