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Home My WebLink AboutE2022-0829 - Permits�EWPoRT City of Newport Beach IIII I I II I II I II III C` Af @ Community Development Department - Building Division > y too Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u t`Qs. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Electrical Permit : E2022-0829 Plan Check No : 2526-2021 Work Class : Other Issued Date : 11/01/2022 Inspection Area : -*� 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 : 502 VIA LIDO NORD Legal Desc : Description: ELEC: INSTALL ELECTRICAL FOR BBQ. (X2021-2895) Owner: SNELL MARK A TR M A & T Address : 2865 S RABBIT BRUSH LN JACKSON, WY 83001 Phone: Applicant: PATTERSON CUSTOM HOMES Address : 15 CORPORATE PLAZA, STE 150 NEWPORT BEACH, CA 92660 Phone : (949) 723-1800 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Building Setbacks Flood Zone: Use Zone: PROCESSED BY: f. I SPECIAL CONDITIONS: HIGH DENSITY ZONE Contractor : PATTERSON CUSTOM HOMES Address : 15 CORPORATE PLAZA, STE 150 NEWPORT BEACH, CA 92660 Phone : (949) 723-1800 Con State Lic : 802367 Lic Expire : 07/31/2024 Bus Lic: BT02110534 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Carrier : STATE FUND Policy No: 9065406 W. C. Expire : 8/1/2023 Fire Hazard Zone : NO Occupancy Groups: U NO CONSTRUCTION NOISE ON THE WEEKEND 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 the checkmark(s) I have placed next to the applicable item(s) '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 he 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 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 penafty of tot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for safe (Section 7044, 3usiness 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 the property, provided that the mprovements 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 mproved for the purpose of sale). 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 ipply 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). 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ;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 site:http:/lwww.leginfo.ca.gov/calaw.html. 3ignalure of Property Owner or Authorized Agent Date _ _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Profess' os Code, my license is in full force Ind effect. License Class License No Date ) 2 Contractor Signature VORKERS' COMPENSATION DECLARATION fARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR 1$100,0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE. INTEREST, AND ATTDRNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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' rance carrier and policy number are: 1e of Agent certify that, in the pedor ante of if I should becomes ect to the tature of Applicant NL Policy Number Date 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 Califamia, and seR+pensahon provisions of Section 37UO of the Labor Code, I shall forthwith comply with those provisions. Date1�� Ireby 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). Ides s Name Lenders Address my signature below, . uedify to each of the following: am IN, property owner or authorized to act on the property owner's behalf. have road this Epp;ko:ion and the information I have provided is correct. I :.grew to comply with all applicable city and county ordinances a d state laws relating to building construction. : aut''a_rize representatives of this city or county toter the abo " d property for inspection purposes. if Date 11 Z ACTION ( DATE BY DECLARATION OFJCOMPLIM1NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PER.'GT EX?'4ED PEXAT'aACELLED PER,✓, i Or FtNDED PERMO EiIVAL CERTIFICATEOF OCCUPANCYISSUED LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION Owners or Authorized ADent's Name