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Home My WebLink AboutE2024-0044 - Permits�aF,WPORT City of Newport Beach O N 6 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 C��OwN`P newportbeachca.gov/civic Electrical Permit : E2024-0044 Plan Check No : PC2024-0186 Work Class : Other Issued Date : 01/25/2024 Final Date: Permit Status: Issued Inspection Area :7 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: 4695 MACARTHUR CT, 1400 Legal Desc : P BK 196 PG 40 PAR 2 Description : COMM ELEC ADD (2) ELECTRICAL OUTLETS Owner: TRIO COMMUNITY ASSOCIATION Address : 4695 MACARTHUR CT NEWPORT BEACH, CA 92660 Phone: Applicant : SASCO Address: 2750 MOORE AVENUE FULLERTON, CA 92833 Phone : (714) 870-0217 x1308 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone : X Use Zone: PC - Kell Center PROCESSED BY: 1/1 SPECIAL CONDITIONS: EMP WAIVER SCANNED Contractor : SASCO Address : 2750 MOORE AVENUE FULLERTON, CA 92833 Phone: (714)870-0217 x1308 Con State Lie : 125897 Lie Expire : 05/31/2025 Bus Lie: BT30046326 Bus Lie Expire:02/28/2024 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No: UBON1616082225K W. C. Expire: 5/1/2024 Fire Hazard Zone : NO Occupancy Groups : B OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) 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 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 'roiessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, lusiness 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 gale. 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 aproved for the purpose of sale)- 3 1, as owner of the properly, 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 pursuant to the Contractors' State License Law). 3 1 am exempt from licensure 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 ell 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 sits:http;lFwww.leginfo.ca.gov/calaw.html. ,Ignature of Property Owner or Authorized Agent _ fie _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700m) of 'v' ill 3 of the Business and Profess' S Cot e, and n Ifeense Is In full force ad effect. License Class License No Date 11 *X Contractor Signature PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP To ONE HUNDRED THOUSAND DOLLARS IS100,000), IN ADDITION TO THE OST 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 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 thI erformance of the work for which this permit is issued. Policy No. and will maintain workerscompensation 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 Expiration Date of Agent. Phone # _ certify that, in the pert in of I rkF15r,601,1.,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 agree t, if I should become su ct to wo rseLion provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. nature of Applicant Date,_"7 Z� CLARATION REGARDING C RUCTION - ENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency torthe performance of the workfor which this permit is issued (Section 3097, Civil Code). Idere Name Lenders 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 behalf. I have read this application and the information I have provided is correct. I agree to comely with aft applicable city and a slate laws relating to building construction. I authorize rep, esa,ddtives of this city or co my to an he ov -id tilled property for inspection purposes. nature of Prooertv Owner or Authorized Agent Print Progeny Owner's or .Authorized FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403 _ F &XT EXPIRED '. I Sl1BMITTED ASBESTOS NOTIFICATION TO PFRrviA LANCE{LED _. EPA FER1417 EKTENDED. AQMD PERlvOT FINAL r CRTIFIC�TF OF OLCUPNNCY ISSUED LLl �3 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: IDate