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HomeMy WebLinkAboutE2022-0657 - Permits4 �EWPO�T City of Newport Beach p A Community Development Department- Building Division H y 100 Civic Center Drive, Newport Beach, CA 92660 U i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9[/FOPN�A newportbeachca.gov/inspections Electrical Permit : E2022-0657 Plan Check No: PC2022-2349 Work Class : Other Issued Date : Inspection Area : 6 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 : 9 GENTLE BREEZE Legal Desc : Description: ELEC -225 AMP PANEL UPGRADE Owner: RANDALL ODZER Contractor : ORANGE COUNTY CONTRACTING Address : 9 GENTLE BREEZE NEWPORT COAST, CA 92657 Address : '24 EXECUTIVE PARK STE #230 IRVINE, CA 92614 Phone: Phone: (714)5141517 Con State Lie : 1023627 Applicant: JESSE RAYMOND Lie Expire is 02/28/2023 Address : 24 EXECUTIVE PARK STE 230 IRVINE, CA 92614 Bus Lie: : BT30061755 Phone: (949) 441-9386 Bus Lie Expire: 01/31/2023 Workers' Compensation Insurance Owner/Builder : Carrier : -. STARNET INS CO Address :-. Policy No: BNUWC0156509 Phone: W. C. Expire: 4/8/2023 Code Edition : Fire Hazard Zone : YES Type of Construction : Occupancy Groups rI-. Building Setbacks : � INC Flood Zone: X Use Zone: PC - Newport Coast PROCESSED BY: _ SPECIAL CONDITIONS o as ®a as as ea � 0 o e oe ee eeo � e e ago o y O 0 G O e as ° a o cea - nea I herebyaffirm ,under penalty of perjury that I am exempt from the Contractors :`State License. Law; for the resson(s):indicated below by the checkmark(s) I have placed next to the applicable item(s) Ilion 7031:5, Business and Professions. Code: Any city or county that requires -a permit to construct, alter, improve: demolish,. or repair any structure, pdorto its: Issuance, also requires the applicant for permit to file a signed statement ftlhe or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3. or the Business and fessfons Code) or that he, she Is exempt from liaensure and the basis for the alleged exemption. Any vialation of Section 7035.5 by any applicant fora permit subjects the applicant to a civil penalty of more than five hundred dollars ($500)< 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of: the work, and the structure is not intended or offered for sale (Section 70", iness 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 theproperty;provided that the rovements 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'll was not built or raved 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. 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). € am exempt from licensure-under the Contractors' State License Law for the following reason: Tiv sionaturo below acknowledge that: meetfor my Personal residence in which I must have resided for at toast one Year Prior to Completion of the improvements covered by this Permit, I cannot legal 'rofessions Code, is available: upon request when this. application Is submitted or at the following Web site:httpJfwww:leginfo.ca.gov/eaiaw.html. signature of Property Owner or Authorized Agent Date. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty ojury that am ilcensed under provisions of Chapter 9'(Gammencing with Section 7000).of Division 3 of the Business and Profe eons e,:and m ' tie is in full force nd effect License Class 17 G /D License No /.P 2�S (, Z �( L1atf� x1 2e Z Contractor Signature VORKERS' COMPENSATION DECLARATION J FANNING: FAILURE TO SECURE WORKERV COMPENSATION COVERAOE IS UNLAWFUL, AND SHALL SUWECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CMIL FINES UP TO ONE HUNDRED OUSAND DOLLARS t53SD,eS6), IN ADDITION TO THE PST OF coMPENSAnoH, DAMAGES AS PROVIPED. FOR IN SECTION aT4S OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEm hereby affirm under penalty of perjury one of the following declarations: I. have end: Will maintain a. certificate of consent to: self -insure for workers' compensation, issued by. the Director of Industrial Reforms as provided for by Section 3700 of the: Labor Code, for in. vence of the work for which this permit is issued. Policy No, and will maintain wodcers' 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 Isu nce Gamier and palk; number are: r �"Q U / Policy Number � � wG �i5 p s01 Expiration Date f"� ! fi� 2 3 re'of Agent Phone If certify that in the performance of the work for which this permit is Issued, I shoil not employ any person n any manner so as to become subject to the workers' compensation laws of California, and agree , if I should become subject to the workers' compensation vlsions of Section 3700 of the L or Code,. I: shall forthwith comply with those provisions. Iature of Applicant \L/�Do 20 2 2 ' ARATION 138GARpfnKs CO TRItGTiDN FILL 0ENG—._...�.._.__�.� reby affirm under penalty of pe ury that there is a construction lending ageneyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).. der's Name - Lender's Address ny signature Wow, I certify to each of the following: I am the property owner or authorized to act on the property ownees behalf. I have read: this application and the information I have provided is Correct, I agree to comply with all applicable cityand county ordinances and state laws relating to building construction. I:authorize representatives of this city or: county Toter the above-ider ' d property for inspection purposes. RULE PERMIT EXPIRED LI I SUBMITTED ASBESTOS NOTIFICATION TO • • • • ... . FERMA:CANCELtE© EPA s � � � • • s • • `• `• PERMITEXTENL3ED OMD. • • `•' `•• '•• •.• PERMIT FINALLJ ASBESTOS NOTIFICATION is NOT APPLICABLE TO CER71FttATEOF PROPOSED DEMOLITION •.. . • • •�• •• OCCUPANCY ISSUED .SIGNATURE. • • • • • • • e