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E2023-0287 - Permits
�E,WPO�,T City of Newport Beach o� e Community Development Department- Building Division too Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 C4��OR�`P Inspection Requests Phone: (949) 644-3255 newportbea chca. g ov/inspections Illliiii iiiiiiiigllil Electrical Permit : E2023-0287 Plan Check No : 1106.2022 Work Class : Other Issued Date : 0313012023 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 : 2715 VISTA UMBROSA Legal Desc : N TR 6905 BLK LOT 49 Description: ELEC UPGRADE ELECTRICAL MAIN SERVICE PANEL TO 200A Owner: BEVERLY CORCORAN Address : 2715 VISTA UMBROSA NEWPORT BEACH, CA 92660 Phone : (949) 310-3758 Applicant: BEVERLY CORCORAN Address: 2715 VISTA UMBROSA NEWPORT BEACH, CA 92660 Phone : (949) 310-3758 owner/Builder: Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: _ _ _ 131 SPECIAL CONDITIONS: Contractor : ELITE CABINETS INC Address : 5402 OCEANUS DR HUNTINGTON BEACH, CA 92649 Phone : (949) 331-5441 Con state Lie : 1078436 Lie Expire : 07/31/2023 Bus Lie: BT30081135 Bus Lie Expire:07131/2023 Workers' Compensation Insurance BENCHMARK INSURANCE COMPANY Carrier : Policy No: CST5023914 W. C. Expire: 711412023 Fire Hazard Zone : NO Occupancy Groups : R3/U hereby aftlrm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated belay by the checkmark(s) I have placed next to the applicable items) (Section 7037.b, Business and Professions Cade: Any city or county that requires a permit do construct, alter, Improve, demolish, nr repair anystruature, Prior to Its issuance, also requires the applicant for the permit to FIIO a signed statement that hD 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 Professions Code) or that he or she is exempt from ticensbre and the basis or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecfs the applicant tea civil 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 U ail of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, Business 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 improvements are not intended or offered for sale. I, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that It was not built or improved for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code:. The Contractors' State License Law does not aEl pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from ticensure 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 b thjs rmit I sapl a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable Saw, Section 7044 of the Business and LICENSED CONTRACTOR'S DECLARATION "—" Date I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Of ��4lsion 3 of the Business and Profes 'ens C and effect. License Class License Noce�s in full force WORKERS' COMPENSATION DECLARATION Date ? Contractor Signature/ fL' WARNING: FAILURE TO SECURE WORT COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tEIDDADUI, IN Pt30RNJq TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, ANSI ATTORN Ey'S Fees. hereby affirm under penalty of perjury one of the following declarations: © I have and writ maintain a certificate of consent to self -insure or workers' compensation, issued by the Director 0( Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih perforrttance of the work for which this permit is issued. Policy No. 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' compensatio insurance carrier and policy number are: Carrier Policy Number Name of Agent Expiration Date ©I certify that, in the performance of the work for which this permit is issued, shall not employ an Phone # that, if I should become subject to the or compensation provisions of Section 3700 of he Labor Code,lI she forthwith omplybWith hose provisonse workers' cornpansat(on laws of California, and ogre Signature of Applicant OECLARATfON REC.A ' G CON UCTIONLENDINGAGENCY Date �„Z hereby affirm under penalty of par' that there is a construction fending agenoyfor the performance of the work for which this permit is issued (Section 3097, Civil Code), Lender's Name By my signature bafcw, I certily to each of the following: Lender's Address 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 witt,. all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this City or county enter th ab�identified property for inspection purposes. / Sig lalure cf Prop,. rtLOwrer or Authorized A ant 51)2lG�t Print Pros Owner's or Authorized A ent's Nam i%✓ o/' �j� ACT„]N DATE BY OECL TON OF COMPLIANCE VdITN.000E OF FEDERAL Oafe3�Gi REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE FOR OFFICE 11.5E ONLY I 1403 PE?MlTEYPIRFO _I I SUBMITTED ASBESTOS NOTIFICATION TO PE.'.1'1.'T [9NVCELLEG .._....._._...._..., _ '. EPA PFafd•T E.fTENOfD — '—T-r ODD _ PE,1M f F,hAL +{$ ,— CE TIP7CA7£ISS —) ( ! PROPOSIGNASED DEASBESTOS MOLITION ON IS NOT APPLICABLE 70 OG f^!h',^Y ISSUED PROPOSED DEMOL1TtON