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Home My WebLink AboutE2023-0682 - Permits�eW o T City of Newport Beach D� JI e bfifih Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 921 Z Permit Counter Phone: (949) 718-1888 c9t newportbeachca.gov/civic F a�,�r vrW„wJ iiiiiiiiiii II Electrical Permit Plan Check No : Work Class : Other Issued Date : 07/31/2023 Final Date: Permit Status: Issued Inspection Area : 6 E2023-0682 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 : 416 POPPY AVE Legal Desc : N TR 673 BLK B LOT 47 Description: ELEC -WHOLE HOUSE RE -WIRE & 200 AMP PANEL UPGRADE Owner: ETSUKO PRICE Address : 183 SHORECLIFF RD CORONA DEL MAR, CA 92625 Phone: Applicant : CAZARES E C Address : 230 W THIRD ST., 106 LONG BEACH, CA 90802 Phone : (310) 594-1485 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: Front: 5, Front: 10, Side: 3, Side: 3 X R-1 - Single -Unit Residential Contractor : CAZARES E C Address : 230 W THIRD ST., 106 LONG BEACH, CA 90802 Phone : (310) 594-1485 Con State Lie : 1064922 Lie Expire : 04/30/2024 Bus Lie : BT30079799 Bus Lie Expire:09/30/2023 Workers' Compensation Insurance Carrier : EXEMPT Policy No : EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups : R3/U OWNER -BUILDER DEC I hereby affirm Under penalty of perjury that I am exempt from the Contractors' State License Law for the reasen(s) indicated below by the checkmark(s) 1 have placed next to the applicable itemts) �atiun 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 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 -fesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 031,5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars. ($500). J I, as owner of the property, or my employees with wages as their sole compensation. will do (_) all of or L) portions of the usiness and Professions Code: The ContractorsState. License Law does not apply to an owner of property who, through am nprovements are not intended or offered for sale, If, however, the building or improvement is sold within one year of complet nproved for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BL pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pL 1 am exempt from lirensure under the Contractors' State License Law for the following reason: ty my signature below I acknowledge that, except for my personal residence In which I must have resided for at (east one yea elf a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors- I undo rofessions Code., is available upon request when this application is submitted or at the following Web site:httpa!www. leginfo.� ;ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION ^� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7p0 ) o D nd effect. License Class License No Date V $'/ COMPENSATION DECLARATION tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES OST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following dec€aratlons: 7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Int orformance of the work for which this permit Is issued. Policy No. _ _ _.___ 11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfol hsurance Canter and policy number are: zanier Policy Number am cf Agent _v k, and the structure is not intended or offered for sale (Section 7044, cos' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit. I cannot that a copy of the applicable law, Section 7044 of the Business and the Business and Professio CQ�e, ddld19�license Is infull force Contractor Signati/ r�l ✓� ___ CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS11)( 1, IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' core Dale ItaI c rtify that., in the pertormanc of the work fo which this permit is issued., I shall not employ any person in any manner so to become subject to the workers' compensation laws of California, and agre f I should become subject the w rkars' mpensatlon provisions of Section 3700 of the Labor Code I shall forthwith co n ply with those provisions. ?� iignalure at Applicant fy3"e�p!, I:ECLARATION RE IN N RUCTI L NOING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which thi permit is Issued (Section 3097, Civil Code). ender's Name _ _ Lender's Address ly my signature below, I cef8fy tD each ofi I am the property owner or authorized to act on the property owner's behalf. I have read thisapplication and the information I have gfovided Is correc I agree to comply with all applicable city and county or finances st laws relating to building construction. I authorize representatives of this city or county to en r t}�e abo e-id tied property for inspection purposes. ' / ;ianalure of Property Owner or Authorized Agent �i AIf Print Property Owner's or Author ed Agent's Name V f iU-a�.i Date ACTION DATE BY M\'. DrLARATIOfNOF COWPLIANCE WITH CODE OF FEDERAL FOR OFFICE US REGULATIONS PART 61. OF TITLE 40 ANC) AQMD RULE 1403 ONLY PERMIT'EXPIRED LJ I S"RMITTED ASBESTOS NOTIFICATION TO PERMtT CAACELLFD --- �EP<-_.- I PERMIT EXTENDED ..... .. __...� _... ...... 0AUMD PERMIT FINAL CERTIFICATE OF ❑ / AS9ESIUS NOTIFICATION ISNOTAPPLICABLE TO }SI PROPOSED DEMOLITION OCCUPANCY ISSUER J _. SGKATURE_ —.I