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Home My WebLink AboutE2024-0165 - Permits�W �kT City of Newport Beach p d" Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 c9 "" NAP newportbeachca.gov/civic 0 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2024-0165 E 2 0 2 4 0 1 6 5 Plan Check No Work Class : Other Issued Date : 03/1312024 Final Date: Permit Status: Issued Inspection Area : 4 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 : 1712 PORT ABBEY PL Legal Desc : it N TR 6621 BLK LOT 223\'x s mot' • " Description: ELEC-200AMP SERVICE REPLACEMENT Owner: PORT ABBEY LLC Contractor: OWNER/BUILDER Address : 2618 SAN MIGUEL DR STE502 NEWPORT BEACH, CA 92660 Address : • , -' Phone : (949) 233-4390 Phone : I I ' Con State Lic: OWNER/BUILDER " Applicant : PORT ABBEY LLC Lic Expire Address : 2618 SAN MIGUEL DR STE502 NEWPORT BEACH, CA 92660 Bus Lic Phone : (949) 233-4390 Bus Lic Expire: Workers' Compensation Insurance Owner/Builder : Carrier Address : Policy No: Phone : W. C. Expire: Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : Occupancy Groups Building Setbacks : ront: 18, Side: 5, Side: 5, Rear: 10 Flood Zone : Use Zone : C - Harbor View Hills PROCESSED BY SPECIAL CONDITIONS: US AUTH SCANNED, LLC DOCS VERIFIED DECLARATION I hereby AT" under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s).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, der iish, or repair any 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 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), Wrements 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, s 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 tha are not intended or offered for sale. If, however, the building or improvement is sold w€thin one year of completion, the Owner -Builder wild have the burden of proving that it was not built or d for the purpose of sale). 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 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 am exempt from licensure under the Contractors' State License Law for the following reason: _ By my signature below I acknowledge that, except for my personal resided in which must have resided for at least one year prior to completion of the Improve Ants covered by this permit, I cannot legalh sell a structure that I have built as an owner IldWhsknot,00n con Clod In is entire by licensed contractors.I understand that a copy of the apptica to Section 7044 of th Business and Professions Code, Is ova"table upon request wh is sub " a r fo j'�6 site:hitp:/fwnvr.leginfo.ca.gov/calaw.html.S3nature of Properly Owneror Authorized Agen D to�L1i.ENSk.D COATRACTOR'S DECLA'. 1 I hereby affirmunder penalty of perjury that I am licensed urI visl0ns of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Profes ions Code. and my license is In full force aid effect.. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION N. RN VG: r Ar-URE TO secure WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AODRION TO THE COST Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm updel penalty of perjury one of the following declarations: I have and Will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 37DO of the Labor Code, for o,mance of the work for which this permit is Issued. Policy No, have and will ,caintcin workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rence carrier=an'rlpolicy number are: terof Policy Number Expiration Date Agent Phone # in the perfo,�ma ce of the work to hich is permit II's issued„ I shall hot employ any person in any manner so as to become Subject to the becomaRylbjl{¢ Iq itep ytorkers' I E? igri pFpyl$ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of ereby affirm undeirpenXty of perjury there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), hder's Name U Lendar'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. I agree to comply withall applicable cit and cc nt ordinances st to laws relating to building construction. I authorize representatives of this city or t n/I��r e a v -I ti 1d//prroJ%Arty for inspection purposes. nature of Pronarty Ownnr or Arrlhnri7nrl A /A / .LI .��-Y////M/l�1DQLll mnarty nwnnr's nr Authnri7P.d%kOaa'fe Nama I �G�1" AM ACTION ( DATE 7 BY DECLIfh�IrION OF CON7PLIANCE WTH CODE OF FEDERAL FOR OFFICE USE '. RECL TIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED _ _U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED I EPA PERMIT TENDED EX LIAOMD PERMIT FINAL _ ❑ ASEES I US NOTIFICATION I5 NO'r APPLICABLE" TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED p / SrNATURF,. laws of California, and