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Home My WebLink AboutE2024-0106 - Permits�EWP" City of Newport Beach p``ecr. Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 « z Permit Counter Phone: (949) 718-1888 OgG�F( 0.N�P newportbeachca.gov/civic Electrical Permit Plan Check No : PC2023-2675 Work Class : New Issued Date : 02/22/2024 Final Date: Permit Status: Issued Inspection Area : 7 E2024-0106 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 : 6302 COAST HWY W Legal Desc : A TR SEASHORE COLONY TR BLK 3 LOT 4 SEASHORE COLON Description : ELEC - COMM SUB PANEL (200 A) FOR DEMO WORK Owner: 6320 INVESTMENT LLC Address : 865 PRODUCTION PL NEWPORT BEACH, CA 92663 Phone: Applicant: KEVIN GIZ Address: 865 PRODUCTION PL NEWPORT BEACH, CA 92663 Phone: Owner/Builder : Address Phone: Code Edition : Type of Construction Building Setbacks Flood Zone Use Zone : PROCESSED BY X CV - Commercial Visitor -Serving Contractor: SMITH GREGG Address : 122 37TH STREET NEWPORT BEACH, CA 92663 Phone: (714)803-0894 Con State Lic : 745778 Lic Expire : 02/28/2026 Bus Lic : BT98039884 Bus Lic Expire:12/31/2024 Workers' Compensation Insurance Carrier : STATE FUND Policy No : 9038300 W. C. Expire: 1/1/2025 Fire Hazard Zone : NO Occupancy Groups: r 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 items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, slier, improve. demolish, or repair any structure, prior to its Issuance, also requires the applicant for the permit to No 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 Professions Code) or that he or she is exempt from licensure andthe basis for the alleged exemption. Any violation of Section 70$1..5 by any applicant for a. permit subjects the applicant to a civil penalty of not more than five 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 notintended 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 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, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: _ _ ____ y my signature below I acknowledge that, except formy personal residence in which I must have resided for at least one yearprior to completion of tha improvements covered ell a structure that I have built as an owner -builder if it has not boon eonstruced In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hHp:!'www.leginie.ca.govlcalaw.hurl. 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 Section 70t of Division of the Bsktass and Professlo Co no effect. License Class License No Con tier Signature VORKERS' COMPENSATION DECLARATION 'ARNINO: FAILURE TO SECURE wOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUMOR HOUSAND DOLL1 DST OF COMPENSATION, OAMAGESAS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: this permit, I cannot legail, of the Business and my license is In full force IS100,000t, IN ADDITION TO THE I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial RefeJons as provided for by Section 3700 of the Labor Code, for tF )e�tttr(((fo��rmance of the work for which this permit Is issued_ Policy No.., ova 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' compensatio surance carrier and policy number are: -artier Policy Number Expiration Date Name of Agent - Phone N —II certify [hat, in the performan the ork for which this permit is is s all not employ any person in any manner so as to become subject to the workers' compensation laws of California., and ogre hat. if I should became b' o a ers compensation Ions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.=�/- J Signature of Applicant Dzte dd . ��.a. DECLARATION i2EGAR G CON � ��- -f N LENDING AGENCY hereby affirm under alty of perJ•••..ury that there is a construction lending agencyfor the performance of the work for which this permit Is issued (Section 3097, Civil Co ) _tinder's Name Lenders Address 3y 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 'nances and to aws relating to building construction. f authorize representalives of this City orc In r ,ado -i ntified property for inspection purposes. Signature of PropertyOwner or Authonzed Age, I Print Property Owner's or Authorized Agent's Name I _ Date Z L ACTION - DATE BY DECLARAI OF COMPLIANCE VVITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUL ONS PART at. OFTITLE 40 AND ARMD RULE PERA41T EXPiR£D I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CAACEtb7_ IMEPA PERMIT EXTENDED , t raQMO CERTIFICATE OF OCCUPANCYISSUED 1_ i 1 L.IASBE$FOSNOT] FICATtONISNO; APPLICABLE TO PROPOSED DEMOLITION