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Home My WebLink AboutE2024-0214 - Permits�EWPORr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 Cq��FIN`P newportbeachca.gov/civic IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II Electrical Permit: E2024-0214 E 2 0 2 4 0 2 1 4 Plan Check No : PC2022-3170 Work Class : Other Issued Date : 04/02/2024 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 : 1915 SANTIAGO DR Description : ELEC A/C DISCONNECT Legal Desc : N TR 4709 BLK LOT 6 Owner: MICHAEL KANE FAMILY TR Address: 1915 SANTIAGO DR NEWPORT BEACH, CA 92660 Phone : (949) 246-4817 Applicant: ALDRICHCORDOVA Address : 8101 SAN HERON CIR BUENA PARK, CA 90620 Phone: (714)471-5977 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: Contractor : JAMES R STEWARD Address : 6752 LAURELTON AVE GARDEN GROVE, CA 92845 Phone: (714)943-3230 Con State Lic : 1004538 Lic Expire : 06/30/2025 Bus Lic: BT30055371 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier : TECHNOLOGY INS CO INC Policy No: TWC4357103 W. C. Expire: 1/1/2025 Fire Hazard Zone : NO Occupancy Groups: 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 ftemts) Bection 7031.5. Business and Professions Codel Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for to 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 Irofessions Code) or that he or she is exempt from Iicensure 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). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness 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 the nprovements 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 ppty to anowner 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 tam exempt from Iicensure under the Contractors' State License Law for the following reason: ;y my signature below t 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 all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and 'refessions Code, is available upon request when this application is submitted or at the following Web site:bttp:llwww.leginfo.ca.gov/calavr.html. signature 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 Sectiloti 7 00))o�f Division 3 of the Business and Pro Slone Co , and my license is in full force nd effect License Class License No Dat z/, Z , Z Contractor Signatur 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 1$10E,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 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, Far lhi grformance of the work for which this permit 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' car ri//Rr and policy number are: / �r reef�. cw�rani ,;a6L/:+K c. lG. Policy Number�w�y�57�Q3 Expiration Date, of Agent 11 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree tat, if I should become su ect fo tha/worrkers'' compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with. those provisions. I / fgnature of Applicant K�_ //�// Date tECLARATION F t ONSTRUCTfON LENDING AGENCY hereby 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, Ci it Code). ender's Name Lenders Address N my signature below, € certify to each of the following: 1 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 ordinances ands Ws relating to building construction. I authorize representatives of this city or coun t�7,/enter t 9r�hOve nti0ed property for inspection purposes. ,,,/p / f,%/ U I J {ivnature of ProosM Owner or Authorized Agent XC Print Property Owner's or Authorized Agenf5 Name _V`r c (j, _g Date �7 ACTION DATE BY / 15MARATION OF CCU RLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE r1�4r0-3 _ PERMIT EXPIRED LJ f SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED L1AOM0 _ PPRMRFINAL LI 1N ASBESFO5 NOTIFICATION Is Nor APPLICABLE TO CERTfFICATEOF L• 1 (i l PROPOFED L'WOLITION OCCUPANCYISSUED a S*NA FU-M;