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HomeMy WebLinkAboutE2023-0501 - Permits�EWPoRr City of Newport Beach I 11pli1111111111111111111111111111111111111111111111111Electrical Permit : E2023-0501 D� dcn Community Development Department- Building Division E 2 0 2 3 0 5 0 1 F 100 Civic Center Drive, NewportBeach, CA 92660 Plan Check No : 1400-2020 >� x Permit Counter Phone: (949) 716-1888 Work Class : Other newportbeachca.gov/civic Issued Date : 06/06/2023 4Cito FN 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: 440 FERNLEAF AVE Legal Desc : A TR CORONA DEL MAR BLK 433 LOT 22 Description : TEMP POWER POLE (X2020-1755) Owner: GALLO CHRISTOPHER TR C & E GALLO LIVING TR Address : 1278 GLENNEYRE ST #412 LAGUNA BEACH, CA 92651 Phone : Applicant: Joseph Gallo Address : 1278 Glenneyre St #412 Phone : (949) 309-0951 Owner/Builder Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : GALLO BUILDERS INC Address : 1105 N COAST HWY LAGUNA BEACH, CA 92651 Phone : (497) 159-8749 Con State Lic : 852218 Lic Expire : 01/31/2025 - Bus Lic : BT30028998 Bus Lic Expire:08/31/2023 Workers' Compensation Insurance Carrier: STARNET INSURANCE COMPANY Policy No : BNUWC0155365 W. C. Expire: 11/20/2023 Fire Hazard Zone : NO Occupancy Groups : R3/U NO CONSTRUCTION NOISE ON THE WEEKEND K.- OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exempt from the Contractors' Slake License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Coda: 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (Commencing, with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from IlcenSure and the basis forthe alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). [11, as owner of the property; or my employees with wages as their sole compensation, Will do (_) all 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 employeas' or personal effort, builds or Improves the property, provided that the improvements 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 roved for for the purpose of sale). L.I I,. 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 does not a ply 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). I am exempt from licensure under the Contractors' State License Lew for the following reason: By my signature below i acknowledge that, except for my personal residence in which I must have resided for at;east one year prior to completion of the Improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been Constructed In its entirely by licensed 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://www.leginfo.ca.govlcslaw.btml. 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 7003 of the Business and Prof si ns CD nd r (y license is in full force and effect. Licenza CIJss License No Dale S Contractor Signature WORKERS' COLVENSATION DECLARATION NLFXAS . r AILURE Tr; LE.:JRE WORHERB' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINE8 UP TO ONE HUNDRED THOUSAND DOL 8 (S100A00), IN ADDITION TO THE COST Of COMPENSArION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: 5+have and will l,iaimain a certificate of consent to self -Insure for workers' compensation, issuedby the Director of Industrial Relations as pmvided for by Section 3700 of the Labor Code, for IN pedormance of thewcrP for which this permit is Issued. Policy No. 711 have and will mdia,am 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' compensatior W<urance carrier and policy number are: Policy Number of f.gent Date ,-Fliry that, in the performance of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California., and agref I. if I should become'subject to the we tors' cc ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f / r nature of Applicant X ' Date CLARATION REGA DING CONSTRU 'ION LENDING AGENCY )raby affiml under pensity of perjury that there is a construciion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lenders Address 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 t have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter lhgaovfJ-id¢nllged property for inspection purposes. PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATEOF U OCCUPANCV ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE NOTI Lt ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: