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HomeMy WebLinkAboutE2023-0762 - Permits�a6WP0/7T City of Newport Beach O * ecn Community Development Department - Building Division r R.. 100 Civic Center Drive, Newport Beach, CA 92660 o- = Permit Counter Phone: (949) 718-1888 Cq<�LORN`P newportbeachca.gov/civic iiiiiiiiiii II Electrical Permit Plan Check No : PC2022.1778 Work Class : Other Issued Date : 08/28/2023 Final Date: Permit Status: Issued Inspection Area :5 E2023-0762 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: 307 MILFORD DR Legal Desc : N TR 3357 BLK LOT 172 Description : ELEC TEMP POWER POLE *XR2023-2389* Owner: JOSEPH KARAKI Address: 4887 LA PALMA DR, 707 ANAHEIM, CA 92808 Phone: (714)695-9300 Applicant: JOSEPH KARAKI Address: 4887 LA PALMA DR, 707 ANAHEIM, CA 92808 Phone: (714)695-9300 Owner/Builder: JOSEPH KARAKI Address: 4887 LA PALMA DR, 707 ANAHEIM, CA 92808 Phone: (714)695-9300 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: 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 : YES Occupancy Groups: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 Item(s) iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to Its Issuance, also requires the applicant for In 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 rofessions Code) or that he or she is exempt from leensure 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 a hen five hundred dollars ($500)_ 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, us! ass 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 nprovements are not Intended or offered for sale If, however, the building or improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved forthe purpose of sale). _ 7 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 pp€y 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 1 am exempt from licensure under the Contractors' Stale License Law for the following reason. y 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 cover d by this permit, I cannot legall, oil a structure that I have built as an owner-buil or if it has not boon const to 'ts entirety by licensed contractors. I understand that a copy of the applicable law, Secti 7044 of the Business and 'rofesslans Code, Is available upon reque en this a +ca' Is s d :a following Web site:hitp;flwwv+.leginfo.ca.govlcalaw.ntml.. ignature of Property Owner Dr AI lhr•=ire ant .ICENSED CONTRACTOR'S DEC' ION hereby affirm under pe.ralt, of perjury ttet i I Ilcensad under revisions o apter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'AR NING: FAILURE TO Sera U,E 4WORKEr S' JOMP'ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.0001, IN AODrrION TO THE DST OF COMPENSATION, OAMAOES AS PROVIDED FOR IN SECTION 370A OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under per�Jlt, of perjury Coe of the following declaratleis: I I have and will mai7tain 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 th arformance of the wc•k fcl which G,6 pLrmit is issued. Policy No.. ]I have and will mafmain 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' compensatio rsurance, carrier anc, policy numbai 'Lr : :artier Policy Number Expiration Date me of Agent Phone N art y that., in the performance of the work f r ich permit is issued, I shall not employ any person in any manner so as to become subject to the workers' .ompereation lays of California, and agra rat, 'f I should beet a subt/ey\ ih�B� wo ers m an slid provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions- _ 43-- ignature of Do 'ant _W z:F%: ?c . —. _ -- —__ ____ Da [-i (1 ?' I hereby affirm under peralt}'of pe�jury lha a conVstructfon lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Lenders Name _ Lenders Address By my signature bet",, I certify to each of the following: I an) the property owner or authorized to act on the properly owners behalf. I have read thisapplication and the information I have provided is correct. I agree to comply with all applicable city and county ordinances an to ws elating to building construction. t authorize representatives of [his ci or county e the a t. ' . pr perty for inspection purposes. Si nature of Property Owner or Au[h med Agent Print PropertOwner's or Authorized Agent s Na ACTION DATEZ BY DEC RATION ARtE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '.. REGW.ATIONS PART51 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO __..................._...._............_....�..._ __ _.—._._—�._—_ L7eP___A PERMIT CANCELLEE7 PERMIT FINAL l2-�$� J� ❑ ASBhsTOS NOTIFICATION 15 NO{APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: i