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Home My WebLink AboutE2022-0541 - Permitsa v'P",;, City of Newport Beach IIII I I II I II I II III I III I II p� - A Community Development Department - Building Division Electrical Permit: E2022-0541 z > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1309-2020 Permit Counter Phone: (949) 644-3288 > Work Class :Other a< Inspection Requests Phone: (949) 644-3255 °q<iFo�N`P newportbeachca.gov/inspections Issued Date : 08/11/2022 Inspection Area : 4 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 : 1801 PORT WHEELER PL Legal Desc : N TR 7029 BLK LOT 71 g Description: ELEC OUTLETS TO BBQ 4 � " u Owner: MARK VANHORCK Contractor :. MATA'S MASONRY Address : 1839 PORT CHARLES PL NEWPORT BEACH, CA 92660 Address : 910 E. 4TH:ST SANTA ANA, CA 92701 Phone: (308) 386-6032 Phone : (714) 393-6358 tlo Con State Lie : 861880 e Applicant : MATA'S MASONRY Lie Expire : 07/31/2023 Address : 910 E. 4TH ST SANTA ANA, CA 92701 Bus Lie : BT30015664 Phone: (714) 393-6358 .Bus Lie Expire:04/30/2023 Workers' Compensation Insurance Owner/Builder: Carrier : OAK+RIVER+INSURANCE+COMPANY Address : `;. Policy No: ' MAWC337640 Phone: W. C. Expire: 2/1/2023 Code Edition: 2019 Fire Hazard Zone : N Type of Construction : Occupancy Groups Building Setbacks : Front: 22, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor Vie ills PROCESSED BY: I hereby affirm under penalty of penury that I am exempt from the Contractors'State License Law for the reateria) Indicated Wow by the client 7031.5, Business and Professions. Code: Anyctty or county that requires a permit to construct; alter, Improve; demolish, or repair an permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors` State License Low (Chapter 9 (cr fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of it :mess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through: r rovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of comp roved for the purposeof sale}._ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project ($action 7044, ,ly to an owner of properly Aft builds or Improves thereon, and who contracts for the projects with a licensed Contractor I am exempt from licensure under the Contractors'State license Law for the following: reason: my signature: below I acknowledge that, except for my personal residence in which I must have residedfor at least one a structure that I have built as ari owner -builder if it has not been constructed in its ontirety by licensed contractors. I un fessions Code, is available upon request when this application is submitted or at the following Web siteihttpatwwwaegInI Property Owner at Authorized Agent: CONTRACTOR'S [DECLARATION m under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with License Class License No I' COMPENSATION DECLARATION personal ni to theapplicablettem(s) tiso requires the applicant for Division 3ofthe Business and a applicant to a civil penalty of the' the or Business and Professions Coda: The Contracture State License Law does not pursuant to the Contractors' State License Law),. law, Sectioi Date Section 700 of ivisi 3.of the Business and Professiorjp;Qc mY license is in full force Date ContractiirSagnaWrit '�" TO CRIMINAL. PENALTIES AND CIVIL PINES UP.TO.ONE HUNDRED THOUSAND DOLLARS ($140.000). IN ADWTION TO THE FEES.. reby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation., issued by: the Director of Industrial Relationsasprovided for by Section 3700 of the Labor Code, for the 1prmance of the work for which this permit is issued. Policy No. fiave 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 trance carrier and policy number are: rier Pdkicy.Number Expiration Date no of Agent: Phone# 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 agree If I should become subject th odcers' compensation prclvisions of Section 3700 obthatabar Cod,1 shall fbrthWkth comply with those provisions. ��QQ'' aatureofApplicant Date��_(J-�� Bby affirm: under penalty of perjury that there is I let's Name. ny signature below, I. certify to each of the forow i am the property owner or authorized to act on I I have read this application and the information.I I agree to comply with all applicable city and caL I authorize representatives of this cityar county, BY PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF is correct. work for which this permit is issued(Section3097. Civil Code):. construction, All required alarms, latches gates and fenceswhich serve as part of pool/spa barrier, shall be In place priorto approval to fill pool/spa & shall remain in place & be maintained for the NOTIFICATION I5 NOT APPLICABLE TO life of the pool.