HomeMy WebLinkAboutE2022-0477 - PermitsWPOR City of Newport Beach
r
yp 4t m� Community Development Department- Building Division
r �yo 100 Civic Center Drive, Newport Beach, CA 92660
viz Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
94roa newportbeachca.gov/inspections
Electrical Permit : E2022-0477
Plan Check No: 1172-2022
Work Class : Alteration
Issued Date: 0712712022
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: 2 RUE FONTAINEBLEAU Legal Desc :
N TR 7788 BILK LOT 78
Description: ELEC - ADDL (52) FIXTURES (DELTA 3)
Owner: NANCY S SOROSKY LUSK TRUST
Contractor : Olive Tree Construction, Inc.
Address : 2 RUE FONTAINBLEAU NEWPORT BEACH, CA 92660
Address : 1048 IRVINE AVE, STE #167 NEWPORT BEACH, CA 92660
Phone:
Phone: (949)378-8456
Con State Lic: 523488 "Be
Applicant: ESPLANADE BUILDERS INC
Lic Expire: 12/31/2023
Address: 23820 HAWTHORNE BLVD TORRANCE, CA 90505
Bus Lic: BT30053986
Phone: (310) 783-7664
Bus Lic Expire:02/28/2017
Workers' Compensation Insurance
Owner/Builder:
Carrier: INSURANCE+COMPANY+OF+THE+WEST
Address :
Policy No: WSD506228800
Phone:
W. C. Expire: 9/29/2022
Code Edition: 2019
Fire Sprinklers: NO
Type of Construction :
Fire Hazard Zone : Y
Occupancy Groups:
0 9 i 03C3
Building Setbacks : Front: 10, Side: 5, Rear: 15
Flood Zone: X
Use Zone: PC - Big Canyon
PROCESSED BY:
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OWNER -BUILDER DECLARATION
I hereby aF(vn 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 item(s)
Section 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
1e 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 forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
'usiness 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 the
nprovements 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
nproved for the purpose of sale). I
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,I Business and Professions Code: The Contractors' State License Law does not
poly 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 I am exempt from licensure under the Contractors' State License Law for the following reason:
;y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one Year prior to completion of the improvements covered by this permit, I cannot legaill
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section o 4'v1 Ion 3 of the Business and Pr fe sions Co ,and my license is in full force
nd effect. License Class License No Date /' Contractor Signatur
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TQ §V4JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO OLLARS I$100,000). IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm undrei penalty of perjury one of the following declarations:
L P and 1Jlij,fnaintam a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided far by Section 3700 of the Labor Code, for th
erWnence of the work for which this permit is issued. Policy No.
have and will 4nairtnin 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'
ran&carrier%ndbotfcv number are:
Policy Number IEupiration Date
agent ' Phone If
yy that, in the performance of the work for ' permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
�6ould beoomasubject to the worke ompens on provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. '2 �f
iof ApplieaAt Dat�
areby affirm unde'! penalty of perju at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name Lenders 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 with all applicable city and county ordinances a to laws relating to building construction.
I authorize representatives of this city or county to enter ve-iodntifieci property for inspection purposes.
,nature of Property Owner or Authorized AoerfLf Print Properly Owner's or Authorized Agent's Nam
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY 1 I DEGtTjBfiFIONOF COMPLIANCE WITH CODE OF FEDERAL
f NUULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOLAPPLICABLE TO
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.