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Home My WebLink AboutE2023-0675 - Permitse� RT City of Newport Beach p ;} ece. Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ate.. Z Permit Counter Phone: (949) 718-1888 QCq�r ( pN�P newportbeachca.gov/civic 11ill1111111111111111p11111111111111111111111111Jill jj Electrical Permit : E2023-0675 E 2 0 2 3 0 6 7 5 Plan Check No : PC2022-1887 Work Class : Other Issued Date : 0712712023 Final Date: Permit Status: Issued 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: 2507 LIGHTHOUSE LN Description: ELEC- TEMP POWER POLE Owner: TRAN TILE VAN TR THE 1998 Address : 398 N CLARIDGE DR ORANGE, CA 92869 Phone: Applicant: RDMS INC Address : 250 E BAKER ST, 300 COSTA MESA, CA 92626 Phone : (714) 546-1130 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Legal Desc : N TR 6385 BILK LOT 17 Building Setbacks : Front: 20, Front: 6, Side: 6, Side: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: gg L C i Ii�a Contractor : RDMS INC Address : 250 E BAKER ST, 300 COSTA MESA, CA 92626 Phone: (714) 546-1130 Con State Lic : 815872 Lic Expire : 12/31/2024 Bus Lic : BT30008726 Bus Lic Expire: 01131/2024 Workers' Compensation Insurance Carrier : EVEREST PREMIER INS CO Policy No: 7600015443221 W. C. Expire: 9/1/2023 Fire Hazard Zone : NO Occupancy Groups : R3/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 hems) 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 10 its Issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisionsof the Contractors' State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rolessions Code) or that he or she is exempt from iicensure 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 penaityof of move than five hundred dollars ($500). 1 1, 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, lumness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or Improves the property, provided that the nprovements are not intended or offBred 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 nproved for the purpose of sale). *1 1, as owner of the property, am exclusively contracting wRh 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 pursuantto the Contractors' State License Law), 3 1 am exempt from Iicensure under the Contractors' State License Law for the following reason ly 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 legally all 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://www.leginto.ca.gov/calaw,html.. iignature 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 7_000) f Division 3 of the Business and Professlo� a, y IiDarise is in full force � nd effect. License Class License No Date f — Contractor Signature--" 1/ VORKERS' COMPENSATION DECLARATION C. IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3400,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby 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 Relations as provided for by Section 3700 of the Labor Code, for "jrmanoe 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' compensa irance carrier and policy number are; Policy Number of Agent Date certify that, in the performance of the work for which this permitis issued'., I. shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre If I should become subject to the workers` compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. inure of Applicant. ./"Ir[�..� _min m..,.- .w.._..-......,.�mnae _...,.�....,-.._-- Date.___... •I AOATTnM ocn Aoniur' rnM M "a An�ATPvn hereby 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), under's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorised 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the atyt. 9 ldentjfied property for inspection purposes. Date ACTION DATE BY i'fiECLARATtOftef-CMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY (/ REGULATIONS PART 52 OF TITLEE 40 AND ACFMD RULE t 3 14U PERMITEXAREO SUBMITTED ASBESTOS NOTIFICATION TD PERARIT CANCEtta(I E.lEPA PERMIT EX7EN0@O _ TM4MD _ PLRMtT piMAL IU ASRES rb NOT IFICATION IS NOT APPLICABLE TO C�ZS A CERDF1CATE OF •� - 3 PROPOSED DEMOLITION OCCUPANCYiSSUED r iIGNATIJRE;