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Home My WebLink AboutE2024-0020 - Permits�EWPo�, City of Newport Beach O� d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 �...� Permit Counter Phone: (949) 718-1888 c4<oa��P newportbeachca.gov/civic Electrical Permit Plan Check No : PC2024-0073 Work Class : Other Issued Date : 01/11/2D24 Final Date: Permit Status: Issued Inspection Area : 6 E2024-0020 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: 15 MUIR BEACH CIR Description: ELEC - TEMP POWER Legal Desc : P BK 103 PG 35 PAR 1 TR 7386 LOT 73 AND LOT 74 Owner: SMA MUIR BEACH LLC Address : 18500 VON KARMAN AVE STE600 IRVINE, CA 92612 Phone: (831) 601-6875 Applicant: BRIANNA GABAY Address : 31726 RANCHERO VIEJO RD, 600 SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 413-7828 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 47-44 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: Pm SPECIAL CONDITIONS: Contractor : DAVE GABAY GENERAL BLDG CONTRACTOR INC Address : 31726 RANCHO VIEJO RD, 108 SAN JUAN CAPISTRANO, CA 9267E Phone : (949) 370-0478 Con State Lie : 529750 Lie Expire : 06/30/2024 Bus Lie : BT30033857 Bus Lie Expire:12/31/2024 Workers' Compensation Insurance Carrier : CALIFORNIA INS. COMPANY Policy No: 4682644102 W. C. Expire: 4/1/2024 Fire Hazard Zone : NO Occupancy Groups : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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 the pormit 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 70DO) of Division 3 of the Business and Professions Code) or that he or she is exempt from llcensure and the basis for the alleged exemption, Anyviolation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, 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, 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 the property, 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). ❑ 1, 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 bullds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from llcensure under the Contractors' State License Law for the following reason. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year priorr to to completion of the Improvements covered by this permit. I cannotiegallt sell a structure that I have built as an owner -builder if it has not boon constructed In its entirety by licensed contractors- I understand that a copy of tho 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:!lwww:leginfo.ca.gov/calaw,htmi, 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 7000J of D6vrsion 3 of the Business and Professions GGGpppddde, and my license is In full force and effect. License Class License No Date ( )I -4� Contractor Signature R l_ NORKERS' COMPENSATION DECLARATION V NANNING: FAILURE TO SECURE tVORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI00900), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: -11 have and will maintain a certificate of consent to self•fnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi 3erformance 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 Date 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 if I should become subl t th workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -1 Iature of Applicant Date _ - % L4 I nonrrnM ncr_Aonuir rr pier iirr n'u", �� n.un wncunv —"'- '-'— hereby affirm under penalty of perjury that there is a construction tending agencyfor the performance of the work for which this permit is issued'. (Section 3097, Civil Code), enders Name Lender's Address y 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 with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter 1,10 ali;ove;ddentified property for inspection purposes. _ ACTION ( DATE BY DECLARAION OF i REGULATIONS PARTDMPLIANCEWTH S1 OF TITLE 40 ANDDDE OF AQMD RULER,L FOR OFFICE USE ONLY PERMIT EX -,RID J 1I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT C?SC {LFC i [PU A PfRMYT EXTCNDED _ I !!-�,QAQMD PERMIT FINAL / /ter / � Ld ASBESTOS NOT] FICATION IS Nor APPLICABLE TO CERTIFICATE of PROPOSED DEMOLITION OCCUPANCY ISSU1U _ _ I SIGNATURE: