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HomeMy WebLinkAboutE2022-0851 - Permitse�£WPoRr City of Newport Beach p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U S Inspection Requests Phone: (949) 644-3255 C'9CIFe0.N`P newportbeachca.gov/inspections IIElectrical Permit : E2022-0851 Plan Check No : 0219-2021 Work Class : Other Issued Date : 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: 334 aFDesc-: N TR-518-BiK-M LOT-11 — - Description : ELEC TO BBQ Owner: BRADLEYRUPPERT Address : 324 L ST NEWPORT BEACH, CA 92661 Phone: Applicant: APEX ESTATE CONS Address : 1 B183 EUCLID ST FOUNTAIN VALLEY, CA 92708 Phone : (949) 412-0712 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 0 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY : SPECIAL CONDITIONS: Contractor : APEX ESTATE CONS Address : 18183 EUCLID ST FOUNTAIN VALLEY, CA 92708 Phone : (949) 412-0712 Con State Lie : 895619 Lie Expire : 04/30/2023 Bus Lie : BT30070497 Bus Lie Expire: 01/31/2023 Workers' Compensation Insurance Carrier: CLEAR+SPRING+PROPERTY+AND+CASUALTY+COMPANY Policy No: CWC00472100 W. C. Expire: 1/31/2023 Fire Hazard Zone : NO Occupancy Groups: U 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 itemis) 3ee1ion 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 the applicant for mo permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Suction 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensum 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). 11, as owner of the property,. or my employees with wages as their sole compensation, will do U all of or L) 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 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), 11, 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 pursuantto the Contractors' State License Law). I I am exempt from ficensure under the Contractors' Stale License Law for the following reason: y my signature below I acknowledge [hat, 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] all a structure that I have built as an owner -builder if it has not been constructed In itsentirety by licensed contractors.. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following V4eb site:http:liwww.loginfo.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 7 4) 0 41vi,7{on 3A the Business and Pro ions and my license is In full force nd effect License Class License No Date __ I I `9 - (.(Contractor Signatur _ ��ra=vo.. yI COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,00a, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 370E 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 III efformence of the work for which this permit is issued. Policy No. Ive 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' ice carnal, and policy number re; �. t W � ? jAq Policy Number �. V C O `% 7 Z7' 0`� Expiration Date of Agent —� - Phone f7 I certify that, in the pert- anance 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 California, and afire L if should beco jact to the workers' Is `D revisions Of Section 3700 Of the Labor Code, shall forthwith Comply wish those provisions. nature of Applican _ Date CLARATION RE IN N UCTION LENDING AGENCY neby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this. permit is issued (Section 3097 ivi Cade). ides 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 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 con Ordinances and state laws relating to building construction. I authorize representatives of this cif or coup t enter the -i ro r-ins ectlon ur oses. P y N P P P nature of Properly Owner or Authorized Anant Print Prooertv Owner's or Authorized Aoent's Name It ACTION I DAT PERMI f EXPIRED PERMIT EXTENDED P£RMUFINAL _.___[i?� 1 \ CERTIFICATE OK I OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART St OF TITLE 40 AND AOMD RULE I SURF 11'TO PSRESTOS NOTIFICATION TO LMEPA��--. PROPOSED DEMOLITION SIGNA-URE: ISNOTAPPLICABLE TO FOR OFFICE USE ONLY