HomeMy WebLinkAboutE2022-0604 - PermitsF`�waoR� City of Newport Beach
d Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
Cqt/FORN\P newportbeachca.gov/inspections
Electrical Permit : E2022-0604
Plan Check No: 0147-2021
Work Class : Other
Issued Date : 09/06/2022
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 : 216 SAPPHIRE AVE Legal. Desc : A TR BALBOA ISLAND SEC 2 BLK 8 LOT 10
Description : ELEC TO BBC
Owner:
Address
Phone:
Applicant
Address
Phone:
Owner/Build
Address
Phone:
Code Edition
Type of Con
Building Set
Flood Zone
Use Zone:
DANIEL PERRY
26073 SHADOW ROCK LN VALENCIA, C 81
COA
CHRIS CALACCI
219 MARINE AV, UNIT A NB, CA 92662
(949) 644-8901
er :.
: 2019
struction :
backs : Front: 10, Side: 3, Side: 3, Rear: 5
X
R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY:
Contractor : CHRIS CALACCI
Address : 219 MARINE AV, UNIT A NB, CA 92662
Phone : (949) 644 8901
Con State Lie : 947494
Lie
_,..;{ BusELiBus e: ire:BT30036114
�dI,q {kers' Compensation Insurance
C"adrer : STATE FUND
Policy No: 1952335
�x W. C. Expire: 5/1/2023
Fire Hazard Zone : N
Occupancy Groups: U
U U G O i O J O
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I . hereby affirm tinder penalty of perjury that) am exempt from the Contractors"State License La
oflon 7031,6, Business and Professions Code: Any city or county that requires a:permit to const
permit to fllo a signed statement that he at she is licensed pursuanttothe previsions of the Con
fessions Code) or that he or she is exempt from kcensure and the basis for the alleged exemptit
more than five hundred dollars ($500),:
1; as owner of theproperty, or my employees with wages: as their sole: compensation, will do C-)
Ifness and Professions Code:: The Confractors' State License Law does not apply to an owner o
rovements are not intended or offered for sale. If, however, the building or improvement is sold
alter, Improve, demolish, or
lot
all of or U portions of: the work, and the structure is not intended or offered forsale (Section 7044,
f property who; through employees' or personal effort;: builds or improves the property, provided that the
Within one year of completion, the Owner -Builder will have the burden of proving that it was not built. or
I; as owner of the property, am exclusively: contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not.
lyto an owner of property Me builds or Irnpreves 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 reasom
ny signature below I acknoa4edge that, exceptfor my personal residence In which must have resided for at least one year. prior to completion of the; improvements covered by this permit,: I cannot leg:
a structure that I have built as an owner -builder if it has not boon constructed in its:: entirety by licensed contractors. I understand that a copy of the: applicable law, Section 7044 of tho Business and
essions Code, Is available' upon request when this application is submitted or at the following Web site:httpJlwww.leginfo.ca.gbvlcalaw.html.
tature of Property Owner or Authorized Agent Date.
.ENSED GONTRAGTOR'SDEGLARAT[ON
reby'agirm under penally of perjury that I am' licensed under previsions of Chapter $ {commencMg wiEi ci" 700) f 'vision 3 of the Business and Professions Code,.�Qnd ryJ li�arise is In full force
effect. License Class License No �%I ZZ Contractor Signature
IRKERSa COMPENSATION DECLARATION
MNAL MALTIES AND t
r`rHOUSAND DOLLARS IN ADDITION
hereby affirm under penalty of perjury one of the following declarations:
I have andwill maintain a certificate of consent to sell-fnsure for workkers` compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
mance of the work for which this permit is issued. Policy No.
,�,,, ofr\�
exert 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
,sure a carrier and policy number are:
ne of Agent. _
Certify that, in
, if I should be
By my signature. below, Icertify to:
I:am the property owner or aul
I have read this application an
l agree to comply with all appi
I authorize representatives of i
Signature of Property Owner or At
ACTION DATE
PERMIT EXPIRED
PERMITCANCELtfD
PERMITMENDED
PERMIT FINAt
CERTIFICATE OF qq
OCCUPANCY ISSUED I a%yI
Policy Number.
Date
Phone #
tit is issued, I shall not employ any person in any manner so. as to become subject to the workers' compensation laws of California,
visions of Section 3700,of the Labor Code, I shall forthwith comply with those provisions,
g1��77
correct.
$ Nt7T'IfICATION IS NOT APPUCABL£. TO
iEMOLITION ••• .r
• e •e e a
e o c c
e00 e00 ^GC J L CCC �..
the work for which this permit is issued (Section 3097,
t
914