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Home My WebLink AboutE2023-0638 - Permits0�—."""` City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1 B88 newponbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date :7l141P Final Date: Permit Status: Applied Inspection Area : 4 1*41314c15I:Ic 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 : 1949 PORT PROVENCE PL Legal Desc : N TR 6624 BILK LOT 57 Description: ELEC OUTLET FOR WATER HEATER Owner: KENNETH KRUM Address : 1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660 Phone : (949) 235-3085 Applicant: KENNETH KRUM Address: 1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660 Phone: (949)235-3085 Owner/Builder : KENNETH KRUM Address : 1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660 Phone : (949) 235-3085 Contractor Address: Phone : Con State Lic Lic Expire Bus Lic : Bus Lic Expire: Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : U, Building Setbacks : Front: 24, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills R; PROCESSED BY: ` SPECIAL CONDITIONS: S KiTrL a n� I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicate ,action 7031.5Business and Professions Cade. Arty city or county that requires a permit to Construct, alter. improve, decantl is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lai refesslons Code) or that he or she is exempt from licensers and the basis for the alleged exemption, Any violation of Social t more than five hundred dollars ($500). Zas owner of the property, or my employees with wages as their sale compensation, will do D all of or (-) portions of the arsiness and Professions Code The Contractors' State License Law does riot apply to an owner 'SDroperty who, through am nprovements are not intended or offered for gain. If, however, the building or improvement is sold within one year of Combat npreved for the purpose of sale). 11, as owner of the property, am exclUSlvely contracting with licensed Contractors to construct the project (Section 7044, Bu 9uilds ply to an owner of property who bor improves thereon, and who contracts for the projects with a licensed Contractor Fit J 1 am Exempt from ffcensure under the Contractors' State License Law for the following reason y my signature below I acknowledge that, except for my personallesidenc p which I must have resided for at least one yet all a structure that (have nuHl as an ownnr-bulldpr if it as not bn con c`tod 'k�.antirety by licensed contractors I undo rofosslons Code is available upon request when applic t s suk t £d a t eb site:htip./Mmv✓.leginio. lgnature of Property Owner or Authorzed Agent _ .ICENS£D CONTRACTOR'S DECLARATIO hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of C nod effect. License Class -License No Date COMPENSATION DECLARATION Wow by the checkmarkil I have placed next to the applicable tennis) , or repair any structure, prior to Its Issuance, also requires the applicant for chapter 9 (Commencing. with Section 7000) of Division 3 of the Business and )31,5 by any applicant for a permit subjects the applicant to a civil penalty of k. and the structure is not intended or offered for sale (Section 7044, ees' or personal effort, builds or Improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that o copy of the applicable law, Soctiol1,7044 of the Business and )` � 3 of the Business and Professions Code,land my license is In full force Contractor Signature IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA1.10 AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS700.000), IN ADDRION TO THE ',OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR GOOF, INTEREST, AND ATTORN"'S FEES. hereby atflrm under penalty of perjury one of the following declarations 1 I have and will masnta'm a certificate of consent In salt -insure for workers' compensation, issued by the Director of -er'formanceof the work for which this permit Is, issued. Policy No.. -1I have and will maintain workers` compensation insurance, as required by Section 3700 of the Labor Code„ for the OF isurance carrier and policy number are. :arror Policy Number' in of Agent certify that., in the perforrrt��arice of the work for whic Is Qem} t is issued, I shall not employ any person in any manner so if I should become sptdjkGt to thP/ rkers' comp alien prtrvtsions of Section 3700 of the Labor Code, I shall forthwith c dgnature of Applioartl )ECLARATtON REGAR NG C STRUCTION LENDFING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which ender's Name __ Lender's Address Vy my signature b_ 1GW, f certify to each of 'the-3 of I 0'wi I) q: 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 with all applicable city and eountyproinanees n state lawsVa3glloding construction. 1 authorize representatives of this city or county terthe a Identified In action purposes, panature of Property owner or Authorized Arent .I% nt Prooertv Owner's or Ant Relations as provided for by Section 3700 Of 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, and agree ply with those provisions. Date permit Is issued (Section 3097, Civi Code). ACTION i LATE ` By vl DECLARATON REGULATIONS PARTCOMPLIANCE WIT H CODE OF FEDERAL TI TIE 40 AND AQMO RULE 1403 FOR OFFICE USE ONLY (l MIT tXpIRPU PERMIT SV9M7TED ASAF TTO$ NOTIFICA-IOJN Ta _..... ... Vdi7 CANCO! t EO __.. I 3C?A PFAM)T fX7ENDCf1 Pl RMrT FINA1 !(y�/� ❑ASSES FOS NOI IHCATION 15 NOT APPLICABLE TO CER7iF(CATE PR{jP(}Sf.D DEMCILIT7QN OCCilpAflCY t.SsfJEO SIG NATLI