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Home My WebLink AboutE2023-0418 - PermitsWrd-,T City of Newport Beach IIIII III II I III I� II III III jj Electrical Permit : E2023-0418 '`e % Community Development Department- Building Division E 2 0 2 3 0 4 1 8 4Permit 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No G N., x Counter Phone: (949) 718-1888 Work Class : Other CgtdOR�`P newportbeachca.gov/civic Issued Date : 05109/2023 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 : 126 AGATE AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 24 Description: ELEC UPGRADE SUBPANEL AT GARAGE TO 100A Owner: BURK BILL Address : 1102 COUNTRY HILLS DR SANTA ANA, CA 92705 Phone : Applicant: THE TRADESMAN ELECTRIC INC Address : 23276 DEL LAGO DRIVE LAGUNA HILLS, CA 92653 Phone : (949) 378-8334 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Building Setbacks : Flood Zone: AO 1 Use Zone : MU-W2 - Mixed -Use Water PROCESSED BY: SPECIAL CONDITIONS: Contractor : THE TRADESMAN ELECTRIC INC Address : 23276 DEL LAGO DRIVE LAGUNA HILLS, CA 92653 Phone : (949) 378-8334 Con State Lie: 1049948 Lie Expire : 02/28/2025 Bus Lie: BT30080045 Bus Lie Expire:11/30/2023 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INSURANCE COMPANY Policy No : SWC1390356 W. C. Expire: 6/1/2023 Fire Hazard Zone : NO Occupancy Groups : U OWNER -BUILDER DECLARATION I hereby affirm under penally 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) 3eation 7031.5, Business and Professions Code: Any city or county that requires a. pencil to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requiresthe applicant for to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and 'rofessibns 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 of more than five hundred dollars ($500). 1 I, 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, '.usiness 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 nprovemems are not intended or offered for sale. Its 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 nprOved for the purpose of sale). 1 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 poly 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 I am exempt from licensure under the Contractors' Stale License Lew for the following reason: �y 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 legall) all a structure that I have built asan owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable taw. Section 7044 of the Business and 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalavr,html. ;ignature of Property Owner or Authorized Agent .Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000 f Divi'ion 3 of the Business and Pro rise is in full force Ed effect. License Class License No Date D Z COniractor Signatu VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU DOLLARS ($100A00), IN ADDUION TO THE OST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certlFcate 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 'ormanceof the work for which this permit Is issued. Policy No. and will maintain workers' compensation insurance, as required by Section MO of the Labor Code, for the performance of the work for which thispermit is issued. My workers' camerand policy number are: is of Agent certify that., in the performance of if I should become subject 194he lature of Applican Policy Number Date 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 agre PPITsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date dSA) `2,A23 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). ider's Name Lender's Address my signature below, I cerlity to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read the apolication and the information I have provided is correct. I agre:. to comply With. all applicable city and county ordinances and state laws relating to building construction. I authcdze repre;entztives of this city or counIJ49,Mt ove-1 Ified property for inspection purposes. /� nature of Property Owner or Authorized Aoei Print Proderty Owner's or Authorized ADELE'S Name zS N✓ n L% ✓�' ACTION i DATE BY OEECARATIOWOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I j I REGULATIONS PART 51.OF TITLE 40 AND AQMD RULE PE1 J CAA'CELLED OEPA PER+ LA FENDED A _ PLRfNTFWAL _ /� ASBESTOS NOTIFICATION IS NOT APPLICABLE' TO OF 2 Lltiltii PROPOSEDDEMOLITION OCC oVICY SUEO I SCN Date I