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Home My WebLink AboutE2022-0848 - Permits�EWPORT City of Newport Beach 04 @ Community Development Department- Building Division F q 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq<�FD0.N\P newportbeachca.gov/inspections Electrical Permit Plan Check No : Work Class : Other Issued Date : 10/22/2021 Inspection Area : 5 E2022-0848 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 : 113 BAYSIDE PL Legal Desc : A TR CORONA DEL MAR BLK D CORONA DEL MAR LOT BLK D FOR OF BL K Description: DOCK ELECTRICAL: (29) LED LIGHTS, FLAG LIGHT, 20A BREAKER & PEDESTAL, CU CABLES, & SWITCHES (M2021-0016) *RENEW EXPIRED PERM Owner: LAZKANI NANCY TR N Address : 2920 DONA SUSANA DR STUDIO CITY, CA 91604 Phone: Applicant : ASSOCIATED PACIFIC CONST Address : 495 EMBARCADERO MORRO BAY CA 93442, CA 93442 Phone: (805)772-7472 Owner/Builder : Address Phone: Code Edition : Type of Construction Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone: AE, 8 FT; X Use Zone : R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Contractor: ASSOCIATED PACIFIC CONST Address : 495 EMBARCADERO MORRO BAY CA 93442, CA 93442 Phone : (805) 772-7472 Con State Lic : 394886 Lic Expire: 11/30/2022 Bus Lic: BT30047194 Bus Lic Expire;05/31/2023 Workers' Compensation Insurance Carrier : MANUFACTURERS ALLIANCE Policy No : 2021010391755Y W. C. Expire: 10/1/2D23 Fire Hazard Zone : NO Occupancy Groups: Y Lsj L,a.� Q-, r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) indicated below by thecheckmark(s) I have placed next to the applicable. item(s) 3eetlon 7031.5. Business and Professions Code: Any city or county that requires a permit to construc'l, alter, Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for Ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 fora 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 U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness and Professions Code: Trip, ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided [hat the nprovemenis 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 nproved for the purpose of sale). 3 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 pp€y to an ownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). 3 1 am exempt from licensure under the Contractors' Slate 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 legally oil a structure that I havo built as an owner-buildar if it has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code., Is available uponrequest when this application 'Is submitted or at the following Web site:http://"w .leginfo.ca.gov/calaw,htmf, signature of Property Owner or Authorized Agent _ e .ICEN.SED CONTRACTOR'S DECLARATION �Oi / hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Sect% 7 0) f ?2Tof the Business and Profe ion Itf9-{ice force nd effect. License Class License No Da li Contractor Signature WORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORRERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMIN LP ALTIES AND CIVIL FINES UP TC ONE HUNDR U THOUSAND DOLLARS ($100,00 ), IN ADDITION TO THE Car OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 thr Arformance of the work for which this permit is issued. Poiicy 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' C@nce carrier and policy number are: Policy Number Expiration Date lame of Agent Phone it 31 certify that. in the pe rma. ee th .work forIcis Armit is issued, shall not employ any person in. any manner 5o as to became subject to the werke. ' Co pensatlon laws f California., and ogre iat, if I should become su 'a to a ark nI rovlsions of5eclion 3700 of lha Labor Code, shalt forthwith comply wilts those provisions. signature of Applicant _i�DatetECLARATIGN REGARDIN STRUCTIgN G AGENCY hereby affirm under penalty of perp..0 that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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 informa'on I ve provided is correct. I agree to comply with all applicable city and ou ty aril as and state I s relating to building construction. I authorize representatives of this city or caunn 'Try, lit n..abo,J-f�enti e ryiperty for inspection purposes. 3lgnature of Property Owner or Au ACTION DATE PERMIT EXPfREO .__.__....._.____.. .____.-___ .. PERMITCANCELlED PERMIT EXTENDED PERMIT FINAL 1 l I b CERTIFICATE OF l l OCCUPANCYr55UED BY / j t]SC`ARATMN OF COMf LIANCE WITH CODE OF FEDERAL V t REGULATIONS PART b,{ OF TITLE. 40 AND AOMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO LU.OML �AyPEsrb5N011FICAT[ON15NOr APPLICABLE TO PROPOSED DEMOLITION Owner's or FOR OFFICE USE ONLY Dale