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Home My WebLink AboutE2023-0833 - Permitso �Ewpo', City of Newport Beach d Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 0 Permit Counter Phone: (949) 718-1888 e O4C/FO%N`P newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 10/02/2023 Flnal Date: Permit Status: Issued Inspection Area : 6 E2023-0833 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 : 608 POINSETTIA AVE Legal Desc : P BK 262 PG 43 PAR 1 UN 1 PM 262-43, PAR. 1 OF PRO Description: ELE- REPLACE BREAKER BOX IN LAUNDRY ROOM Owner: DUTTON MICHAEL J/DUTTON JOHANNA E Address : 608 POINSETTIA AVE CORONA DEL MAR, CA 92625 Phone : (949) 244-5245 Applicant: DUTTON MICHAEL J/DUTTON JOHANNA E Address : 608 POINSETTIA AVE CORONA DEL MAR, CA 92625 Phone : (949) 244-5245 Owner/Builder : DUTTON MICHAEL J/DUTTON JOHANNA E Address: 608 POINSETTIA AVE CORONA DEL MAR, CA 92625 Phone : (949) 244-5245 Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 20, Side: 3, Side: 3, Rear: 5 X R-2 - Two -Unit Residential Jl SPECIAL CONDITIONS: INCL DRYWALL AROUND BOX Contractor Address Phone : Can State Lie Lie Expire Bus Lie: Bus Lie Expire: Workers' Compensation Insurance Carrier : Policy No W. C. Expire: 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 reasorl indicated below by the checkmark(s) I have placed next tc 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 repair any structure, prior to its Issuance, also requires the applicant for the permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chaps (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 of 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). Q I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Busmess and Professions Code: The Contractors' State License Law does not ap 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)., m exempt from licensure under the Contractors' Stale License Law for the following reason. 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 legals structure that I have built as an owner-buildcr if it has no boon eonstructod in its entirety by licensed contractors. I understand that a copy of tho applicable law, Section 7044 of the Business and Professions Code. is available upon request when th a pli on Is submitted o a he fallow'ng Web site:htip:/lwww.legfnfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agen Zt.ix� _ Da{ ��%-- — LICENSED CONTRACTOR'S DECLARATI� u 1 hereby affirm under penalty of perjury that I am Ifcerf8ed under provisions of Chapter 9 (commencing with Section 7000) of D€vosion 3 of the Business and Professions Code, and my license is in full force and effect License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100.00a), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, 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 It 5arformance of the work for which this permit is. issued. Policy No, 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' Once carrier and policy number are; Policy Number of Agent Date ertify 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 laws of California., and ogre it I should become so ' t to t workers' comp"ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant—'' 11b'1 1 _ _ _ Da[ IECIARATi4N REGA 1 G CGNSTRUCTION LENDING AGENCY-� hereby affirm under pen ty of pel7ury that there is a construction lending agencyfor the performance of the work for which this permit Is issued (Section 3097, Civil Code). onder's 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with. all applGable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county totert{hhh7@ above-ldenifY�Cr��'�•t,„'pe f r inspection purposes. ianature of Prooertv Owner or Authorized Aoant V �,'� 7"n r9. n„r o lrlf a XJ Print i n,,nor'c n, A,dh .i> eI a. f. Nam-- � _ \` PERMIT EXPIREED EXTENDED DATE 6Y IR••'•EGULATIONS ART aECLARATION OF t1 PLiANCEWPH OF TITLE. 40 ANDAQMD RDE OF ULE�t I FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO CERTI I rATE OF f U ASBESTOS N0T'IFICATION IS NOT APPLICABLE TO OCCUPANCY OF Z PROPOSED DEMOLITION DCCUPANCY ISSUED SICNATURF,