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Home My WebLink AboutE2023-0778 - PermitsaEW PORT City of Newport Beach Community Development Department - Building Division bhhh 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 a r9r r aa,r newportbeachca.govlcivic E►►��2��►�0��►�2 3��►��0 7 7��►a�► 7 Electrical Permit Plan Check No Work Class : Other Issued Date : 08/31/2023 Final Date: Permit Status: Issued Inspection Area : 8 E2023-0778 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 : 1224 PEMBROKE LN Legal Base : N TR 3607 BLK LOT 5 Description: ELEC UPGRADE ELECTRICAL MAIN SERVICE PANEL TO 200A MSP Owner: BRIAN LOYOLA Address : 555 ANTON BLVD, 150 COSTA MESA, CA 92626 Phone: (714)235-3572 Applicant: BRIAN LOYOLA Address: 555 ANTON BLVD, 150 COSTA MESA, CA 92626 Phone : (714) 235-3572 Owner/Builder: BRIAN LOYOLA Address: 555 ANTON BLVD, 150 COSTA MESA, CA 92626 Phone: (714)235-3572 Contractor Address Phone: Con State Lie Lie Expire: Bus Lie : Bus Lie Expire: Workers' Compensation Insurance Carrier: Policy No: W. C. Expire: Code Edition: 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : U Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential , PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby afllrm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items) :Section 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 he 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 'rofosslons 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 Tot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L.) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3Usr .sS 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 "Iovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwil) have the burden of proving that It was not built or rl roved for the purpose of sale). L as owner of the property, am exciusively contracting with licensed Contractors to construct the project (Seclion 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I 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 leastoneyear prior to completion of the Improvements Covered by this permit, I cannot legail} sell a structure that I have built as an owner -builder if it has not been constructed in its entirety yy licensed Contractors. I understand that a copy of the applicable law, Section 7044 of a Be lness and professions Code, is available upon request when this application is su oral the follo g Web site TRIP 1 vVw.leginfo.ca.gov/calew.himl. iigrtatura of Property Owner or Authorized Agent __ Oafe. .ICEN:SED CONTRACTORS DECLARATION hereby affirm under penalty of pertury that I am licensed under piof of Chapter 9 Comm sing with Seclion 7000) of Division 3 of t#te Business and Professions Code, and my license is it) full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPWYBR TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100A04 IN ADDITION TO THE MST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 2706 OF THE LABOR CODE., INTEREST, AND ATTORNEYS FEES,. 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 tht lerformance of the work for which this permit is issued. Policy No. JI 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 workerscompensatior Insurance carrier and policy number are. Carrier _ Policy Number Expiration Date Name Agent Phone N certify that, in the performance Of the work for which this permit is r sued, I strait not employ any person in any manner so as to become subject to the workers' compensation laws Of California, and egret that, if I should become subject to the uerlpensaCrt7tT7)Tbat • of Sortlon 3700 of the Labor Code, I shall forthwith comply win those provisions. Signature of Applicant ..... _..... .. ._ ._ _ _.._._ .... Data__... DECLARATION REGARDING CO S7 TION L NDI CY hereby affirm under penalty of p City I I there is a const lion lending agency for theperformance of the work for which this permit Is issued (Section 3097, Civil Code). L.Pnder's Name ._.________...... ..... .....__._.�_v_��_.®�........__� Lender's Address By my signature below, 1 certify 0 each 0 he following. I am the properly owner or a1 zed 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 zppllcahle city and eouniy ordfi Traces and state laws relating to building construction. c' I authorize rear-ionetwas cf this city or county to e above -identified property for Inspection purposes. It— Signature of PropPtiy Cnwnar a' Authorzed Agent Print Properly Owner's or Authorized Agent a Name Date L ACTION DATE BY UkCARt ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY yr€GULA IONS PART6I OF TITLE 40ANDAOMDRULE PERMITEXPIRED /.LKSUBMITTFO ASRFSTOS NOTIFICATION TO PERMI FCANCFICF1 EPA PERMIT EXTENDED ❑ApMD PERMITFINAL GASHESTOS NO] FICArION 15 NOT APPLICABLE 10 CfflflFl GA iE OF 1 IN PROPOSED DEMOLITION OCCI)PANCYISSUPO j I SIGNATURE: