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HomeMy WebLinkAboutE2022-0367 - Permits (2)City of Newport Beach 0. .�. Community Development Department- Building Division y y, 100 Civic Center Drive, Newport Beach, CA 92660 jz. Permit Counter Phone: (949) 644-3288 mow.. Inspection Requests Phone: (949) 644-3255 c94icnewportbeachca.gov/inspections III I Fi\rica mit: E2022-0367 ,l1551-2022 <3Wr oIss9,22 I 5�t PERMITS EXPIRE 180 DAYS AFTER ISSUANCE O AST VALID IN ION,1''NO LATER THAN 3 YEARS FROM 2 - NO CONSTRUCTION RELATED NOISE ON SATUR OR SUI;DAY IN HIGH DEIV hY AREAS AND NO WORK ON SUNDAY Job Address : 3927 SANDUNE LN al D Description : ELEC TO BBQ AND FIREPIT /p� Owner: Stephanie Quesada ress or : PAC K Address : 3927 Sandune Ln Coro el tv1ar 9262 dd ress Phone: Y Phone: ( �c Con S 2??`( Applicant : PAUL ELLIS Lic I�r�Q� �j/2( Address : 24642 VI, AZA LAK ORE0,9' LiA! Bi�3004 Phone: (949) -9861 ® Bu is E fl a 02/28/2( Workers'Comp atio Carrier Policy N C. pire 01 ClT Code Edition 2D i a5�� ;;�2�1 Fire ri ers: NO : N � \l. Type of Construction : . CP F' e and Zone: N Occupancy Groups Na Building Setbacks Flood Zone : a Use Zone PROCESSED BY: BLVD ISSUANCE DATE IOAYS IN ALL AREAS OWNER -BUILDER ❑ECLARATION'.. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) Indicaled be b ` e checkmark(s) I have placed.. next to the applicable items) (Section 7031.5. Business and Professions Code: Any city or county that roquires a permit to construct, alter. improve. demoli r air y structure, prior to its Issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License (Chapt 9 (,_ mencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of lion 7031.5 b Fly" _ ` licant for a permit subjects the applioant to a civil penalty of not more than five hundred dollars ($500). ft t 0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or ortionsof the work, an he Arurf a is not intended or offered for sale (Section 7044, Business and Professions Cade: The Contractors' State License Lave does not apply to an owner of pro who, through emplo BE nal" rt, builds or improves the property, provided that the Improvements are not intended cr offered for sale. If, however, the building or improvement is sold ' m one year of completi Owri de I have the burden of proving that it was not built. or improved for the purpose of sale). Ne ,,(�Olo v ' ❑ I as owner of the property, am exclusively contracting with licensed Contractors to co... ct the p�qjg ecli n 7�OA? , Business an rofessI s I e: The Contractors' State License Law does not ra�prply to an owner of property who builds or Improves thereon, and who contracts fo iojects�dt��e t o> a tractor pursuan the Confrac a License Law). �u I am exempt from licensure under the Contractors' State License Law for ((h I flowing rea.Q - 0'' `` By my signature below I acknowledge that, except for my personal residencein which I must have re rat least one prior to completion of th 01. ` mems covered by this permit, I.cannot legally sell a structure that I have built as an owner builder if it has not been constructed in its entirety by I ad contractors ndarstand that a copy of Ihe. ap. icatLi law, Section 704A 01 the Business and Professions Code, is available upon request when this application is submitted or at following sita:fiit v.laginfo.ca.gov/calaw.html. Signature of Properly Owner or Authorized Agent ,�L _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am Ilcer,�f6 under provis' s of Chapter 9 (commenpifig with Section 700 Div[ igrA 3 bf the Business and Pro C d my rise is in full force and effect. License Class ,® Lfcen o Date ?I (— Contractor Nnai� WORKERS' COMPENSATION DEC TION ` •/�/���i� WARNING FAILURE TO SECURE WORKERS N�aV BE IS UNLAWFUL. AND SHALL SUEJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN 1�rrTE HUNDRED THO db[rGLARS t$100,0001. M ADDITION TO THE COST of COMPENSATION; DAMAGES AS [BED Felt N 3706 OF THE LABOR CODE:, INTEREST. AND ATTORNEYS FEEL hereby affirm under penalty o equry one �t ' Bilowing declar tions r © eve and will real in a certific idf consent to scll Irmure ni rorkew cornpens:,Kign issued by'the Director of dr�ii 4.1 1 stations as provided;f�ySect! 37i of the Labor Code, far thr rmance of the rk forwhirfh" ertnll Polity No Vr�rI b a and wkl ainta��''yyGORers' compen on insu rr e as reipi red by Section 3700 of ;he Lat,or Co Florp} of AMa urork f vhiche Issued. My workers' compensation a e carrier a polic�'number « „r C ter Pohey iclnei �� Ex p' on Na a of Agent i one I certify that, in the pe m o r for w hta ei fiat s 75sipd, I shall not employ any person in any manner so o be ubj the workers' compensation laws of California, and agree that. if I should become so t to rk pe Trpruvi6lons of Se,aion 370rba(Ihe Labor Coda, I shall fort. hwik omply wihos ovis ons. Signature of Applicant'.. u ._, _ DECLARATION REGARI9YNG N� AGENCY I hereby affirm under penaj4q pf p 'ury t Cher construction lend' g for the performance ork for w ' t " ermit Is issued (Section 3097, Civil Code). Lenders Name >L `-- finders Addre& By my signature below, I cerilfyi p e h of following; I am the property owner or or d to act on the or ltWher's - I have read this y witha all a pli he formats e e e I agree to comply with ail apple a an our dinnits e a ling to h " ng struction. I authorize representatives of thls ty DO It filer bov enti ropert sp on purposes. /�/y/,/� Si nature of Pro ert Owner or Authon ' A rit nnl Pro en Owner's or Authorized Agent's Name -r'"l! Date ACTION DATE a E ATIO COMP'LI L CODE OF FEDERAL ( FOR OFFICE USE ONLY 't SGkKAF1 NS PART E F T •: A0 AND AOMD RULE. PERMIT EXPIRED y.. _ ` LJ I SUBM D STOS NOTIFICATION TO PERMITCANCELLED A All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED "f' D be in place prior to approval tofill pool/spa & shall remain in place & be maintained for the PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool. CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED ! SIGNATURE: