HomeMy WebLinkAboutE2022-0407 - Permits�WPoR' City of Newport Beach
p - e Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
2 Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cg4coa"�A newportbeachca.gov/inspections
Electrical Permit : E2022-0407
Plan Check No:
Work Class : Other
Issued Date : 07/11/2022
Inspection Area : 3
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 : 2315 LAUREL PL
Description: ELEC TEMP POWER PIGGYBACK
Owner:
Address
Phone:
Applicant
Address
Phone:
Legal Desc : N TR 1188 BLK LOT 4
Contractor
Address :
Phone:
Con State Lic
BENSON JEFFREY JAMES
Lic Expire,;
234 BROADWAY COSTA MESA, CA 92627
Bus Lic:
(949) 534-2724
Bus Lic Expire
Workers'Corn
Carrier :
-
Policy No: -
SHEAR CONSTR
31 BLAKEMORE
(714)615-6108
760853:
07/31/2022
BT30050650
04/30/2016
pensation Insuranj
W. C. Expire-:
Code Edition: Fire Sprinklers : NO
Type of Construction : Fire Hazard 'Zone: Y
Occupancy Groups:
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
UCTION
DR LADERA RANCH, CA 92 ki
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malty of perjury that tam exempt from the Contractors State License Law for the reason(s) indicated below by the chackmark(s) i have placed. next to the applicable ttem(s)
and Professions Code: Any city or county that requires a permit to constructalter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
fatement 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
is 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
more than five hundred dollars.($500);
1 as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions 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 an owner of property who, through employees' or personal effort,. builds or improvesthe property; provided that the
pavements 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
roved. for the purpose of sale)..
I, as owner of the property, am exclusivelycontracting with licensed Contractors to construct tile project (Section 7044, Business and Professions Code:. The Contractors' Stale 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).,
I am Exempt from licensure under the Contractors'. State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must .have residedfor at least one year prior to completion of the impovementili,covered by this permit, I.cannotIs(
that
ty of perjury that 1 am licensed under provisions of Chapter.9 (commencing with Section
Date 0D0 Divi ion 3.of
LicenseNo
ATION DECLARATION
WORKERS"
PENALTIES AND CIVIL FINES UP TO
is In fun force
DOLLARS tT1(A,000), IN ADDITION TO THE
Ey affirm under penalty of perjury one of the following declarations:
lava ang:w!V 4aintain a certificate of consent to self -insure for workers' compensation, issued by the Director of industrial: Relationsas provided for by Section'3700 of the Labor Code, for
fiance of the wbrkfor which this permit is issued.. Policy No.
aye and4lTitlonta n 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
ince carrier and policy number are:
Policy: Number. Expiration Date.
3id:tify that,an:Izerform nce of a work for ich t is permit " issued, I shall not employ any person in any manner so as. to become subject to the workers' compensation I ws of California, and agre
*t,V I should PIjevr,:e su is t to the rkers cc ensa ion prow ions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. /
gnature o€Applicant
)ECLARATION Re RIDING C S UCTION LENDING A y /
hereby affirm under RIDING
perju at there is a constructio I riding agency for the performance of the work for which this. permit is issued (Section 3097, Civil Code):.
.enders Name. - Lender's Address..
3y my signature below, I,, certify to each of the following:
I am the property owner or authorized to act on to party owner's half.
I have read this application and the, information: t rive vided orreC
I agree to comply with all applicable city and cou ty ordi ances- no slat laws rel mg to building construction,
I authorize representatives of this city or county t nter d pr arty for inspection purposes. os,�C ✓ vLi t
Si nature of Propertyat or Authorized A ent Print property@wrier`sor Authorized A ent's Name v ' Date j 22
ACTION DATE By I)EC TIONOFCOMPU C ITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU up
PART 61 OF. LE 40 AND:AQMD RULE. ..
140,
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICAT{ON TO
PERMITCANCELLED EPA All required alarms, latches gates and fences: which Serve: as part of a pool/spa harrier, shall
PERMIT EXTENDED E1AQMD be in place prior to approval to fill pool/spa &shall remain in place & be maintained for the
PERMIT fINAL 1 -21'Z Z ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool
CERTIFICATE OF PROPOSED DEMOLITION