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Home My WebLink AboutE2023-0975 - PermitswwnoR City of Newport Beach i d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 0 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic 111111111111111 11111111111111 JillElectrical PermitstE2023-0975 E 2 a 2 3 9 9 7 5 Plan Check No :^�(UO-0%7 Work Class : Other Issued Date : 12/04/2023 Final Date: Permit Status: Issued Inspection Area : 8 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: 1036 POLARIS DR Description : ELEC - MAIN PANEL UPGRADE 200 AMP Owner: KRUGMAN MARK E TR Address : 1036 POLARIS DR NEWPORT BEACH, CA 92660 Phone : Legal Desc : N TR 4224 BLK LOT 155 Applicant: MILLENNIUM CONSTRUCTION Address: 2901 W COAST HIGHWAY NEWPORT BEACH, CA 92663 Phone: (949)258-4366 owner/Builder: Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6, Rear: 6 Flood Zone : AE, 8 FT; X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: • SPECIAL CONDITIONS: p n. Contractor : MILLENNIUM CONSTRUCTION Address : 2901 W COAST HIGHWAY NEWPORT BEACH, CA 92663 Phone : (949) 258-4366 Con State Lie : 804132 Lie Expire : 10/31/2025 Bus Lie: BT30080150 Bus Lie Expire: 08/3112024 Workers' Compensation Insurance Carrier : COMPWEST INS CO Policy NO: CWWCP100063383 W. C. Expire: 7/1/2024 Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the ContractorsState License Law forthe reason(s) indicatedbelow by the checkmark(s) I have placed next to the applicable item(s) ction 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 appfieant for 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 fessions Code) or that he or she is exempt from ficensure 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 more than fine hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044, Ifness 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 rovemenls are not intended or offered for sale. It, however, the building or impfavementis sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale)_ 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 ly 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' Slate License Law for the following reason: ',y my signature below T. acknowledge that, except for my personal residence In which I must haveresided for at feast one year prior to completion of the lmpm of a structure that I have built asan owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicat 'mfessions Code, is available upon request when this application is submitted or at the following Web site:http://www.Ieginto.ca.gov/calaw.htmI, 'signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivision 3 of the Business and Pro nd effect. License Class License No Date Contractor Signature IORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3701 OF THE LABOR COOS, INTEREST, AND ATTORNFrS FEES. hereby affirm under penalty of perjury one of the following declarations: ments covered by this permit, I cannot law, Section 7044 of the Business and Date and my license is in full force DOLLARS (St DS,SDU), IN ADDITION 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, for 'orTance 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 Cade, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: is of Agent certify that, in the p, 0 1 should become of Policy Number Date ice 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 agre to the wor Is' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with !hose provisions. '�-,....� ........_....___ .�,m...____T___ p Date—� Z' ev rtc n n�u �ON.5iRUC"T1 LENDING AGENCY I hereby affirm un Welty of perjury that there is a construction [endingagency for the erformance of the work for which this permit is issued (Section 3097, Civil Code), Lenders 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 is correct. I agree to comply withall applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ante r above -identified property for inspection purposes. Signature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Nam )f_Date ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGUTATIONS PART 51 OF TITLE. 40 AND ACMD RULE 1403 PERMITEXPIRED PERA41TFINAL I ❑ ASBES IDS NOT 15 N07'APPLICA13LE TO CERTIFICATE OF 2 2� I PROPOSLR DEMOLITION OCCUPANCYISSOED J cIruamuc.