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Home My WebLink AboutE2023-0884 - PermitsEwa0RT City of Newport Beach Community Development Department - Building Division G1DO Civic Center Drive, Newport Beach, CA 92660 > Permit Counter Phone: (949) 718-1888 CgG�4 lRN\P newportbeachce.gov/civic IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII4 II Electrical Permit Plan Check No : PC2023-1063 Work Class : Other Issued Date : 10/19/2023 Final Date: Permit Status: Issued Inspection Area : 8 E2023-0884 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 : 402 KINGS RD Legal Desc : N TR 1219 BLK H LOT 10 1 i . �::` LE C III Description : ELEC TEMP POWER POLE 'XR2023-2963' Owner : GILCHRIST JOHN TR J & S Address : 402 KINGS RD NEWPORT BEACH, CA 92663 Phone: Applicant: ERIC AUST Address : 62 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)637-5220 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED B SPECIAL CONDITIONS: Contractor : GREGORY BUILDERS Address : 233 OCEANVIEW AVE NEWPORT BEACH, CA 92660 Phone: (714) 747-4027 " Con State Lic : 719030 Lic Expire : 02/29/2024 Bus Lic : BT20012402 , Bus Lic Expire:06/30/2024 ' Workers' Compensation Insurance Carrier : CALIFORNIA INSURANCE COMPANY Policy No : 4604999801 W. C. Expire: 9/28/2024 ' Fire Hazard Zone : NO ' Occupancy Groups: OWNER- BUILDER DECLARATION hereby affirm under penalty ro perjury that am exempt from co the Contractors' as ate License permit to nor s Law forthe rt prove,Indicated demol the checlarri I have Placed next to Structure, prior to its issuance, alsolrequires the applicant for leper70o file Business and Professions Code Any city or county that requiresU 1a permit to IHa a signed statement that he or sho is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business an 'rofessions Code) or that he or she is exempt from ilcensure 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 of more than five hundred dollars ($500). 1, 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 provided that the 3usiness 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, 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 mproved for the purpose of sale]. 1, as owner of the property, am exclusively contracting with licensed Contractors to conslmck the project (Section 7044, Business and Professions Code: The Goltiractors' State License law duos not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). _ - - I ern exempt from licensors under the Contractors' Stale License Law for the following reason _ _. ._ .------ is It'l - ;e my signature below acknowledge that. except fort hp not been cldence onstructed nl itsl musthave resided entirety by eased contractors. I understand that a r to copy of letion Ofthe applicable law, Section of the Business andlegally Toil e structure a that I have built as an request when If I Irofessions,Code Is available upon request when this application Is submitted or at the following Web sits:httpaiwww.leginfo.ca.govJcalaw.html. _____ � pate--.- 7ignabtre of Property Owner or Authorized Agent _----------•------- - LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiote.- OTC f €visi - 3 of iCeo BVaslnDr .ignaturef rove, and n nee is in full force and effect License Class License No ✓ WORKERS' COMPENSATION DECLARATION COSTNARNING CORII FAILURE T IO S O1RE WORAS S' COiAPE FOATI N SECTION GE IS OF THE UNLAWFUL, AND SHALL SUBJECT UBJE T AN ENPL YERETS TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St OPA00j, IN ADORIO TO TH£ GES LS. h 3:c5; affirm un.iLr panalty of perjury one of the following decarntions: I have and wirl maintain a certificate of consent to self -insure for workers' compensation, issued by the Director at Industrial Relations as provided for by Section 3700 of the Labor Code, for ih p arena Ice of the work for which this permit Is. issued- Polley No.. ha• e and wi.'I n,inttain 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 liDSUrPnce carrier and policy number are: Expiration Date '1_111, 1 _ Policy Number ,me M Agent ouI df/ that, in the performance of the work for whi 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 ogre at if I should t: acnr re uubjaet t workers' sabon provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. v I r1aWr«oiAPF' ..� ._._.....�...—_._.___....__.____.... ate 9 ECLAof 'R GPF:DI �CDNS1tRUCTION L6N: NG AGENCY .,,. ..._. ......_� - hereby affirm under penalty of perury that there Is a construction lending agency for t the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name y my signature below, I certify to each of file following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the Information I have provided is correct.. I agree to comply with all applicable city and county ordinances and state laws Ing to building construction I authorize represenfal ves of this city oF-s Ur!t ;a nie above -idea roperty for inspection purposes,' c ^r n„N,,,.nad Ar,r,nl s Name 6 iifinature of Propert. owner ACTION7EM or Auutonzeo DATE ri - - BY I DECLARATION OF COMPUANCE WITH C E OF FEDFRAL REGULATIONS PART 61 OF TITLE 40 AND AWL RULE FOR OFFICE USE ONLY 1403 i SUBMITTED ASBESTOS NOTIFICATION TO EPA L 0.OMD _ __._.._.__.. ._PERMIT ❑ASBESTOS NOIIFICATIONISNOTAPPLICABLE TO PROPOSFODEMOLITIONOCCUPANC PERMI r EXP ER MIT CNPERMIT EXP F/N _ �yyCERTIFICATj ` ( 3 SIGNATURE —