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HomeMy WebLinkAboutE2023-0193 - Permits��eWPogT City of Newport Beach p Community Development Department -Building Division F + n 100 Civic Center Drive, Newport Beach, CA 92660 0 ar S Permit Counter Phone: (949) 644-3288 cro-`oRr�r Inspection Requests Phone: (949) 644-3255 newpofteachca.gov/inspections Electrical Permit : E2023-0193 Plan Check No : 2487-2021 Work Class : Other Issued Date : 0310912023 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 : 2206 ARALIA ST Legal Desc : N TR 4705 BLK LOT 109 Description: ELEC INSTALL ELECTRICAL LINE AND OUTLETS FOR EXT BBQ ISLAND (X2021-2849) Owner: SHAW KAMAO C TR THE SHAW FAMILY TR Address : 2206 ARALIA ST NEWPORT BEACH, CA 92660 Phone: (949)945-0905 Applicant : UNITED CONTRACTORS Address : 3185 AIRWAY AVE D-1 COSTA MESA, CA 92626 Phone: (949)945-0905 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: ( "5 SPECIAL CONDITIONS: Contractor: UNITED CONTRACTORS Address : 3185 AIRWAY AVE D-1 COSTA MESA, CA 92626 Phone: (949)945-0905 Con State Lie : 949005 Lie Expire : 06/30/2024 Bus Lie : BT30053869 Bus Lie Expire: 01/31/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9119482 W. C. Expire: 12/6/2023 Fire Hazard Zone : NO Occupancy Groups: U OWNER•EIUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itarl 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 for he 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 )mfessions 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 lot more than five hundred dollars ($500). -1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 an ownerof property who, through empbyees' or personal effort, builds or improves the property, provided that the rnprovements are not intendedor offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner•B hider will have the burden of proving that it was not built or mproved for the purpose of sale), h 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 'ppiy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: iy my signature below I acknowledge that, except for my personal residence to which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall sell a structure that I have built as 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 7044 of the Business and 'rofessions Cade, is available upon request when this application is submitted' or at the following Web Site:httpJl1 w .leginfo.ce.gov/calaw.btml. idgnature of Property Owneror Authorized Agent Data _IC£NSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 p) oLDivi�top 3 of the Business and Profes e, my li i fu11 force and effect. License Class License No Date iA lfg Contractor Signature VORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUNDRE USAND DOLLARS (S180,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION a706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 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 It erformance of 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 workfor whichthis permit is issued. My workers' ranee carrier and policy number are: Policy Number _ Exolration Date to of Agent certify that, in the perfo of thQ work for le this if I should become su ct to,the�w�('JrrkBr s' DIM! Iature of Applicant is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ions of Section 3700 of the Labor Code. I shall forthwith comply with those provislons. 2 _..._._ ,...m,..........._. Date 3-9, 23 hereby affirm under net 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). enders Name Lenders Address ly 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 Infomtation I h e provided Is correct. I agree to romply with all applicable city and coon rd:Inan s and a Ia' relating to building construction. authorize representatives of this city or county t Hier the b ve--' e f d operty for inspection purposes. jgn_.Iure of Property Owner or Authorized A ent Print Property Owner's or Authorized A iCTIuN DATE BY DECLARIETION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 P£RM11 EXPIR-D iU I SUBMITTED ASBESTOS NOTIFICATION TO P£R'AIT CANCELLED _ {{ `_ U�EPP�A PE4177EXTEADED 3 iJAOh1D--- Pf2AlTFWA- ^ / ASBEST05 NOTIFICATION 15 NOT APPLICABLE TO PCCU,'AA7£OF /107,/i ; //� --PROPOSED DEMOLITION GCCU�ANCY ISSUED V !J/ I I SIGNATURE: i 1 DcTc Date 3-9