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HomeMy WebLinkAboutE2023-0159 - Permits�gwaoRT City of Newport Beach Community Development Department - Building Division CA 92660 > 100 Civic Center Drive, Newport Beach, D ye►� r Permit Counter Phone: (949) 644-3288 c9�onN P,. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 111�111 11111111111111111111111111111111111111111111 111jj Electrical Permit : EL0Z3-0159 Plan Check No: PC2023-0475 Work Class : Other Issued Date : 03/03/2023 Inspection Area : 8 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 : 702 ST JAMES PL Description: ELE-TEMP POWER POLE (XR2023-0591) Owner: MARINE LAYER PROPERTIES LLC Address : 751 WILDOMAR PACIFIC PALISADES, CA 90272 Phone: Legal Desc : N TR 1218 BLK LOT 24 Applicant: DAWSON ROSENBERG Address : 1278 GLENNEYRE ST #213 LAGUNA BEACH, CA 92651 Phone : (949) 285-5444 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: YI SPECIAL CONDITIONS: Contractor : WILLHOIT CONSTRUCTION INC Address : 1278 GLENNEYRE ST, STE 203 LAGUNA BEACH, CA 92651 Phone : (949) 677-9685 Con State Lic : 941138 Lic Expire: 11/30/2024 Bus Lic: BT30040606 Bus Lic Expire:08/31/2023 Workers' Compensation Insurance Carrier: ACE AMERICAN INS CO Policy No: C51303362 W. C. Expire: 2/1/2024 Fire Hazard Zone : NO Occupancy Groups : R3/U OWNER -BUILDER DECLARATION hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) 1 have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that fayutres a permit to construct, alter, 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 Lleanse Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 not more than five hundred dollars (^s500). ❑ 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 affered for sale (Section 7044, Business 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 theproperty, 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 improved for the purpose of sale). ❑ I, 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 apply 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). ❑ I am exempt from ficensure under the Contractors' State License Law for the following reason: By my signature belovt I acknowledge that, except for my personal residence in which I must haveresided for at feast one year prior to Completion of the Improvements covered by this permit, I cannot legalij sell 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 law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:Lfwww.leginfo.ca.gov/calaw.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 70 of Division 3 of the Business and Profe x ' s Code, and y I� 'oPse s in full force and effect. License Class License No Date Contractor Signature) WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS (S100,000). IN ADOMON TO THE COST OF COMPENSATION, DAMAGES AS PROVtos) FOR IN SECTION 3706 OF THE LABOR COOP, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th• performance 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' carrier and policy number are: Policy Number Of Agent Dale JI certify that, inthe performance of the work for 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 iat, if I should beco IS sub(jjee�cct�t to��Vie workers' �compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. ignalure of Applical Yf Xl� 1�O�19 ,_. Da 313 �Z IECLARATGON REGARDING CONSTRUCTION LENAGENCY 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, C vil Code). antlers Name Lender's Address q my signature below, I certify to each of the following: 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 withall applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county Sp enter theaboxrdentifed property for inspection purposes. ACTION DATE BYV\ DECLARATION CF COMPLIANCE WITH CODE OF PEDERAL REGULATIONS PART 61 OF TITLE. 40 AND AOMD RULF 1403 FOR OFFICE USE ONLY U PERMITEXPIRED 0 1 SUBMITTED ASBFSTO> NCTI. ICATION TO PERMIT CANCELLED ---- —�— EPA A — PERMITEXTENDEDQMD PERMIT FINAL !' /` 2 )� AsoE5TO5 N011FICA71ON 15 NDTAPPLICAEILE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY f55UEO ® I SIGNATURE: