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HomeMy WebLinkAboutE2023-0945 - Permits�aEWPOR� City of Newport Beach p B�Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 e Cq��FOPN�F' newportbeachca.gov/civic 1 iiiiiiiiii II Electrical Permit: E2023-0945 Plan Check No : 0635.2021 Work Class : Other Issued Date : 11/15/2023 Final Date: Permit Status: Issued 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 : 320 MARINE AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 14 LOT 11 BALBOA ISLA Description: ELEC ADD (N) RESIDENTIAL 100A SERVICE PANEL (REV2023-2280 & X2021-0693) Owner: 320 MARINE AVE LLC Address : 2505 W COAST HWY STE201 NEWPORT BEACH, CA 92663 Phone : (949) 232-5023 Applicant: BERTHA GARCIA Address: 2436 COAST HWY W NEWPORT BEACH, CA 92663 Phone: (949) 872-4457 Owner/Builder : Address Phone: Contractor : ELEVATED BUILDING GROUP INC Address : 506 36TH ST NEWPORT BEACH, CA 92663 Phone : (949) 200-9697 Con State Lic : 1092782 Lic Expire : 06/30/2024 Bus Lic: BT30079030 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier : NORGUARD INSURANCE COMPANY Policy No : ELWC323338 W. C. Expire: 12/7/2023 Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : R3/B/U Building Setbacks Flood Zone : X Use Zone : MU-W2 - Mixed -Use Water , PROCESSED BY: SPECIAL CONDITIONS: REV2023-2280 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Lam 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 she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter B (commoncing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Ilcensure 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 not more than five hundred dollars ($500). ❑ 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, 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 theproperty, provided that the improvements are not intended or offered for sate, 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 1, 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 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 Ilcensure under the Contractors' State License Law for the following reason: By my signature below 1. acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the improvements cave red by this permit, I cannot leg ails sell a structure that I have built asan corner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ea.govlcalavr.html,. Signature of Property Owner or Authorized Agente Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of D'vision 3 of the Business antl Profess) license is In full force and effect. License Class License No DOLE 5 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury Ono of the following declarations: 1 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 th performance of the work for which this permit is issued. Policy No, 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` ranee Carter and policy number are: Policy Number of Agent Date certify that., in the performance of the work for which this permitis 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 suojectt t9,Ke compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant DateZ� terry zffirm under peratty of perjury thatthere Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address ly,nv signature below, I certify to each of the following; I an, the property owner or authorized to act on the property owner's behalf. I ha:,e read tl,i,. ,Ii,Fli.;atimT and the information I have provided is correct. I a3.ee, to comply with. all applicable city and county ordinances and slate lases relating to building construction. I s'L`horze representrlves of this city or county to an,Wf1he above -identified property for inspection purposes. /n li ILtjre of Property Owner cr Authonzed Aaenl ��� Print Property Owner's or Aufhnri7Pd An.nt's Nam. ka ✓'--" , u, `XPiREO BY S DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY s REDULATIONS PART bl OF TITLE 40 AND AGNID RULE NOTIFICATION TO PERMIT EXTENDED UAQMD PERMIT FINAL ❑ ASBESIOSNOIIPICATIONISNOT" PPUCABLE TO �i�31 "a 15 L�i/�— OCCUPANCY ISSUED GNATURIE G - ) o k f3 k )1 ƒ § °016 a., ( O > } § j W /\\ z / �1. L k » " E� k }}§A F � o 0CDa Q § Ek. $fas q) 5\{{2 wo � /} f4 ! f § �\ k ;\ {■_ '\` 7! !} ® ■ _ ! ! ! ){ I ! ! S