HomeMy WebLinkAboutE2022-0460 - Permits�EwvoRT City of Newport Beach IIII I I III II I II II IIII II II Electrical Permit : E2022-0460
p4 -± ' @ Community Development Department- Building Division
F a 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
M� T Permit Counter Phone: (949) 644-3288 Work Class : Other
.m Inspection Requests Phone: (949) 644-3255
cq�rcoaN�P newportbeachca.gov/inspections Issued Date : 07/26/2022
Inspection Area : 2
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: 736 HARBOR ISLAND DR Legal Desc
: N TR 3867 BILK LOT 13 �" ,a:��r �"
Description: ELEC CHANGE OUT ELEC PANEL 200 AMPS
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Owner: RACHEL CARI TRUST
Contractor : CRISTONDE ELECTRIC INC
Address : 1200 CLUB VIEW DR UNIT1601 LOS ANGELES,'CA 90024
Address : 21107 CHASE ST CANOGA PARK, CA 91304
Phone :
Phone: (818) 477-2614
Con State 'Lic: 989013
Applicant: CRISTONDE ELECTRIC INC
Lic Expire i 03/3112023
Address : 21107 CHASE ST CANOGA PARK, CA 91304 -
Bus Lic : :: BT30079021
Phone: (818) 477-2614
Bus Lic Expire 06/30/2023
Workers' Compensation Insurance
Carrier:
Policy No: '
W. C. Expire
Code Edition : 2019
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Fire Sprinklers : NO •
Type of Construction :
®7 ••
::Fire Hazard 'Zone: Y
Occupancy Groups : U
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Building Setbacks : Front: 10, Front: 18, Side: 4, Side: 4
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Flood Zone : X
•Y 9
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Use Zone : R-1 - Single -Unit Residential
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Under penalty of perjury that I am exempt from the Contractors State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
usiness 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
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 3of the Business and
or that he or she is exempt from fioensure 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
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
mass and Professions Code The Contractors' State License Law does not apply town. owner of property who, through employees' or personal effort, builds or improves the property; provided that the
ravements arenot intended or offered: for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Builderwiil have the burden of proving that it was not built or
roved for the: purpose of sale)..
1, 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
ly to an owner of property Aft builds or Improves:thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License Law),
I am exempt from licensure under the Contractors' Stale License Law for the following reason:
ny signature below I acknowledge that, except for my personal residence in which. I must have resided for at feast one year prior to completion of the improvements covered by this. permit, I cannot ]age
ucture that I have built as an owner -builder if it has not been constructed in its a
ms Coda, isavailable upon request when this: application is submitted or at the
a of Property Owner or Authorized Agent.
'ED CONTRACTOR'S DECLARATION
affirm under penalty of perjury that I am licensed under provisions of Chaplet 9
st. License ClassLicense: No
_RS' COMPENSATION DECLARATION
PAR nRE M SRCURE WORKERS` LOMPENSATIGN COVERAGE 15 UNLAWFUL. AND SHALL SUB
sad contractors. I understand that a copy I
site:http:/A+ .legmfo.ca,gov/calaw.html.
PENALTIES AND CIVIL FINES UP TO ON£ HUNDRED T.
Date
the Business and
is in full force
t5/00.000r. IN ADDITION
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to self4risure for workers' compensation, issued by. the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for
arfomtance of the work for which this permit is issued. Policy No.
I haw 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' compensa.
Isue carrier and policy number are:
Policy Number
Date
l! carafythat, in the perfermance f the ork for which this permit is issued., t shall not employ any person in any manner so as to become subject to the workers` compensation laws of California, and agre
tat, iE I should became svl'.ja�penuarvm
ets' compensationpravistons of SBbNian 370tl ofi the lahar Code, I shall fadhwith wmply with thasE provisionsilgnalure of Apulia . DattECt.ARATIOA PING LENDING AGENC¢@��Qaffirm yindgrpgnalhrof atthera is aoanstruationiending agency {or the performance of the work for which this. permit is issued :(Section 3t)g7, Civ I CodeJ..
.enders Name- ° Lender's.Addrass
3y mysignature below, I certify to each of the following:
° i am the propeny;owner or authorized to act on theproperty owner"s behalf.
I pave read fhisjl:pTieatlon and the information:I have provided is correct.
° 1 agree to cainply 3%Fri all applicable city and county ardin noes a state laws relating to building construction. 1
". l authorize"ae?Wtatives of this city at coun ter tilled property for inspection purposes.
WWI of PI'6 aIVOwneror Authorized Agent, Print Pro ert Owner'sor Authorized A ent's Name v I �L(Y! (�/(.(ii/L Dat
,2C°T80M DATE 6y V D TIQN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART SI OF TITLE 40 AND AClMD RULE
•°° 1403
QEj{Mf1E7;PtREp` .": I SURMITTEDASRESTOS NOTIFICATION To
PERMITCANCELLID EPA. - - All required alarms, latches gates and fenceswhich serve as part of a pool/spa barrier, shall
PEaamT EXTENDED Q
M he in place prior to approval to.fillpool/spa :& shall remain in place & be maintained for the
PERMit FINAL O NOT INCATIO 15 NOT FLICABLE TO life of the pool.
CERTIFICATE OF L'f -'L� D LIT€ON
OCCUPANCY ISSUED j SIGNATURE: