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Home My WebLink AboutE2023-0426 - Permits��EWPORT City of Newport Beach p 6 Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 U ) T Permit Counter Phone: (949) 718-1888 cgvroaN�P newportheachca.gov/civic E 2 0 2 3 0 4 2 6�� II Electrical Permit : E2023-0426 Plan Check No : PC2022-2691 Work Class : Other Issued Date: 0511112023 Inspection Area: 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 : 123 44TH ST Legal Desc : A TR RIVER SECTION BILK 44 LOT 21 Description: ELEC TEMP POWER POLE (XR2022-2843) Owner: JOHN ERCK Contractor : J W B CONSTRUCTION SERVICES Address: 123 44TH ST NEWPORT BEACH, CA 92663 Address : 18161 ESTES WAY SANTA ANA, CA 92705 Phone: Phone : (714) 730-8464 " Con State Lie : 690352 U Applicant: J W B CONSTRUCTION SERVICES Lie Expire : 05/31/2023 - Address : 18161 ESTES WAY SANTA ANA, CA 92705 Bus Lie: BT30071296 - Phone: (714) 730-8464 Bus Lie Expire:03/31/2024 Workers' Compensation Insurance - Owner/Builder: Carrier : STATE COMPENSATION INSURANCE FUND - Address: Policy No: 1903645 Phone: W. C. Expire: 9/18/2023 , Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : R3/U Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential NO CONSTRUCTION NOISE PROCESSED BY: SPECIAL CONDITIONS: ON THE WEEKEND E OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe 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:, after, improve, demolish, or repair any structure, prior to its issuance, also requires tha applicant for the 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 Professions 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 penally of not more than five hundred dollars ($500). 111, 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 sate. 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 of Iir—nyproved for the purpose of sale), L! 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 apply 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). 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: By my signature below I acknowiedga 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 legally 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 theapplicable 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://www.leginfo.ce.gov/calaw,html, Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hurebv aMrin under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 i risi n of the Business and Professions Cry.;/ e, a /ny - rise is In full force SDIeBect License ':Iasi License No Date Contractor Signature �//1 _a /F9 /l WORKERS' COMPENSATION DECLARATION RAINING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYeR TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPSNSATIJN, OAI AOFA AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTPRFST, AND ATTORNEY'S FEES, hamuv a;iirm under pen.Ity of perjury one of the following declaralions: :1 1 urve. and will n`rirIein a cenificate 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 In( perfrirnaprice of the work for which this permit is issued. Policy No. �ae'f E .no 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' compensatior ranee carrier and Poilry number are: T'er Policy Number Expiration Date _ Tc cf Agent Phone I! certify that, In thepedorman a of the work for which this permit is issuatl. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref t, if I should become subjec the rkers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply With those provisions. nature of Applicant - _�__._. _... Data CLARATION RA DI ON -: RUCTION LENDING AGENCY ireby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). SdePs Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. t agree to comply with all applicable city and county or none and to laws relating to building construction. I authorize representatives of this city or county tw;11, o I dandified property for inspection purposes. _ in I _ n 1 _ _ l r CAI A ACTION DATE BY 4' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ` 1 1403 RECULATIONS PART 61 OF TITLE AOAND AQMD RULE PERMITEXPIRED I I I LJ I suamiTTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PtxMll rtNAL �I IW(Z JK ( UASeeSTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY 155UED SIGNATURE: