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HomeMy WebLinkAboutE2023-0229 - Permits4 �W PORT City of Newport Beach Community Development Department- Building Division } Y 100 Civic Center Drive, Newport Beach, CA 92660 > Permit Counter Phone: (949) 644-3288 cq�'"o0.Nvr Inspection Requests Phone: (949) 644-3255 n ewportbea chca, g ovl i ns pections 11l11111111111111111111111111111111111111111111111Electrical Permit : E2O23-o229 Plan Check No: Work Class : Other Issued Date : 0312112023 Inspection Area : 4 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 : 2444 VISTA HOGAR Legal Desc : N TR 5798 BLK LOT 74 TR 5798 (L.L.84-245722) PAR 74 Description : ELEC -200 AMP SERVICE UPGRADE Owner: ELAINE FOXX Address : 2444 VISTA HOGAR NEWPORT BEACH, CA 92660 Phone : (949) 278-7758 Applicant: ELAINE FOXX Address : 2444 VISTA HOGAR NEWPORT BEACH, CA 92660 Phone : (949) 278-7758 Owner/Builder : ELAINE FOXX Address: 2444 VISTA HOGAR NEWPORT BEACH, CA 92660 Phone : (949) 278-7758 Code Edition : 2022 Type of Construction Building Setbacks : Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: _ SPECIAL CONDITIONS: Contractor Address Phone: Con State Lic Lic Expire: Bus Lic : Bus Lic Expire: Workers' Compensation Insurance Carrier: Policy No W. C. Expire: Fire Hazard Zone : NO Occupancy Groups : R3/U I iN CToR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Recalls) Section 7031.5, Business and Professions Code: Any city or county that requires a permil to construct, after, improve, demolish, or repairany structure, prior to its Issuance, also requires the applicant for is permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 fora permit subjects the applicant to a civil penalty of col more than five hundred dollars ($500).. 1, 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, luseess 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 Tiprovements 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). as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not ID 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 TIT exempt from licensure under the Contractors' State License Law for the following reason: ly y signature below 1 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 legall) a structure that I have built as an owner -builder if it has not b constructed in Its er iraiy by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessle Code, Is available upon request whenn this a Is is s milted or -at the ( owl eb of site: ri:Uwwvr.leginfo.ca-govlcalaw,html. /�G��7`� J`_— +ignature of Property Owner or Authorized Agent OR IY .ICENSED CONTRAeTel DECLARATI hereby affi••.rmunder penalty of perjury that I am peens€d under provisions of Chapt r 9 (commencing with Section 7.000) of Division 3 of the Business and Professions Code,, and my license is In full farce nd effect. License Class License No Date CDntraptgz6[gnature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100.000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 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 issued. My workers' compensatior Isurance carrier and policy number are: rrier Policy Number Expiration Date a* of Agent Phone # rtify that, in the performance v f lnework 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 agree • , if I should become subject he woorrZor pe. tion provisions Section 3700 of the Labor Code,.. I shall forthwilh comply with those provisions. ignature of Applicant�/�� sign ure of Applicant OCCr, !f` GTbI1l TIl�1 r I�IR _OAIMt here by affirm under pcsnalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued' (Section 3097, Civil Code). ender's Name Lender's 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 information I have provided is correct. I agree to comply with all applicable city and county ordltl and state laws relating to building construction. I authorize representatives of this city or county to o e bove-identified r'�p or inspection purposes, may" y— _ ignature of Property Owner or Authorized Agent. 7&AFvve �/ �nnl Property Owner's or Authorized Aoent's Name.A ACTION DATE BY / DECLARATION OF COMPLI-ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED _ ISJBItIT FD A53FSTOSNOTIFICT'ION TO EPA PERMIT CANCELLED PER MIT EXTENDED t�T- Dive PERMFTFINAC -,� /(y/a Z� t�UL �t_I ASBESTOS NOTIFICATEON IS NOT'APPLICABLE TO CfRTIFlGA7E OF PROPO�rO DEMOLITION OCCUPANCVISSUEO �� SiGNATUAE: