HomeMy WebLinkAboutE2022-0509 - PermitsO��£WP�R a City of Newport Beamlent-Building Division
> .� 100 Civic Center Drive, Newport Beach, CA 92660
)- S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
Cq��FO0.N�P newportbeachca.gov/inspections
IIII I I III II I II 1111111111111111 Electrical Permit : E2022-0509
Plan Check No:
Work Class : Other
Issued Date: 08104/2022
Inspection Area : 6
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: 513 POPPY AVE, 1/2 Legal Desc : P BK 279 PG 43PAR 1 UN 1 PM 279-43, PAR. 1 OF PROJECT 938-0 1 LOCATED ON
Description: ELEC INSTALL EV CHARGER IN GARAGE
Owner: DIANE DEKOVNER
Contractor: TROUT ELECTRIC
Address : 513 POPPY AVE APTB CORONA DEL MAR, CA`92625
Address : : 2020 Iowa Ave, 102 Riverside, CA 92507
Phone :
Phone : (909) 952-0047
Con State .Lie: 933396
Applicant: IE Inc.
Lie Expire 05/31/2024
Address : 31225 La Bays Dr #213 Westlake Village, CA 91362
Bus Lie: BT30052752
Phone: (818) 735-7876
Bus Lie Expire:10131/2022
Workers' Compensation Insurance
Owner/Builder:
Carrier: ACE+AMURICAN+INSURANCE+COMPANY
Address :
Policy No: C5055174A
Phone:
W. C. Expire': 10/l/2022
Code Edition : 2019
Fire Hazard Zone : N
Type of Construction :
Occupancy Groups : "U
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Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5'
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Flood Zone: X
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Use Zone: R-2-Two-Unit Residential
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PROCESSED BY:
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I hereby affirm under penalty of perjury. that I am exempt from the Contractors' Skate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
otion 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
permit to file a signed statement that he or she is licensed pursuant to theprovisions of the Contractors` State License Law (Chapter g (commencing with Section 7000) of Division 3,of the Business -and
fessions Code) or that he or she is exempt from Iioensure, and the basis for the alleged oxemptiom Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil panatly of
more than five hundred dollars ($500.
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of at U ponions of the work, and the structure is not intended or offered for sale (Section.7044,
,mess and Professions Code: The. Contractors' State License Law does not apply to anowner of property who, through employees' orpersonal effort, builds or Improves the property; provided that the
Tavements are not intended or offered for sale. If, however,the building or improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
proved for the purpose of sale).:
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,. Business and Professions Codes The Contractors' State License Law does not
ly 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).
l am exempt from licensure
nv sionature below I acknom
Date
! hereby affirm under penaltyof perjury that I am licensed under provisions of Chapter g.[aommencing with Secti n7 00 i ptxtf the Business and Pro, 6r4�Code,: and y license. is in full force
and. effect. License Class License No Da '� LEE�� Contractor 5ignaturre.
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE -HUNDfl OUSAND DOLLARS (S100,0S0), IN ADDITION TO THE
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LASOR CDO% INTEREST. AND ATTORNEY'S FEES.
h. hereby affirm. under penalty of perjury one of the following declarations:
�0 I have and will maintain a certificate or 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 th,
performance of the work for which thispermitis issued.. Policy No.
e 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 compensatior
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
that, in the performance of work for which this perm t' I shall not employ any person in manner so. as to become subject to the workers' compensation laws of California, and agree
Duld beco subject to e ' compensatl Isions of Section 3700 of the Labor Code, [ shall forthwith comply with those provisions. /
A Applicertt - fJ
TION.gFs RDI. NS7: N LENDING AGENCY c
firm'under peuEl hat there is a-canatructiantending agency for the performance of the work forwhieh This permit is issued (Section 3097, it Code).
ame* `" Lender's. Address
Lem the prdpeM, owner or
, ].Ave read Aft application
t agree to cbPnhkytwith all a
(,authorize Irptesentatrves
CERTIFICATE OF
°s behalf:
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE
All required alarms, latches gates and fences which serve as part of a pool/spa barner, shall
be In place prior to approval to fill pool/spa &shall remain in place & be maintained for the
.life: of the pool.