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HomeMy WebLinkAboutE2023-0967 - Permits�tWn��Rr City of Newport Beach p 0" Community Development Department- Building Division r i� 100 Civic Center Drive, Newport Beach, CA 92660 0 )� Permit Counter Phone: (949) 716-1888 cq�"`oaN�r newportbeachca.gov/civic jjjjj1111111111111111111111111111111111111111111111111Electrical Permit : E2023-0967 E 2 0 2 3 0 9 6 7 Plan Check NO: OWSS-7,0LZ Work Class : Other Issued Date : 11/28/2023 Final Date: Permit Status: Issued Inspection Area : 7 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 : 2510 COAST HWY W Description: ELEC - TEMP POWER POLE Owner: 2510 W COAST HWY EAT LLC Address : 14 CHANNEL VIS NEWPORT COAST, CA 92657 Phone : (949) 350-4019 Applicant : Barry N Keene Address : 2510 West Coast Hwy Newport Beach, CA 92663 Phone: (949)606-2377 Owner/Builder: Address Phone: Code Edition : Type of Construction Building Setbacks : Flood Zone : X Use Zone : MU-MM - Mixed -Use Mariners' Mile PROCESSED BY SPECIAL CONDITIONS: Legal Desc : P BK 85 PG 30 PAR 2 P.M. 85-30 PARS 2 & 3 Contractor : WJK DEVELOPMENT CO Address : 16250 BAKE PKWY #1D5 IRVINE, CA 92618 Phone : (949) 677-0668 Con State Lie : 1005728 Lie Expire : 07/31/2025 Bus Lie: BT30064447 Bus Lie Expire:09/30/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9141393 W. C. Expire: 9/2/2024 Fire Hazard Zone : NO Occupancy Groups : I hereby affirm under penally of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmadQs) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, alter, improve, demolish, or repairany 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 Acensure 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 not more than five hundred dollars ($500). 71 I, as owner of the property,. or my employees with wages as their sole compensation. will do (_) all of or t_) 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 thatthe improvements are not intended or offered for sale. If, however, the building or impravement 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). 11 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Processions 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 pursuantto the Contractors' State License Law). 13 1 am exempt from ffcensure 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 lagal f. sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, isavailable upon request when this application is submitted or at the following Web Site:http:llwww:leginfo.ca.govlcalaw.html,. Signature of Property Owner or Authorized Agent _ Date 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 Ivisio 3 of the Business and Professions e, and my license is In full force and effect. License Class License No DISW Contractor Signature WORKERS` COMPENSATION DECLARATION Yi 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 t$100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION'37H 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 ,ormance of the work for which this permit is issued. Policy No.., 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' carrier and policy number are: Policy Number Expiration Date of Agent Phone N _ certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lays of California, and agre t, if I should become subject to th8(@�kers' cpmpensa on provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. nature of Applicen{ ��� _LL/i/cZ ---. _._ _ Qate-- CLARATfCN REGARDING CeKSTRUC LENDING AGENCY r r areby affirm under penalty of perjury that ore is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) ides s Name Lender's Address 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. € agree to comply with all applicable city and county Ordinances and state laws relating to building construction. I authorize representatives e.f this city or county to e e above -de ied property for inspection purposes. nature of Property Owner Or Authorized AGeht /,J:�� i � Print Property Owner's or Authorized FOR OFFICE USE ONLY t REGULATIONS PART 61. OF TITLE 40 AND AQMD RULE PERMI r EXPIRED --c1140-3 _ i IJ SUBM.ITt O ASBESTOS NOTIFICATION TO PERMIT CANCFLtFD-- ` GEr'A PERMIT EXTENDED i -ter PERMIT FINAL❑ASBE5705 BESNIL N071FICAtION IS NUf APPLICABLE 70 CERi1FICATEOF r/ r �._—n_ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE, /f K