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Home My WebLink AboutE2023-0765 - PermitsCity of Newport Beach Community Development Department - Building Division r J. 100 Civic Center Drive, Newport Beach, CA 92660 r Permit Counter Phone: (949) 718-1888 r \ c4<rrc aWN newportbeachca.gov/civic iiiiiiiiiii II Electrical Permit Plan Check No : Work Class : Other Issued Date : 08/30/2023 Final Date: Permit Status: Issued Inspection Area : 8 E2023-0765 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 : 1013 GROVE LN Description : ELEC 200 AMP SERVCE UPGRADE Owner: ANDERSON SUSAN SMITH TR Address : 63 BEACON BAY NEWPORT BEACH, CA 92660 Phone: Applicant: INERSOL ELECTRIC COMPANY Address : 10783 HEMLOCK HESPERIA, CA 92345 Phone : (909) 258-1437 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Westcliff Grove PROCESSED Y: SPECIAL CONDITIONS: Legal Desc : N TR 9620 BILK LOT 26 Contractor : INERSOL ELECTRIC COMPANY Address : 10783 HEMLOCK HESPERIA, CA 62?45: Phone: (909)258-1437 " Con State Lie : 1073026 Lie Expire 01/31/2025 ' Bus Lie: BT30082490 Bus Lie Expire:08/31/2024 - Workers' Compensation Insurance , Carrier: Policy No : EXEMPT - W. C. Expire Fire Hazard Zone : NO Occupancy Groups : OWNER -BUILDER DECLARATION I hereby affirm order penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 7031.5. Business and Professions Cade: 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 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 Passions 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 more than five hundred dollars (550D). I, 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, flness and Professions CodeThe 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 foventenls 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 the purpose of sale). 1, 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 ,ly 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),. LJ I ern exerrrpt from licensum under the Contractors' Stale License Law for be following reason: By my signalura below I acknowledge that, except for my personal residence In which I must have resided forat least one year prior to completion of the Improvements coven sell a structure that I have built as an owner-bulldor if it has not boon constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with 'o e000 o Divis' n 3 of the Busin and Professio. ode, and effect. License Class License No to cu Contras r 'gnat e WORKERS' COMPENSATION DECLARATION of the Business and is In full force FAILURE TO SECURE WORKENS l OOAOENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED'�IOUSAND DOLLARS ($100.0001, IN ADDITION TO THE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under pe, Iafty of perjury cue of the following declarations: 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 ;ranee of the work for which this pe, mit Is issued. Policy No. _ 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 Carrier and ooilcy nurri a,s. of Agent _ _ _ certify that in the r- formal Off _ that, if I should ecor e sol,,ct Policy Number Dale for which this permit is issued, I shall not employ any person in any manner so as to become subject to the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C LARATI REGA+fper;ury R TIDN LENDING AGENCY reoy affirm under pethat there Is a construction lending agency forthe performance of the work for which thispermit is issued (Section Ider's Name _ _ Lender's Addressmy signatura below, hf time following1 am the property ozed to act on the property owner's behalf. I have read this application and the information I have rovided is correct.. I agree to comply with all applicable city and ounty r finances nd slate lays relating to building construction. I authorize representatives of this ,I y ounty to e ve-identified property for inspection purposes. nature of Prone Owner or Aulho ed Aaent Print Prouerty Owner's or Authori ed o Aeerrl, r. ame ACTION DATE ( By DECLARATIONGULATIONS PARTOM LLFANTI.EWITH CODE OF EDIERAL FOR OFFICE USE I PERMIT EXPIRED I 1 1 IJ I SUBMITTED ASBESTOS NOTIFICATION PERMITEXTENDED I LJAQMD PERMlT FINEE ) �>V zSBh IOSNONHCAltUNISNDt APPLICABLC TO CERTIFICATE OF I PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE• compensation laws of California, and agre _1da dZz ____..__ Civil Code). sy< Iv Cslsriz3 LO rn �.y Q x O z _ X Z F C) U o O CD a L)M MWM FBI W m J- Z Z 00 �..� AzrcO Hoag W�Z� QU U— a aQ00tM OC7� o Z W x0 >Qm� QUJ z w,400 L) OLL �-LI A�a3CL UW O > C W ~ O W U o o U N0 o a) Uj � ,c Q a) y� 0 L ID p �L 0 O N O ELL w R O E a) Y y 7 O CD f6 N p E o ` ` U U i as ° cr N (6Y� C �� 0 a) � � o w°° 3`0 m° O L O y * o aNiX af6i 3_N a ca oiw 0) p r J M a a)c oLm �- °c�.nc Ex 3� wE a Ua) w a)a) ZC a �'m c� as aa)M Oy �c c `- O O i N O E O E O h O M O C O N ... 3 c Q d C i=� O #t E v — 0 o c m � _� 0 � m I, U a C 3° CD O° c � p J O �' c 0 N O O) c a) N E t0 — O a) :� E� a 0 a).c =p O� L L V CD 0)0) o O 3 =3 d=3 x� a _c via — aai�) Ea o"Em M`Oc �a 2 ns Q) a) Usz 0° Eacn E yr �� CDZ E 0-,z ca) EOc5 m a) m aN — �- � 0 e .MX( c �m �m Do Cl)CL L� a E N°@ a c) Zama) O `o w w 'p 0) m a) a) N a y m '£ i0 Q 3 ,n a3 a) +� N C `- a) N V a L t N O a) M C O A Q. -- 2 3� a °U Q °c a) f0 E Tram m id v c 0 U U 7 � c a rn Q m E •° m N L ;Ep c w m w c o 0 E ac) ° o E c af0i m a) rn 0-- �•0 a V �O '0 CD N O 9 f6 N N YO •�- U a) N C M H vi U` n.S U go cn N 3� y� D C O p N a c0 >..cp _vOi a ECL Q Z O3 U °c �3� (Da) aaE a c ycc � ua 'E tMw iw� CDi � E cOi m p � c ? �o a0i E cL c U m � U t °°—" r� N c � 'O y a s N m 'X � O �p r+ O` rn p m c a d a � H.c 0 a)U CO a . a0. in Z=ri m 0