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Home My WebLink AboutE2023-0410 - Permitsa City of Newport Beach Electrical Permit :E2023-0410 Community Development Department- Building Division E 2 0 2 3 0 4 1 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0428 Permit Counter Phone: (949) 718-1888 Work Class : Other newport6eachca.gov/civic Issued Date : 05/0412023 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 : 107 06TH ST Description : TEMP POWER POLE Owner: GRAMLING REVOCABLE TRUST Address : 107 6TH ST NEWPORT BEACH, CA 92661 Phone : Applicant: J W B CONSTRUCTION SERVICES Address : 18161 ESTES WAY SANTA ANA, CA 92705 Phone: (714)730-8464 Owner/Builder: Address Phone: Legal Desc : A TR EAST NEWPORT BILK 9 LOT 2 Contractor : J W B CONSTRUCTION SERVICES Address : 18161 ESTES WAY SANTA ANA, CA 92705 Phone: (714)730-8464 Con State Lic : 690352 Lic Expire : 05/31/2023 Bus Lic : BT30071296 Bus Lic Expire: 03131/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 1903645 W. C. Expire : 9/18/2023 Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: _ 9 SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicatedbelow by the checkmark(s) I have placed next to the applicable item(s) ;Secfion 7031,6, 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 for the permit to file a signed statement that he or she is licensed pursuant to the provisionsof 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 Saction 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500)., 1 I, as owner of the properly,. 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, 3usiness and Professions Code: The Contractors' State License Law does not apply to nn owner of property who. through employees' or personal effort, builds or improves the property, provided that the mprovements 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 or improved for the purpose of sale). ❑ I, as owner of the properly, 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 this permit, I cannot legally sell a structure that I havo builtas 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 7C44 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:l/%Mw.leg.info.ca.govlcataw.html. Signature of Property Owner or Authorized Agent— oato, X_ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (Commencing with Section ) f Oi dsion 3 of the Business and ofDeal ' ens n full force and effect. License Class License No Oate� ConUactor Signs JJORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORk.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100.000), IN ADDITION T07HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: F, 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 ih cerforrnanceof 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' compensatioi nee carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 711 certify that, in the performance o e rk to hie Is it is issued. I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California., and agre that, if I should becom a bject to e' o m ad' n rove of Section 3700 of the Labor Code.. I shall forthwith comply with (hose provisions. Signature of Applicant Date Z— _ DECLARATION REGA DIN 0- RUCTION LIENDIN AGENCY hereby affirm under penalty f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 1 it Codej. Lenders Name Lender's Address By my signature below, I c6Nfy to each of the following: i am the property owner or authorized to act on the property owner's behalf. I have read thisapplication and the information I have provided is cel:,�t-epi I agree to comply with all applicable city and co my ordinance noat g t uilding construction. I authorize representatives of this city or county t nler th17 o e r inspection purposes. Signature of PropertyOwner or Authorized A ant Print Property Owner's or Authorized A ent's Name J ate ACTION DATE I BY DELL RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE' .CATIONS PART 61 OF TITLE 40 AND AQMO RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDEDm TO ZASOISM NFTt A C CERTIFICATIF �3 PROPOSED DE1 OCCUPANCY ISSUED 0