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Home My WebLink AboutE2023-0182 - Permitse��WPoRr City of Newport Beach p m Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 CqG/F00.N�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections II�IE II�I 0� �II�� II��II0�� 1I�� III II Electrical Permit : E2023-0182 Plan Check No : PC2022-2933 Work Class : Other Issued Date : 03/07/2023 Inspection Area : 2 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 : 124 APOLENA AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 6 LOT 18 Description: ELEC - TEMP POWER POLE (XR2023-0633) Owner: ARDR REALTY LLC Address : 318 AMETHYST AVE NEWPORT BEACH, CA 92662 Phone: Applicant: WATERPOINTE CUSTOM HOME BUILDERS INC Address : 219 MARINE AV, UNIT A NB, CA 92662 Phone : (949) 644-8901 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks: Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1; X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: Contractor : WATERPOINTE CUSTOM HOME BUILDERS INC Address: 219 MARINE AV, UNIT A NB, CA 92662 Phone : (949) 644-8901 Con State Lic : 947494 Lic Expire : 05/31/2024 Bus Lic: BT30036114 Bus Lic Expire:05/31/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 1952335 W. C. Expire: 5/1/2023 Fire Hazard Zone : NO Occupancy Groups : R3/U N® G®AS N�i,�i Nr�'`��.I 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 thecheckmark(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 in permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors'Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofess(ons 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 for a permit subjects the applicant to a civil penalty of of more Ulan five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (J portions of the work, and the structure is not intended or offered for sale (Section 7044, tusiness and professions Code: The Ccntractors' 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 nprovements 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 �nlproved 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 ply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ty 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 ell 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 'rofessions Code, Is available upon request when this application Is submitted or at the following Web sits:httpJAvww.leginfo.ca.gov/calaw.html, signature of Property Owner or Authorized Agent ,mm Date. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o 2 ion 3 of the Business and Professions C1,ocj�, an y license is in full force rid effect. License Class License No Dal%t� Contractor Signatfit L.r� WORKERS' COMPENSATION DECLARATION t�� !ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100.000), IN ADDITION TO TH DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'& FEES. hereby affirm under penalty of perjury one of the following declarations: J 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 11 %fg(nance 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 Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number of Agent Data certify that, in the performance 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 if I should become subject to thWrkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of DECLARATION RE3'ARDING CDNSTRUCTION LENDING AGENCY N hereby affirm under penalty of perjury that there is a construction lending agency for theperformance of the work for which this permit is issued (Section 3097, enders Name Lender's Address _ y 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to oalenter a so ve-iiam( dentified property for inspection purposes. / idnature of Property Owner or Authorized Aat, _ �'tal Print Property owner's or Authorized Agent's NG�"�%15 ACTION DATE BYV\ j 'IJEION PART 9AND WITH CODE ORULE OF F FEDERAL FOR OFFICE USE ONLY REGULATIONS v v V 1i 1403 PERMITCAA'CELLED �_UEPA PERMIT EN7ENDED r ra(tlj,Ip RERMlTFINAL U AsmFOS NOTIFIcArioN]$NOT APPLICABLE TO CERTIFfCATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: Code). CFI r+CC. Date