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Home My WebLink AboutE2022-0634 - Permits�EWPo�T City of Newport Beach I II I I II I II I II II IIII II II C4 A Electrical Permit: E2022-0634 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1198-2022 D Permit Counter Phone: (949) 644-3288 �+•s s Work Class :Other .r.Inspection Requests Phone: (949) 644-3255 Issued Date : cgG�pnpN�P newportbeachca.gov/inspections Inspection Area 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 : 1813 W BALBOA BLVD Legal Desc : Description: ELEC-TEMP POWER POLE Owner: THOMAS MILLER Address: 816 W OCEANFRONT NEWPORT BEACH, CA 92661 Phone: Applicant: ROBINSON REESE LP Address: 2505 W COAST HWY #202 NEWPORT BEACH, CA 92663 Phone: (949)910-3047 Owner/Builder Address Phone : Code Edition: Type of Construction Building Setbacks Flood Zone Use Zone : PROCESSED BY: Contractor : ROBINSON REESE LP Address : 2505 W COAST HWY #202 NEWPORT BEACH, CA 92663 Phone: (949).910-3047 Con State Lie : 1053055 Lie Expire : 05/31/2023 Bus Lie: BT30071636 Bus Lie Expire:04/30/2023 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : N Occupancy Groups : i1 c�i wit OWNER -BUILDER DECLARATION f 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 Dennis) 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 lot is 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 'reassions 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 of more than five hundred dollars (S500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not: intended or offered for sale (Section 7044, tusiness 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 nprovemenks 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 �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 ppfy 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)" 3 1 am exempt from licensure under the Coniracko s' State License Law for HAD following reason_ Iy my signature below I acknowledgo that, exceptfor 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 all a structure that 1 have built asan owner -builder if it has not boon constructed In its entirety 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 Web site:http:(lwww.ieginfo.ca.govlcalaw,html. .ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby oilier under penalty Of perjury tttak I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Pnofe sin Cod an my license is in foil force ad effect. License Class License No Date l L'L Contractor SignaW re WORKERS' COMPENSATION DECLARATION (WANING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS NO DOLLARS ($100,000). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES A$ PROVIDED FOR IN SECTION 3703 OF THE LABOR COVE, INTEREST, AND ATTORNEY'$ PEES. hereby affirm under penalty of perjury one of the following declarations: I I have and Will maintain a certificate of consent to self losure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tm erformance of the work for which this permit is issued. Policy No, ]I 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 Issuod. My workers„ compensatior Isurance carrier and policy number are: policy Number Expiration Date of Agent ,IArtily that, in the performs a of the work for' which this permit is issued, I shell not employ any person in any�jordthwith as to become subject to the workers' compensation laws of California, and agre, at, if should become subjec to he war rs' compensation provisions of Section 3700 of the Labor Code,: I shamply with those provisions. ignature of Applican. €CLARATION REG ING CO STRUCTION LENDING AGENCY V� hereby affirm under penalty of pe ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 inforinaifon i ha'a p vided is correct. I agree to comply with all applicable city and county or i ces and state laws relating to building construction. I authorize representatives of this city or county to an r t e abo a -Identified property for inspection purposes. 1 ignature of Property Owner or Authorized Agent �. /,�1.. A_,. Pont Prouery Owner's or Authorized ADent's Name DRIP ri 1 ACTION DATE BY ^QECLARjATfON OF COMPLIANCE VVIIH CODE OF FEDERAL f FOR OFFICE USE ONLY V \ j REGI. IONS PAFkT 6t OF llTLF.. 40 ANCI AgMD RLJLE. j 1403 PERMIT EXPIRED PEAMITCAN__ _ PERMIT EXTENDED PERMITFINAL -7 1 u � JK I,,..IASSESTO5 NOUFICATION IS NOT APPLICABLE TO CEFF170CAtE OF PROPO5re DEMOLITION OCCUPANCY ISSUED SIGNATURE: