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HomeMy WebLinkAboutE2024-0005 - PermitsO� '"0 G rr! s .a. C'9<IFOR�`P NO City of ewport Beach Community Development Department - Building Division 100 Civic C nter Drive, Newport Beach, CA 92660 Permit Cou ter Phone: (949) 718-1888 PERMITS Job Address : 3815 SANI Description : ELEC INS - Owner: BLAU37`fl.I Address : 3815 SA14RU Phone : Applicant : ALTERA LAN Address : 34145 PACIF Phone: (866)872-26' Owner/Builder : Address Phone : Code Edition : 2 Type of Construction Building Setbacks : F Flood Zone : X Use Zone : R PROCESSED BY: SPECIAL CONDITIONS: Electrical Permit : E2024-0005 Plan Check No : PC2024.0029 Work Class : Other Issued Date : 01/05/2024 Final Date: Permit Status: Issued Inspection Area : 6 RE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE )N RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NE LN Legal Desc : N TR 6425 BILK LOT 70 _L ELECTRICAL LINE FOR BBC AND FIRE PIT N J TR Contractor : ALTERA LANDSCAPE LN CORONA DEL MAR, CA 92625 Address : 34145 PACIFIC COAST HWY #172 DANA POINT, CA 92629 Phone: (866)872-2611 Con State Lic : 893827 'CAPE Lic Expire : 04/30/2025 COAST HWY #172 DANA POINT, CA 92629 Bus Lic : BT30078844 Bus Lic Expire:01131/2025 Workers' Compensation Insurance Carrier : ECHNOLOGY INSURANCE COMPANY INC Policy No : TWC4343678 W. C. Expire: 11/7/2024 Fire Hazard Zone : NO Occupancy Groups: U 10, Side: 6, Side: 6, Rear: 6 100 - Single -Unit Residential (6000 indicates minimum lot area) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the raason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior toits issuance, also requires the applic n1 for he 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 °rofesslons 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 fora permit subjects the applicant to a civil penalty of rot more than rive hundred dollars ($500). 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 proffered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeas' or personal affort, builds or improves the property, provided that the mprovements 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 mproved for the purpose of sale). 1, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply 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 licensers under the Contractors' State License Law for the following reason: _ 3y 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 legal, Ieil a structure that I have built as an owner -builder If it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:/Iw .leginfo.ca.govlcalaw.html. signature of Property Owner or AuIImorized Agent,___,_ _ Date -ICEN'SED CONTRACTOR'S DECLARATION hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Ind effect. License Class License No Date Contractor Signature VORISERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN AODMON TO THE '.CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 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 orformance 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' rance carrier and policy number are. no of Agent certify that, in the performance of the work for If I should become subject to th workers' col talure of Applicant . Policy Number Expiration Date 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 i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date— ,T {'7� hereby at irm under penalty of perjury that there is a cwnstruction`ferr�rrg agency for the performance of the work forwhich this permit Is issued (Section 3097 under s Name _ Lender's Address _ y my signature b^.low, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have rend this application and the information I have provided is correct. I agree to rnmply with all applicable city and county ordinances and state laws restin tiding construction.I authorize representatives of this city or county to onto g above -identified arty for inspection purposes. ;graters of Property Owner or Authorized Agent Pont Property Owner's or Authorized Anent Noma ICCTION DATE BY DECLARATID F LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RF'GUI.AT11 I PART 61 OFTITLE 40 AND AQMD RULE. _ 1403 ✓ERM1T �XPIH=D I SUBMITTED ASBESTOS NOTI FICATION TO PERMfTCANCELLED CPA remmu rrrvnL ^ — LJASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIRCATE OF %pb.� /y/mil ' PROPOSED DEMOLITION OCCUPANCY155UED //i/0 1 SIGNATURE; Civil Code).