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Home My WebLink AboutE2023-0420 - Permits��WPogr: City of Newport Beach O4 - KI 9 Community Development Department - Building Division rf 100 Civic Center Drive, Newport Beach, CA 92660 )+�!+ Permit Counter Phone: (949) 718-1888 C9�p0.N�P newportbeachca.gov/civic II �IEIV�II�II9II I�III4I�I� IIII0 II Electrical Permit Plan Check No : PC2022.2990 Work Class : Other Issued Date : 05109/2023 Final Date: Permit Status: Reissued Inspection Area : 2 E2023-0420 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: 741 AVOCADO AVE Description : ELEC A/C DISCONNECT Legal Dose : N TR 10274 BLK LOT 1 UN 101 TR 10274 LOT 1 UNIT 101 OF PROJE CT LOCATED ON AP Owner: IRVING BUDLONG Address : 741 AVOCADO AVE CORONA DEL MAR, CA 92625 Phone : (949) 230-0601 Applicant : ANTONIO MARCELO CONSTRUCTION INC Address : 1907 E PALMYRA AVE ORANGE, CA 92866 Phone : (714) 206-0083 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: X RM - Multiple Residential Contractor : ANTONIO MARCELO CONSTRUCTION INC Address : 1907 E PALMYRA AVE ORANGE, CA 92866 Phone : (714) 206-0083 Con State Lie : 1055091 Lie Expire : 06/30/2025 Bus Lie : BT30079820 Bus Lie Expire:10/31/2023 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9311117 W. C. Expire: 1/8/2024 Fire Hazard Zone : NO Occupancy Groups: OWNER-51U11i Lrt�t;LAKA I IUry hereby affirm under penalty of perjury that I.. am exempt from the Contractors' State License Law for file reasons) indicated below by the Checkmark(s) I have placed next to the applicable Kem s {action 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 (or a permit to file a signed stalamont 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 'ofesslons Code) or that he or she is exempt from ticensure 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 3t more than five hundred dollars ($500). 3 I, as oisner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended orof eyed for sale (Section 7044, usiness 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 1provements 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 iproved 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 pply 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), 3 1 am exempt from ticensure under the Contractors' State 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 Gaston year prior to completion of the Improvements covered by this permit, I cannot legal]) ell 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 Code, Is available upon request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.govlcalaw,html, Date ignature Of Property Owner or Authorized Agent_______.,,,_—__..,.,____��—.—__-------- -- — .ICENSEO CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D' i ibn 3 of the business and urofessib�d my license is in full force no effect. License Class License No Dale �f Z 3 Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' ➢OMPENSA7ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t5100,000), IN ADDITION TO THE DST 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: 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 th erformance of the work for which this permit is issued. Policy No. JI 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' compensaNb rsurance carrier and policy number are: farrier _. Policy Number Expiration Date le of Agent certify that, m the performance of the work for which this permit Is issued, I shall not employ any person in any mariner so as to become subject to the workers' compensation laws of California, and agre it I should become subject to the wor mpenseLion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant IECLARATION REGARDING t.i I KLA: I 1 V N i MV Fn4I 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). ender's Name _ Lender's Address iy 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 ➢mpl; with all applicable city and county ordinancesand state laws retailing to building construction. I authorize repre ,entatives of this city or county to ant nfified property for inspection purposes. �'t PAC i yo'+.iure Of Propad) Owner or Authorized A ent Print PropertyOwner's or Authcnzetl Agent's Name Ali I'L / _ `C Date �r ACTION DATE BY DECLARATION OF COMPLIANCE VNNTH COD€ OF FEDERAL FOR OFFICE USE ONLY RFGUI.ATIONS PART 61, OF TITLE 40 AND AQMD RULE EXPthEO ! Ld I SUBMITTED ASBESTOS NOTIFICATION TO i r hMtTEXTENPLp I L. Umu PchMIT FINAi S-�° p� 0ASBE51 OS NOTIFICATION I5 NOT APPLICABLL 10 7T.FfCATEOF ( D PROPOSED DEMOLITION OCCUPANCY! SUED SIGNATURE.