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HomeMy WebLinkAboutE2023-1010 - Permits��EWPpRT City of Newport Beach p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-188B w Cq�rFOFT��P newportbeachca.gov/civic IIIIIIIII�II�I���II��IIIII� II Electrical Permit: E2023-1010 E 2 0 2 3 1 0 1 0 Plan Check No : Work Class : Other Issued Date : 12/18/2e23 Final Date: Permit Status: Issued Inspection Area : 6 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 : 619 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BLK 636 LOT 19 Description: ELEC - INSTL (N) SUBPANEL 1D0 AMP Owner: CHUCK EBNER Address : 619 JASMINE AVE CORONA DEL MAR, CA 92625 Phone : (949) 310-0556 Applicant: SUNSET ELECTRIC Address : 17689 LOS JARDINES W FOUNTAIN VALLEY, CA 92708 Phone : (650) 222-2381 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: ✓�r / SPECIAL CONDITIONS: Contractor : SUNSET ELECTRIC Address : 17689 LOS JARDINES W FOUNTAIN VALLEY, CA 92708 Phone: (650) 222-2381 Con State Lie : 875227 Lie Expire : 09/30/2024 Bus Lie : BT30OB0769 Bus Lie Expire:02/29/2024 Workers' Compensation Insurance Carrier: EXEMPT Policy No; EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 itemts) (Section 7031 b, Business and Professions Code: Any city or county that requires a permit LD 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 slid 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 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' Stale License Law does not apply to an owner of property who, through employees' cr 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 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 ap amnOw from ro a property wsure under the Contractors' Slate License who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). apply to an exempt Owner o! property who builds or improves thereon, License Law for the following reason By 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 legally sell a structure that 1 have built asan owner -builder if it has not boon constructed in its entirety by licensed contractors.. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application Is submitted or at the following VVeb site:http:lf+n .legulio.ca.gov/calaw,html,. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Dk lsion 3 of the Business and Professio )ode, and my license is In full torte and effect License Class License No Date f� Contractor Signature WORKERS' COMPENSATION DECLARATION MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND bal Isioo.000), RI AODnION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5.708 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: —11 have and will maintain a cenifcate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the tabor Code, for the performance of the workfor 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' ranoe carrier and policy number are: Policy Number Date e of Agent Phone 0 �erttfy 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 agree if I should become subje to e work s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ature of Applicant .....,. ..f.....,�_....__._._.,..,.......,__.,_...,....._._.._.______.._._..,.....m___. Date._ /„ 1 do ArrnN1 rrrr nlMr_ rnu rpllr�TlnM 1 91,1111 n er_rury hereby affirm under penalty 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 _ Lenders Address ly my signature bo10w, 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 withall applicable city and county ordinances and state taws relating to building construction. I authorize representatives of this city or county to a er the above -identified property for inspection purposes. fionature of Property Owner or Authorized Anent Print Prooenv Owner's or Authorized Anent's Name. uAj[i7J PERMIT EXPfREO PERMIT CAACELLED PERMIT EXTENDED PERMIT PENAL CERTIFICATE OF OCCUPANCYiS5VE0 DATE I By RECIULATIONS PART 61 OF TITtF 40 AND ARMD RULE ! L 1I SUEMI'TED LnCPA TO UASBESTOS NOTiFICA'TION IS NO'r APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY