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Home My WebLink AboutE2023-0505 - Permits�EWPo", City of Newport Beach I111I1n1111111111111111111111111111111111111111 IllJillElectrical Permit : E2023-0505 p`` e Community Development Department - Building Division E 2 0 2 3 0 5 0 5 F ", n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0764 �' Permit Counter Phone: (949) 718-1888 _ _ _ Work Class : Other cy "" �,r newportbeachca.gov/civic - Issued Date : 06106/2023 co a - -- i - � ._ 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 : 11 VENETO Legal Desc : N TR 15078 BILK LOT 18 Description: ELEC INSTALL ELECTRICAL FOR EXT BBQ AND OUTLET Owner: FIELD RICHARD TR Address : 11 VENETO NEWPORT COAST, CA 92657 Phone : Applicant: BENJAMIN R MATYSZUK Address : 2 JARANO ST RANCHO MISSION VIEJO, CA 92694 Phone: (949) 689-9893 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Newport Coast PROCESSED BY: 13-S SPECIAL CONDITIONS: Contractor : BENJAMIN R MATYSZUK Address : 2 JARANO ST RANCHO MISSION VIEJO, CA 92694 Phone: (949) 689-9893 Con State Lic : 1039697 Lic Expire : 05/31/2024 Bus Lic: BT30081542 Bus Lic Expire:05/31/2024 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : YES Occupancy Groups: U 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 Coda: Any city or county that requires a permit to construct, after, 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 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors 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 live hundred dollars ($500). [11, as owner of the property, or my employees with wages as their sole compensation, Will do L) all of or U 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 empoyees' or 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 Im roved for the purpose of sale). LJ 1, as owner of the properly, am exclusively contracting with licensed COntleCtors to construct [he 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 pun uBrit to the Contractors' State License Law). ❑ t am exempt from licensors under the Contractors' State License Law for the following reason' By my signaturebelow I acknowledge that, exceptfor 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 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 Professions Code, is available upon request when this application Is submitted or at the following Web site:htfp:1fwww.legmfo.Ca. govlcaiaw.html. Signature of Property Owner or Authorized Agent 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 ion 3 of the Business and Prof iem .aqd my 110bnse is In full force and effect. License Class License No Dale I Q Ito Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J I have and Will maintain a certificate Of consent to self -insure for workers' compensation, Issued by. the Director of In( erformance of the work for which this permit is issued. Policy No. ]I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfol insurance carrier and policy number are: ;arrler Policy Number rt ma of Agent I certify that, inthe -performance of the work for which this permit is issued, I shall not employ any person in any manner so L rat, if I should been f rkers' drro ensaiion provisions of Section 3700 of the Labor Code; I shall forthwith ca signature of Applicant CIVIL FINES UP TO ONE HUND D THOUSAND DOLLARS 1510q ), W ADDITION TO THE Relations as provided for by Section 37DO at the labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, Sly with those provisions. hereby affirm undeFi5enalty of perjury that the�6 a odnsbuction lending agency for the performance of the work for which this parmi .enders Name r Lender's Address 3y my signature belnw, I Certify to each of the following: I en, 'tie property oraner or authorized to act on the property owner's behalf. I have read this apnticdtion and the information 1 have provided is correeL I agrbe to comply with all applicable city and county ordinances and state laws relating to building construction. I au.l,orize representatives of this city or � to ant the' b -identified property for inspection purposes. >I nature of Pro tv Owner or Authorized Rg®n== Print Property Owner's or Authorized Ao AC rION DATE BY ECLARATlON OF C ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PAR t F TITLE 40 AND AQrAD RULE PEdrN17 EX'ENDED I 11AQMD PERMIT FINAL UASBE5TOS NOTIFICATION 15 NOT APPLICABLE TO CERTIEICATEDE P/_IL_,1 PROPOSED DEMOLITION Date 10 /le ) Z7, is issued (Section 3097, Civil Code).