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HomeMy WebLinkAboutE2024-0154 - Permits�EWPpQT City of Newport Beach 0� ecn Community Development Department- Building.Division F 100 Civic Center Drive, Newport Beach, CA 92660 G = Permit Counter Phone: (949) 718-1888 C��/wFO0.N�P newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 03/11/2024 Final Date: Permit Status: Issued Inspection Area : 2 E2024-0154 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 : 105 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 877 TRACT NO 907 LOT 877 & 878 AN Description: ELEC - RELOCATE POOL PUMP (P2024-0093) Owner: FLUTER RUSSELL E TR Address : 2025 W BALBOA BLVD NEWPORT BEACH, CA 92663 Phone: (949)466-9468 Applicant: MICHAEL A EVANS INC Address: 9197 NADINE RIVER FOUNTAIN VALLEY, CA 92708 Phone: (714)963-9809 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Front: 4, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY Contractor : MICHAEL A EVANS INC Address : 9197 NADINE RIVER FOUNTAIN VALLEY, CA 92708 Phone : (714) 963-9809 Con State Lic : 498867 Lic Expire : 09/30/2024 Bus Lic: BT30082598 Bus Lic Expire:09/30/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER 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 items) Secton 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 foe Ic 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 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 (_) 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 nprovemenls 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). 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 pply to an owner of property Who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ConlractoFs' State License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason:._,T_____ 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 legally Gil a structure that I have built as an owner-buildar if it has not boon constructed In its entirety by licensed contractors. I understand that a copy of the applicable )ow, Section 7044 of the Business and 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:ti"ww.leginfo.co.gov(calaw,html. .ignature of Property Owner or Authorized AgentDate ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Profe'.;Igns C �mY license is in full force nd effect. License Class License No ate a3�('g-z� Contractor Signature !! G f d COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CwR FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following dec€arallons: ] I have and wHl maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lhr erformance of the work for which this permit Is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: Policy Number Expiration Date of Agent Phone N certify that, in the performance of the work for which this permit is issued, I shall not employ any :person in any manner so as to become subject to the workers' compensation lays of California, and agre that, If I should become subject to hle/ew��vorkers' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. Signature of Applicant����C.._ .-.-..�. Date DECLARATION REGARDING ONSTRUCTION LENDING AGENCY i hereby affirm under penalty of perjury that there Is a construction [ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I claoVy to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply withall applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city orcounty ter the b e-id tified property for inspection purposes. C o _ Signature of PropertyOwner or Authorized Agent ` 1, Print Property Owner's or Authorized A enT$ Name N1`�^'r A�`"E "S Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE 1403 PERMMIT EXPTED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCEU EO CIEPA _ PERMIT EXTENOEC — -- g_.__MAQND PERMIT FfNAL EE ASBESTOS NOT IFICATION IS NOT APPLICABLE TO CERTIFICATE OF 'Y t PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: