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Home My WebLink AboutE2023-0300 - Permits",£wPo" City of Newport Beach 04 @ Community Development Department- Building Division t . 100 Civic Center Drive, Newport Beach, CA 92660 G =' Permit Counter Phone: (949) 718-1888 a CqC/F00.N�P newportbeachca.gov/civic illm�� 111111111111111111�1111111111111111111JillElectrical Permit : E2O23-o300 Plan Check No : PC2023-0708 Work Class : Other Issued Date : 06/20/2023 Inspection Area : 3 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 : 1801 ANTIGUA CIR Legal Desc : N TR 3764 BLK LOT 21 Description: ELEC- 225 AMP MAIN PANEL Owner: GEOFFREY BOLER Address : 103 VIA SAN REMO NEWPORT BEACH, CA 92663 Phone: (949)939-3335 Applicant: JOSH POGUE Address: 591 N SMITH AV, A CORONA, CA 92880 Phone: (916)758-8030 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY, _ SPECIAL CONDITIONS: Contractor GREEN DAY POWER Address : 9745 BUSINESS PARK DRIVE SACRAMENTO, CA 95827 Phone: (916)758-8030 Con State Lic : 1038673 Lic Expire : 04/30/2024 Bus Lic: BT30081116 Bus Lic Expire:03/31/2024 Workers' Compensation Insurance Carrier : BERKSHIRE HATHAWAY HOMESTATE INS CO Policy No: GRWC425435 W. C. Expire: 4/27/2024 Fire Hazard Zone : NO Occupancy Groups.; ,--. OWNER -BUILDER DECLARATION I 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 item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit t0 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 provisions of 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do all or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 Improvements 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 improved 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 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 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 Professions Code, is available upon request when this application is submitted or at the following. Web site:hftps:/4eginfo.legislature.ce.gov. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10D,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 the performance of the work for which this permit is Issued. Policy Number: I have and will maintain workers' compensation insurance; as required �by Section 3700 of the Labor Code, for the performances . of the work for which this permit is issued. My worker compensation insurance carrier and policy number are: C 20"15 t1-'I_^ �i ��,.��}�..�� Carrier: Policy Number: Expiration Date: Name of Agent: Phone #: r (� V✓<A T6Ry�+&r, I certify that, in the performance of the work for which this permit is issued, shall not employ any person In any manner s1 as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisionsof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CONSTRUCTION LENDING AGENCY DECLARATION I hereby affirm under penalty 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). Lender's Name: Lender's Address: By my signature, I certify to each of the following: DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS I am the property owner or authorized to act on the property owner's behalf. PART 61 OF TITLE 40 AND AQMD RULE 1403 1 have read all the declarations, checked applicable ones, and the information I. have provided are correct. I SUBMITTED ASBESTOS NOTIFICATION TO: I have read this application and the information I have provided is correct. EPA I agree to comply with all applicable city and county ordinances and state laws relating to building construction. AQMD Asbestos notification is not applicable to proposed demolition. `w vl Vol I