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Home My WebLink AboutE2023-0848 - Permitse��WPoR' City of Newport Beach p @ Community Development Department - Building Division r st 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 cq� aoaT`�r newportbeachca.gov/civic iiiiiiiiiii II Electrical Permit Plan Check No : PC2023-2437 Work Class : Other Issued Date Final Date: Permit Status: Applied Inspection Area : 7 E2023-0848 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 : 3701 COAST HWY E Legal Desc : N TR 323 BLK BB LOT 1 Description: COMM ELEC R/R 6 METER BANKS 600A AND 30' 1-WAY OVERHEAD SERVICE. Owner: FARMERS AND MERCHANTS TRUST COMPANY Address: PO BOX 891 LONG BEACH, CA 90801 Phone: Applicant; JUAN DE LOS SANTOS Address : 312 EL MIRA AVE HUNTINGTON BEACH, CA 92648 Phone : (105) 056-9653 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Building Setbacks : Flood Zone : X Use Zone : CC - Commercial Corridor PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor : BRADY CONSTRUCTION AND DESIGN INC Address : 16782 INTREPID LANE HUNTINGTON BEACH, CA 92649 Phone: (562)424-6544 Con State Lie : 953156 Lie Expire : 10/31/2024 Bus Lie: BT30082739 Bus Lie Expire:10/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No : WSD5054360 W. C. Expire : 3/16/2024 Fire Hazard Zone : NO Occupancy Groups: U OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable iterTi ieclion 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 is 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 refessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, 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 or offered for sale (Section 7044, usiness and Professions Code. The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the nprovemenls 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). 11, 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 poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the ContractorsState License Law). J I am exempt from licensure under the Contractors' State License Law for the following reason: p �y 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 all 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 applicab(lawction 70144 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginto.ca.gov/ealaw.html. t ignature of Property Owner or Authorized Agent______..,...._____�_______._..._._ Da a.ICENSED CONTRACTOR'S DECLARATION hereby afgrm under penalty of perjury That I am licensedunder provisions of Chapter 9 (commencing with Section 70 0) f i ision 3 of the Business and ProC license is In full force nd effect. License Class License No / Date // Z. Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORICERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TkQSAN' DOLLARS 15100.0DU), IN AD09ION TO THE OST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S :FEES. hereby affirm under penalty of perjury one of the fallowing declarations: I have and will maintain a certificate of consent to self•fnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN BrPorrnance of the work for which this permit Is issued. Policy No. �l 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' compensatior Isurance carrier and policy number are: farrier Policy Number Expiration Date lame of Agent -__ Phone N 11 certify that, in the p ern nr f the e k 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 should becam sublac 1 tl a ors campansahory provisions el Section 37D0 of the Labor Code,. I shall forthwith comply with those provisions. ,Iynalure.off+Appllua,.rl .,..,.,.. 'ti r,.,.l..l .'. ....r._.. ___.._._..._,...__..__..______a._w____m____..._..,__ DateAd to hereby affirm under p natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name _ Lender's Address ly my signaturw, e beloertify 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 eve provide Is correct. I agree to comply with all applicable city and c u4,n n and state laws relating to building construction. authorize representatives of this city or count e . eve-identi' d property for inspection purposes. denature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agents Name ACTION I DATE By , DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 51, OF TITLE AO AND AOMD RULE PERMIT EXPIRED I LJ� SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED iJCOA PERMIT£X7ENDED P❑ ERMII FINAL _...__ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERT19CATF OF (—/�--� �J�/._...._I PROPOSED DEMOLITION OCCOPANCV ISSUED 1 511,NATCRE: _