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Home My WebLink AboutE2024-0041 - Permits�W o City p of Newport Beach'iiii�liiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii Electrical Permit : E2024-0041 r a pk de Community Development Department- Builrmg Division �E 2 0 2 4 0 0 4 1 Plan Check No : 1016-2022 100 Civic Center Drive, Newport Beach, CA 0660 Work Class : Other Permit Counter Phone: (949) 718-1888 Issued Date : 01/24/2024 �q� ORH�P newportbeachca.gov/civic Final Date: _ Permit Status: Issued Inspection Area : 5 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 : 18 ARCHIPELAGO DR Legal Desc : N TR 15817 BLK LOT 4 Description: ELE INSTALL (1) EV CHARGER Owner: DEMIA INVESTMENT GROUP LLC Address : 43 BRIDGEPORT RD NEWPORT COAST, CA 92657 Phone: Applicant: ALLEN MONSH Address : 26081 MERIT CIRCLE, 114 LAGUNA HILLS, CA 92653 Phone : (949) 289-1845 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: Contractor : AMERICAL CONSTRUCTION MANAGEMENT GROUP Address : 26081 MERIT CIR, 114 LAGUNA HILLS, CA 92653 Phone : (949) 297-4621 Con State Lic : 949438 Lic Expire : 06/30/2024 Bus Lic : BT30071151 Bus Lic Expire:02/28/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9241513 W. C. Expire: 11/15/2024 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 rersol,(s). kiuicaleu below by the ch?ckmark(s) I have placed next to the applicable item(s) 3ec11on 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, ri prr, ve. dcmclis',t, cr r.;pair Lny structure, prior to Its issuance, also requires She applicant for to 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 ficensure and the basis for the alleged exemption. Any violation of Section 7031 Z by any applicant for a. permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500). 1 I, as owner of the property,. or my employeeswith wages as their sole compensation, will do (_) all of or (_) potions of the work, and the s6 ucture is not intended or offered for sale (Section 7044, .Lecess and Professions Code: The Contractors' State License Law does not apply to an owner ofproperty why, through emp'nyee=_' or persrnal cfICA, builds or Improves theproperty, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one "ear of nnmpteron, I" C'vrner.9 1"der,vill have the burden of proving that it was not built or nproved for the purpose of sale). 11. 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 pursuantto the Contractors' State License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below t acknowledgo that, except for my personal residaroot 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 as an owner -builder if it has not been Constructed in its entirety by licensed contractors.. I understand that a copy of theapplicable 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:/lrwvw,leginto.ca.gov/cataw,html. signature of Property Owner or Authorized Agent _ 0 to JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000j Dlv'si f t a Business fid Pro ions C Iien y ' rise is In full force no effect License Class License No Date7 CariUactar ignature COMPENSATION DECLARATION ING: FAILURE TO SECURE WORAERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEE& 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 ;Nuance of the work for which this permit is issued Policy No.. 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' Number Date To of Agent r Phone If Certify that, in the performane o of the work to h this permit is issued, t shall not employ any person in any manner so as to become subject to the workers' comperi on laws o California., and ogre L If I should be or act t the/wy/{�k'ar co sahon provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. //1y7 7 nature of licani �`2 / -'% � Dale(,Q ( z � C ;tA N RE G " DING CO STRUCTION LEN.O(NG AGENCYr - - ____ ^� sreby irm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code), ,der, Name _ Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's be%f. ! have read thisapplication and the information have provided is co of I agree to comply withall applicable city and ty ur it ances an s Jarws relating to building construction. I authorize representatives of this city or ounty to t t a o - di d pro ert for ins Actin es. 3i nature of PropertyOwner or Authon d A ent Print Pro a Owner's or Authorized A ent's Nan, Date ACTION DATE BY yc DECLARATION OF COMPLIANCE WITH. CODE OF FEDERAL FOR OFFICE USE ONLY t ! REGULATIONS PART 6.1 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED 4 IJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED j QCPA ............. .... PERMITEXTENOEO ggMD PERMITFINAL ��-f.-Z� _ \Q Bt5r05 NOTIPICAtEON ISNOT ApNLICABLE TO t�I AS CERTIFICATE OF V�+ V PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: