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HomeMy WebLinkAboutE2023-0547 - Permits�Ewp°R> City of Newport Beach 0`` e Community Development Department - Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 `'ebc9� aNr. newportbeachca.gov/civic iiiiiiiiiiiiiii II Electrical Permit : E2023-0547 Plan Check No Work Class : Other Issued Date : 06/19/2023 Inspection Area :7 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 : 4695 MACARTHUR CT v /500 Legal Desc : P BK 196 PG 40 PAR 2 Description : ELEC COMM (3) OUTLETS Owner: TRIO COMMUNITY ASSOCIATION Address : 4695 MACARTHUR CT NEWPORT BEACH, CA 92660 Phone: Applicant: SASCO Address: 2750 MOORE AVENUE FULLERTON, CA 92833 Phone : (714) 870-0217 x1308 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone: X Use Zone: PC - Koll Center PROCESSED BY SPECIAL CONDITIONS: Contractor : SASCO Address : 2750 MOORE AVENUE FULLERTON, CA 92833 Phone : (714) 870-0217 x1308 Con State Lic : 125897 Lic Expire : 05/31/2025 Bus Lic: BT30046326 Bus Lic Expire:02/28/2024 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No: UBON1616082225K W. C. Expire: 5/1/2024 Fire Hazard Zone : NO Occupancy Groups: B r r� 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 items) '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 to Its Issuance, also requires the applicant for the permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (Commencing with Section 7000) Of Division 3 Of the Business and �rofessibns Code) or that he or she is exempt from licansure 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 lot more than five hundred dollars ($500). I, as owner of the prop", or my employees with wages as their sole compensatlon, 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 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 pmving that It was not built or m roved 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 Iicensure 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 lagall sell a structure that I have built as an 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 evallable upon request when this application Is submitted or at the following Web site:http:llwww.laginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby afPrr. under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) f ys of the Business and Prof ssro Co 0d m tcanse is In full force and effeci. 1'1^cnse Class License No Date % Contractor Signature WORKERS" COMPENSATION DECLARATION ( f NAPNING: FAILURC :O SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGE3 AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I he.aby affirm under penalty of perjury one of the following declarations: I have and wll maintain a certificate Of Consent to sell•insure for workers' compensation, Issued by. the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN pelloft�ence of the v ork forwhich this permit is issued. Policy No. �t ava and •z0 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' compensatior insurance carrier and policy number are: Carinr _ Policy Number Expiration Date Name of Agent Phone if c? �bndy that, in the p3rformance Of t e work to which t ' permit is issued, t shag not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrai `.f I should �e.come subject I. a Cow rs' w pensa h provisions of Section 3700 of the Labor Code, I shell forthwith comply with those provisions. I Signature of Applicant Date DECLARATION REGAR !NG CO UCTION E G AGENCY I hereby affirm under penalty of perjury that there i a construction lending agency for the performance of the work (or which this permit is issued (Section 3097, Civil Code). Lender's 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 t have provided F rreCt. I agree to comply with all applicable city and cou es rids a laws relating to building construction. ' I authorize representatives of this city or county t ant abo Ode. tied property for inspection purposes. Z, Si nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Nam S Date ACTION DATE BY DIECtARATION OF COMPLIANCE WITH. CODE OF FEDERAL I FOR OFFICE USE ONLY l REGULATIONS PART fit OF TITLE 40 AND AOMD RULE PERM/TEXPiREO I I I L..J I SUBMITTED ASAFSTOS PERMIT FINAL S�J,3 7 / U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO C€RTVHCATEOf vv y L PROPOSED DEMOLITION OCCUPANCY 155UEO / SIGNATURE: