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HomeMy WebLinkAboutE2022-0709 - Permits��6WPO,S,T City of Newport Beach 1111111111111111 I II II II II I I II Electrical Permit : E2022-0709 p i "I Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No ! S Permit Counter Phone: (949) 644-3288 Work Class : Other mR Inspection Requests Phone: (949) 644-3255 c7c/xoR"`P newportbeachca.gov/inspections Issued Date: 10/06/2022 Inspection Area : 4 .�SFMTC 1 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 : 406 VISTA SUERTE Legal,Desc : N TR 7148 BLK'LOT 44 Description : ELECT: INSTALL ELECTRICAL FOR HVAC (H2O22-0549) Owner: LUIS & ADRIANA FARFAN Contractor : David Bravo Address: 406 VISTA SUERTE NEWPORT BEACH, CA 92660" Address: ` `PO Box 16140 Long Beach, CA 90806 Phone: (949)400-9136 Phone:.' (562)508-8211 Con State. Lie : 938866 Applicant : David Bravo Lie Expire: 10131/2023 Address : PO Box 16140 Long Beach, CA 90806 Bus Lie : '- BT30079836 Phone: (562) 508-8211 Bus Lie Expire:10/31/2023 Workers'. Compensation Insurance Owner/Builder : Carrier : Address : Policy No: EXEMPT Phone: - - W. C. Expire: Code Edition : 2019 ;Fire Hazard Zone : NO Type of Construction : `Occupancy Groups : U Building Setbacks Flood Zone: X -, • ° Use Zone: R-1-Single-Unit Residential PROCESSED BY: ° SPECIAL CONDITIONS: °° ° • °°®•o ° 0 00 00 ° ° o o 0 0° 0000°° °0000 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 items) iechon 7031.5, Business and Professions Code: Any Olty or county that requiresa permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 rofessions Code) or that he or she is exempt from licensors 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 » more than five hundred dollars ($50% 11, 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, 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 Tprovements 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 T roved'. 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' Slate License Law does not p ly 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 axempt from Gcensure under the Contractors' State License Law for the following 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 legal 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 theapplicable law, Section 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/iw w.€eginfo.ca.govlcalaw.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 7g00) of Division 3 of the Business and Profs Code, my license is in full force nd effect. License Class License No Data 1 6- (- V Contractor Signature PORKERS' COMPENSATION DECLARATION ;1 � EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND C RL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS diul DOpJ, IN ADDRION TO THE *RT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 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 th �erformanee of the work for which this permit Is issued. Policy No. 9I 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` compensatiol isurance carder and policy number are: Iarier _._ Policy Number Expiration Date ertify 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 laws of Califomia, and agre if I should become subject to the p r ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Data ��' (r 2 7_ here affirm under penalty at perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Coda). ssdec's Name.. Lender's Address ly m^Ignaiu?%IIIejcvl, I certify to each of the following: • darn the property owner or authorized to act on the property owner's behalf. •?haw read this application and the information I have provided is correct. hagree face lyNvith all applicable city and county ordinances and state laws relating to building construction. •. ►authorize mpfesentatives of this city orcour4y,19 enter thar9bne-identified property for inspection purposes. PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUE0 BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF ITTLE 40AND ACLMD RULE UK ILA58MOSNOTIFICATION 15NOT APPLICABLE TO PROPOSED DEMOLITION 10