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Home My WebLink AboutE2022-0891 - Permits�EwPoRr City of Newport Beach II��IIII�II�I�II�I�II�I�III�I�III�II� Electrical Permit : E2022-0891 II O ecr+ Community Development Department - Building Division E 2 0 2 2 0 8 9 1 F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1766 6 « S Permit Counter Phone: (949) 644-3288 Work Class : Other C�41FD0.N�P Inspection Requests Phone: (949) 644-3255 Issued Date : newportbeachca.gov/inspections Inspection Area : 1 PERMITS EXPIRE 180 AFTEj VQ&T VALID ISSUANCE ON NAL NO CONSTRUCTION RR^1LU DAYS i1dN $X�TURDAY OR UNDAY IN HIGH DI NSITY AREAS AND NO WORK ON SUNDAY, BUT NO LATER THAN 3 YEARS FROMOANDI HOLIDAYS IN AT EAS D 1`" � Job Address : 117 24THH STLegal Desc : A TR NEWPORT BEACH CITY BLK 24 LOT 27 Description: ELEC-TEMP POWW�E((RR POLE�(Fi29aL1 Owner: DAS BEACHIN MON'�LC- So Contractor : RON CARROLL Address : 21243 PO BOX MESA, AZ 85227 Address : P O BOX 7829 HUNTINGTON BEACH, CA 92615 Phone: Phone: (714)749-0622 Applicant: RON CARROLL Address: P 0 BOX 7829 HUNTINGTON BEACH, CA 92615 Phone : (714) 749-0622 Owner/Builder: Address: Phone: Code Edition : 2019 Type of Construction : Building Setbacks Flood Zone: Use Zone : PROCESSED BY SPECIAL CONDITIONS: Front: 5, Side: 3, Side: 3, Rear: 5 X R-1 - Single -Unit Residential Con State Lie : 682756 Lie Expire: 10/31/2024 Bus Lie: BT30069597 Bus Lie Expire: 11/3012022 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law far the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ;action 7031.5, Business and Professions Code: Arty city or county that requires a period to construct, alter, improve, demolish, or repair any structure, poor 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 'rofessions Code) or that he or she is exempt from ticensure 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). 3 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, .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 nprovemants are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or n roved for the purpose of Sale), 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 pply 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 exempt from licensure 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 thispermit, I Cannot legally all 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 'rafessions Code, is available upon request when this application is submitted or at the following Web site:http://www,leginio.ca.govJcalaw.htmi. �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 7 M ) to 3 f the Business and Pr fessi t ) '�• .he s , full force rid RKE License Class License No Date onEmctor Signature i/DRKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL S AND CIVIL FINES UP TO ONE HUNDRED T QUSAND DOLLARS 1SID0.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR LODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 enhance of the work for which this permit is issued. Policy No. 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' compensa ranee carrier and policy number are: of Agent rtify, that, in the performance of should become subslill of Policy Number Date for which thi ermil Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and comppgs n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \ ,// ECCARATION REGARDING CONSTRUCTION LENDING, AGENCY %�/ hereby affirm under Penalty of perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code), enders Name Lenders 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 cou rdf a s and state laws r aling to building construction. I authorize representatives of this city or countyi, bp1'j&I9JLfi10y ierty for inspection Purposes. A / _ A of Properly Owner or ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY TIONS PART 61 OF TITLE An AND AQMD RULE PERMITCANCELLEO LIEPA PERMIT EMENf)ED__ AQMD PERMITFINAL J� CCffIIL'�J� RMSBEST05 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOT PROP0 11 OCCUPANCY ISSUED SIGNATURE: Date