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Home My WebLink AboutE2022-0853 - Permits��aEwPORr City of Newport Beach IIII I I III II I II III II p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9G/FOAN�P newportbeachca.gov/inspections IIElectrical Permit : E2022-0853 Plan Check No: 0894-2022 Work Class: Other Issued Date: 11/0912022 Inspection Area : 3 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 : 2000 DEBORAH LN Legal Desc : N TR 1805 BLK LOT 40 Description: ELEC: INSTALL UG CONDUIT FROM (E) MSP TO EXT OF (E) GARAGE. Owner: DAVID DRAKE Address: 2000 DEBORAH LN NEWPORT BEACH, CA 92660 Phone: (949)400-6065 Applicant: DAVID DRAKE Address : 2000 DEBORAH LN NEWPORT BEACH, CA 92660 Phone: (949)400-6065 Owner/Builder: DAVID DRAKE Address: 2000 DEBORAH LN NEWPORT BEACH, CA 92660 Phone: (949) 400-6065 Code Edition: 2019 Type of Construction : Building Setbacks: Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 6�j SPECIAL CONDITIONS: Contractor Address: Phone: Con State Lic: Lic Expire Bus Lic: Bus Lic Expire: Workers' Compensation Insurance Carrier: Policy No: W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: U aaaaas • s s G a O O •aa Gmee.• s a a .y Ga • c • 9 Ga 4 meaa may as J4 C`f O C'040i - aaa�ma o a ya o 0 OWNER -BUILDER DECLARATION 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 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 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 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 `''ore than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 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). 7 I, 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 poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor prsuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' Slate License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence iyt5khich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, ell a structure that I have built as an owner -builder if it has not been constru#6d in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request w1atelhis application Is, or at the following Web site:hftp:llw .leginfolca.govlcalaw.html. rL Ngnature of Property Owner or Authorized Agent Date Ct .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions 4Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date i Contractor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO I 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 erfommnce of the work for which this permit is issued. Policy No. 11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensa lsurance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which his 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 agre L if I should become subject to the worker ' p ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. OL nature of Applicant Date_ Z_ CLARATION REGARDING CONSTRUCTI LEN ING AGENCY treby affirm under penalty of perjury that there is a Ponstruction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). lder's 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. agree hsordinances a aiflaws lf� building construction. arfrepeN6o oftcounty to enter pertyoinrinction rtoaP �Pre"WllrouoizedAo`_Pt Provev Owner's or Authorized Agent's Name AJ_y'�_Vt�^, Date Q ZZ- AC'Q19N••. • I • DATE BY DECLARATj) OF COMPUANCEwITRLVDEOFFEDERAL FOR OFFICE USE ONLY - ' • ••`••. REGULAT PART 61 OF TITLE 40AND AQMD RULE • 1403 PERWITc•RPIRED ..Jo I Ul SUBMITTED ASBESTOS NOTIFICATION TO :LADED •. I • I I LIAQMD d • ASBESTOS NOTIFICATION IS NOT APPLICABLE TO OF a `3,7 23 PROPOSED DEMOLITION 'JSSUED •• / SIGNATURE: - x c CEO.. CCCC C