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Home My WebLink AboutE2022-0821 - PermitsPoR City of Newport Beach ' dCommunity Development Department- Building Division C�, 100 Civic Center Drive, Newport Beach, CA 92660 nPermit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 oaN`P newportbeachca.gov/inspections Electrical Permit Plan Check No : Work Class : Other Issued Date : DB/04/2021 Inspection Area : 3 E2022-0821 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 : 302 KINGS RD Legal Desc : N TR 1219 BILK H LOT 12 Description: ELEC/TEMP. POWER POLE'CHAIQGE OF CONTRACTOR' Owner: STAR PROPERTY LB INVESTMENT LLC Contractor : OTIS INDUSTRIES INC Address : 14930 ALONDRA BLVD LA MIRADA, CA 90638 Address : 1932 MONTAIR AVE LONG BEACH, CA 90815 Phone : (562) 225-6425 Phone : (562) 225-6425 Con State Lic : 1061997 Applicant: OTIS INDUSTRIES INC Address: 1932 MONTAIR AVE LONG BEACH, CA 90815 Phone : (562) 225-6425 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Front: 20, Side: 4, Side: 4, Rear: 0 X R-1 - Single -Unit Residential Lic Expire : 01/31/2024 Bus Lic : BT30079967 Bus Lic Expire:10/31/2023 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: R3/U hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicatedbelow by the checkmark(s) I have placed next to the applicable items) 3ection 7031.5. Business and. Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure,prior to its Issuance, also requires the 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 rofessioos 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 penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 the property, provided that the nprovements 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 nproved for the purpose of sale). 1 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 poly to anowner of property who builds or improves thereon, and Who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). a I am exempt from iicensure under the Contractors' Stale License Law for the follotrng reason:— .y 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 legallq 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, Isavailable upon request when this application is submitted Or at the following Web site:http:llwww,leginfo.ce.gov/calaw.html. €ignature 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 7000 of Dlv' ion Of the Business and Professions C e. !can m full force nd effect. License Class License No Date _V4o�L contractor, Signakur VORKERS' COMPENSATION DECLARATION. IARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADORION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370A OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FFES.. hereby affirm under penalty of perjury one of the following declarations, -1 1 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 In performance of the work for which this permit is. issued. Policy No. :1I have end 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` comper iol lsurance carrier and policy number are'. tamer Policy Number Expiration Date Jam of Agent Phone if 1 c rtify that, in the performance of the wor 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 ogre Ta If I should become subject to the wo r ' e ation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. ;ignature of Applicant )ECLARATION REGARp'FN G`C!7 RU ON LENDING AGENCY hereby affirm under penalty of rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name _ Lender's Address ly 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 corre L I agree to comply wil applicable city and county ordinances WE relating to building construction. I authorize representatives of this city or count to enter f a e dearly for inspection purposes. �y 3i nature of PropertyOwner or Authorized A Ent Print Property Owner's or Authorized Agent s Nam Date ACTION DATE BY ARATION OF COMPLIANCE WITH CODE OF FEDERAL '.. FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED _ I SUBMITTED ASBESTOS NOTIFICI'i')N TO ..___ �-'7 PERMIT fXiENDEO ugQM.O _ _ _ _ _ PERM+7 F1NAt �2 /J,',j LJASBE5TOS NOT IHCAT10N 15 NOT APPLICABLE TO CERPFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED _.7/9/�I SIGNATURE: %1/