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Home My WebLink AboutE2023-0016 - PermitsCity of Newport Beach p A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Cq<OIF00.T��P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections lJ11111111111111111111111111111111111111111111o111JillElectrical Permit : E2023-0016 Plan Check No : 0134.2021 Work Class : Other Issued Date : 01109/2023 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 : 2227 16TH ST Description : ELEC PANEL UPGRADE 200 AMPS Owner: GREGORYSTUECKLIN Address : 2227 E 16TH ST NEWPORT BEACH, CA 92663 Phone: Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 48 NEWPORT HEIGHTS LOT 48 SELY 60 FT NWLY 390 FT Applicant: CASA BLANCA BUILDERS INC Address: 2785 PACIFIC COAST HWY #355 TORRANCE, CA 90505 Phone: (310)266-2597 Owner/Builder Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: Front: 20, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential Contractor : CASA BLANCA BUILDERS INC Address : 2785 PACIFIC COAST HWY #355 TORRANCE, CA 90505 Phone: (310)266-2597 Con State Lic : 878015 Lic Expire : 05/31/2024 Bus Lic: BT30077301 Bus Lic Expire:11/30/2023 Workers' Compensation Insurance Carrier : EVEREST+PREMIER+INSURANCE+COMPANY Policy No: 7600019499211 W. C. Expire: 9/24/2023 Fire Hazard Zone : NO Occupancy Groups: 5 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) 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 ?rofessions Code) or that he or she is exempt from Iicensure 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 1, 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, 3usiness and Professions Code: The Contractors' State License Law does not apply to anowner of property who, through employees' or personal effort, builds or Improves the property, provided that the mprovements 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 mproved for the purpose of sale). -1 I, as owner of the properly, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ippiy 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). 1 am exempt from Iicensure under the Contractors' State License Law for the following reason ly 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 Iagallt ,ell a structure that I have built as an owner-bulidnr 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:htip:tlw w.leginfo.ca.gov/calaw.html. ;Ignature of Property Owner or Authorized Agent __ _ Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect io 7 00) of Division 3 of the Business and Prof ions Co , and my license is in full force and effect. License Class - License No Dat 2 Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING; 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 15100.ol IN ADDRION TO THE '.OST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 370f OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 thq erformance 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 numberara: Policy Number of Agent Dale :1I certify that, in the perfor ante 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 laws of California, and agre Iat, if should becon�,,N8. o thew s' tom ensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with;hose provisions. �Ignature of Applican,��✓��' Data �- L — Z! BICLARATION RliON TRU 710 LEN GEAT AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit a issued (Section 309 Civ Code). enders Name Lender's Address y 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 Ijave provided is correct. I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or co"'p',�y o enter the ve �T/tlfied property for inspection purposes. �� t' .ignature of Property Owner or Authorized Agent y �: Print Property Owner's or Authorized AgenPs NameV57A%I`( /irj /4 C r 13 Date 1/1-1,23 PERMIT EXPIRED PERMIT EXTENDED CERTIFICATEOF OCCUPANCY l55UED DATE I BY / -DECLARATION OF CaMPL1ANCE WITH CODE OF FEDE REGULATIONS PART 61 OF 71TLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO —rf^Zh U ASBESTOS NOTIFICATION 15 NO APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY