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Home My WebLink AboutE2023-0657 - PermitsaEWPpRT City of Newport Beach II�I�I�IIIII�IIII�III I��I��I�III II O� em Community Development Department- Building Division E 2 0 2 3 9 6 5 7 n 100 Civic Center Drive, Newport Beach, CA 92660 u ' s Permit Counter Phone: (949) 718-1888 y y , �." r� �,,• „--® CqC/FU RN�P newportbeachca.gov/civic Electrical Permit Plan Check No : PC2023.1768 Work Class : Other Issued Date : 0712112023 Final Date: Permit Status: Issued Inspection Area : 5 E2023-0657 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 : 6 TIDELINE BLUFF Legal Desc : N TR 16424 BLK LOT 15 Description : ELEC - INSTALL ELECTRICAL LINE FOR BBQ.(S2023.0156) Owner: BERNARD & KRISTEN SMOKOWSKI Address : 6 TIDELINE BLF NEWPORT COAST, CA 92657 Phone: (714)920-7424 Applicant : SARAH BLATARIC Address : 31 TESSERA AV LAKE FOREST, CA 92610 Phone: (949)408-8676 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: 8 SPECIAL CONDITIONS: Contractor : BRETT STEELE Address : 4921 E LEEDS ORANGE, CA 92867 Phone: (714)496-1427 Con State Lie : 923975 Lie Expire : 10/31/2024 Bus Lie: BT30042152 Bus Lie Expire:02/28/2024 Workers' Compensation Insurance Carrier : EXEMPT - NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups : U OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 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 is 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 rofessions 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 of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions CDdef 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 nprovements are not intended or offered for sale. If, however, (he 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 n roved for the purpose of sale). 1, as owner or 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 poly 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 Law for the following reason. y 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 by this permit, I cannot lagally all a structure that I have built as. an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Ii rofesslons Code, is available upon request when this application is submitted or at the fallowing Web site:http:/lwww.leginfo.ca.gov/calaw.html, ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Dlvi 'on 3 of the Business and Profess oi�os GB ,. and y license is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI00.000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declaratlons: I 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 orrnance 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' compere irance, carrier and policy number are: Policy Number Date e of Agent vnone IF certify that, in the perm rice of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California., and Agra( if I should become s bject o the workers compensation provisions of Section 3700 of the Labor -Code, I shall forthwith comply with those provisions. ature of Applican�..,,,_,,,e,_.___�.,_��„ s�_,,,,_ Date 2V 2,_ LARATION RE ARD mCONS ... N LENDING AGENCY !reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Iderrs Name Lender's 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 readthis ap(;lication and the information I have provided is correct. I agree to comply with all applicable city and co. ,ordinances and state laws relating to building construction. I awhorize ep•esentafvas of this city or county "Al-en, the e-identified property for inspection purposes. nature of Prooertv Owner or Authorzed Aganl / - Print Property Owner's or Authorized Agent s Name DATE BY �•-BECLARAThM OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AOMD RULE 1403 PERMIT FKPlRFO, ' LJI5URMITTFD ASBESTOS NOTIFICATION TO PERMIT LANCECCfO ',___ ®EPA PERMS rXiENDFO �� t_tgOMD _ ___ _ __ PERMIT F MAL ' (=-2j J„ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO C'FRTI°! IE OF PROPOSED DEMOLITION uCCUPANCY15SU'D I SIGNATURE: