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Home My WebLink AboutE2023-0761 - Permits�"""'Po" City of Newport Beach 0 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 cq</FO RN`P newportbeachca.gov/civic Illliiiiiiiiiiiiii1iq II Electrical Permit Plan Check No : 0130.2021 Work Class : Other Issued Date : 08/28/2023 Final Date: Permit Status: Issued Inspection Area : 1 E2023-0761 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 : 1120 W BAY AVE Legal Desc : N TR 626 BLK 4 LOT 6 Description: ELEC -ELEC TO BBQ & CONDUIT TO DOCK Owner: GARYBUNTMANN Address : 410 17TH ST STE1010 DENVER, CO 80202 Phone: Applicant: LONGMAN CONSTRUCTION CO INC Address: 2782 CIRCLE DR NEWPORT BEACH, CA 92663 Phone: (949)722-7711 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks : Front: 5, Front: 25, Side: 3, Side: 3 Flood Zone: AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : LONGMAN CONSTRUCTION CO INC Address : 2782 CIRCLE DR NEWPORT BEACH, CA 92663 Phone : (949) 722-7711 Con State Lie : 393881 Lie Expire : 08/31/2025 Bus Lie: BT00001921 Bus Lie Expire:03/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9062475 W. C. Expire: 7/1/2024 Fire Hazard Zone : NO Occupancy Groups: U OWNER -BUILDER UEULAKAI lVN I hereby affirm under penally of pequry that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the clacker I have placed next to the applicable items) (Section 7031.5, Business and Professions Code? Any city or county that requires a perel it 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 thathe or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70D0) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant io a civil penalty of not more than five hundred dollars ($500). 111, 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 employees' or personal effort, builds or Improves theproperty, 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 improved for the purpose of sale). ❑ I, 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason. _____ ... .._ By 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 legallt sell a structure that I have built asan owner -builder if it has not been Constructed in its entirety 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:Awww:leginfo.ca.govlcalaw,ntml.. Signature of Property Owner or Authorized Agent __ _ Date _ LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penalty of papery, that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) f v' ion 3 of the Business and Profes io od a d my tic >isa is In full farce and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI£E AND eMl FI ES UP TO ONE HUNDRED THOUSAND DOLLARS 1Sloo.ri IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performanceof the workfor which this permit is. issued. Policy No. ve 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' compensatiol era ce carrier and policy number are: rtl Policy Number Expiration Date Name of Agent Phone If []I certify that, in the performance Of th ork f r ice this permit is issued, 1. shall not emp{oy any person in any manner So as to become subject to the workers' compensation laws of California, and agre that, if I should become subject to i worker o pense n provisions of Section 3700 of the Labor Code, I shall forthwilh comply with those provisions - Signature of Applicant Dated 23 DECLARATION REGAR ING CON UCTION LENDING AGENCY �j(/ i hereby affirm under penalty of perjury that there is a construction lending agency Tor the performance of the work for which this permit is issued (Section 3097, vU Code). Lenders Name Lender's Address By 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 I have provided Is correct. I agree to comply with all applicable city and county ordinance d slate laws relating to building construction. I authorize representatives of this city or county to enter abo emilled property for inspectlon purposes. Sicnature of Preoertv Owner or Authorized Apant� `.� � Print Property Owner's or Authorized Agcrr Nome,#7` ij/ '/1 Date �G ACTION DATE I BY V f REGUUATION ONS OF T M LI TNCE IT F WITH H C DE OF FEDERAL FOR OFFICE US5 ONLY PERMITEXPIRED I I I U t SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED ! I1AOM.D PERMrT FINAL _� RE5TP5 NOTIFICATION IS NOTAPPLICASLE TO CERTIFICATE OF I, /y, �j� PROPOSED DEMOLITION OCCUPANCY ISSUED Y 1 SIGNATURE: __