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Home My WebLink AboutE2023-0830 - Permitsw�'oRr City of Newport Beach �t Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u ya" rt Permit Counter Phone: (949) 718-1888 c v newportbeachca.gov/civic Electrical Permit : E2023-0830 Plan Check No : PC2023-2396 Work Class : Other Issued Date : 0912912023 Final Date: Permit Status: Issued Inspection Area : 3 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 : 1736 ANTIGUA WAY Legal Desc : N TR 4224 BLK LOT 284 Description : ELEC (N) ELECTRICAL LINE FOR BBQ ISLAND AND FIRE PIT Owner : JASON DOWNING Address: 1736 ANTIGUA WAY NEWPORT BEACH, CA 92660 Phone: (714)696-3028 Applicant : PAUL ELLISON Address : 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: (949)683-9861 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 6, Front: 12, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 01-3 SPECIAL CONDITIONS: Contractor : MERIDIAN CUSTOM POOLS INC Address : 23905 CLINTON KEITH RD 186-114 WILDOMAR, CA 92595 Phone : (800) 616-7946 Con State Lic : 775011 Lic Expire : 02/29/2024 Bus Lic : BT30076346 Bus Lic Expire:08/31/2024 Workers' Compensation Insurance Carrier : 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' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ABATIS) (Section'7031.5, Business and Professions Code: Any city or county (hat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statementthat 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 Professions Code) or thathe or she is exempt from lcansure and the basis for the alleged exemption:. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 the property, provided that iho, 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), 0 I, asowner 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 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' State License Law). ❑ 1 am exempt from Acensure under the Contractors' State License Law for the following reason ------..._w_-- — --------- By my signature below I acknowledge that, except for my personal residence in which I must have resided'. for at least one year poor to completion of the Improvements covered by this permit, I cannot legall) sell a structure that I have built as an owner-bullder if it has not been constructed 1n its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site::http:flwww.leginto.co.govlcalaw.btml. Signature of Property Owner or Authorized Agent .._....�_...._._.________.... . Date ___.____ LICENSED CONTRACTOR'S DECLARATION t hereby affirm under penalty of paryury that t am licensed under provisions at Chapter 9 (commencing with Section sion 3 of the Business and Praf r C� an license is in full totes and effect. License Class _ License No Data Vol)Z Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FA{LURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ist00,000i, IN ADOrr1ON TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will mainlam a Corti6cate of consent to soli -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 'ormance 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' compensa vane carrier and policy number are: Policy Number )f Agent Date rtlfy that in the porfor� he r or h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I we Of California, and agre tt I should oEvvme suit v o le w r s` c pensahon provisions of Section 3700 at lire Lobar Code, I short} forthwith comply with those provisions. �� nature of Applicant . _ .. Date DLARATION RECrAR NG NS. CTION LENDING AGSNGY retry 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). Ider's Name __, I ___ Lender's Address my signature belowcerflfy tO each of —the following. _____ I am the property owner or authorized to art on the property owner's behalf. have read this application and the information I have provided is vo Ct. 1 agree to comply with all applicable. city and coon rdina s ate laws rotating to building construction. I authorizer preset atives of this city or county 'y�'trJ'p'�e v d ffifed property for inspection purposes. // %%j///JJJ natur' of Propertv Owner or Authorized Agent ICJ //. � Pont Property Owners or Authorized Agent's Nam �L�Q.'- V ri` DatMldl DU6WATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITkT 40 AND AQMD RU 1 1403 PE;Tma, Expo b , i L..I I SUBMITTFO A:$RESTO5 NOTIFICATION TO A ff TFXTENDEJ -i LIAQMD P f,.f7 INAL 3/�r( I QASBESTOS NOTIFICATION 15 NOT APPLICABLE TO C Pr'f CfTE Of PROP05r0 DEMOLITION GCCUPAN' Y ISSUFD SIGNATURE