HomeMy WebLinkAboutE2022-0735 - Permitso��tiWPo� @ City
mm of DDepartment
par mlent-Building Division IIII I I III II I II II IIII �I II Electrical Permit : E2022-0735
F' 100 Civic Center Drive, Newport Beach, CA 92660
u $ Permit Counter Phone: (949) 644-3288 Plan Check No: 2975-2018
Inspection Requests Phone: (949) 644-3255 Work Class : Other
newportbeachca.gov/inspections Issued Date: 10/11/2022
M' P '`0° Inspection Area : 1
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 : 515 36TH ST Legal Dose:
A TR CANAL SECTION BLK 536 LOT 8 CANAL SECTION LOT 8 BLK 536 (AND NELY1/2 LOT 7 BLK
Description: ELECT: INSTALL 200A TEMPORARY POWER POLE
Owner: 777 SEAVIEW ISLAND LLC
Address : 17870 CASTLETON ST STE255 CITY OF INDUSTRY, CA 91748
Contractor rr TOP STAR USA CONSTRUCTION INC
Phone :
Address : 4127 WALNUT GROVE APT A ROSEMEAD, CA 91770
Phone: (626) 200-7598
Applicant: TOP STAR USA CONSTRUCTION INC
Con State Lie : 1067089
Address : 4127 WALNUT GROVE APT A ROSEMEAD, CA'91770
Lie Expire ; 07/31/2024
Bus Lie : BT30074560
Phone: (626) 200-7598
Bus Lie Expire: 03131/2023
Owner/Builder:
Workers' Compensation Insurance
Address :
Carrier: STATE COMPENSATION INSURANCE FUND
Phone:
Policy No : - 9279884
W. C. Expire.: 7/11/2023
Code Edition : 2019
Fire Hazard Zone : NO
Type of Construction :
11
Occupancy Groups : `' U
Building Setbacks : Front: 30, Front: 5, Side: 4, Side: 4
;a•
Flood Zone: AE, 8 FT; X
Use Zone: R-2-Two-Unit Residential
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PROCESSED BY.: "" J
SPECIAL CONDITIONS:
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affirm tinder penalty of perfurythat 1 am exempt from the Contractors' State License Law for the reason(s).indicated below bythe checkmark(s) I have placed next to the applicable items)
11.5. Business and Professions.Codw 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
> file a signed statement thathe ur she is licensed pursuantto the provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
r:nrial or IhAL hs or she is oxemot from IICOGSUfe andthe basis for the alleged exemption. Any violation of Section 703t:5by any applicant for a permit subjects the:applicant to a civil penalty of
I; as owner of the property, or my employees with wages as their sole compensation, will do i all of or(_)Portions oft]
;mess and Professions Code: The Contractors' State License Law does not apply to an owner at property who, through e
rovements are not intended or offered for sale. if,. however, the building or improvement is sold within one year Of comp
,roved for the Purpose of sale),
I; as owner of the property:am exclusively contracting with licensed Contractors -to construct the project (Section 7044,
)lyto an owner of propertywho builds or improves thereon, and who contracts for the projects with a licensed Contractor
I am exempt from licensure-under the Contractors' State License Lawlor the following reason:
my signature below t acknowledge that, except for my personal residence in which I must haveresided for at least one
a structure that I have built as an owner -builder if it has not been constructed In its entirely by licensed contractors. I on
i essions Code, is available upon request when this application is submitted or at the following Web sfte:fiftp:1Avww.legi l
In under penalty of perjury that I am licensed under prdvisic
License Class License No
1ORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALPEN.
MT OF CONVERSATION, DAMAGES As PROVIDED FOR IN SECTIONS708 of THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penatty,of perjury oneof the following declarations:
I I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director
erformance of the work for which this permit is issued. Policy No.
al/frave and will maintain workers compensation Insurance, as required by Section 3700 of the Labor Coda, for the
,surance carrierand policy number are; '
k, and the structure is not intended oroffered for sale (Section 7044,
ees' or personal effort, builds or improves the: property,provided that the
the Owner -Builder will have the burden of proving that it not built or
and Professions Coda: The Contractors' State License Law does not
to the Contractors' State License Law).
I cannot
that a ropy of
3.of the Business. and Professions Code,and mPKi n fuit force
Contractor: Signature -1-7
AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS
Industrial Relations as provided. for by Section'3700 of. the Labor Code, for
of thework for which this: permit is Issued. My workers'
er Policy, Number Expiration Date
Phone 0
,e.., nyc,u
certify that, inthe performance of the work 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
, if I should become subject to the workers. compensation provisions of Section 3700 of the Labor Code,.. I shall fodhwitti comply with those provisions.
Nature of Applicant
�ILW%A I tVN Izi'0 MPIIIM1 ra
ereb affirm under penalty of perjury that there is a construction tending agency for the performance of the work forwhien this. permit is issued (Section 3097, Civil. Code)„.
A> s Qtame • • • • Lenders Address
ind
i qiy s`gnature bddla,l certify to each of the following:
r-o" Me property owner or authorized to act on the property owners behalf.
have read gttj gp isration and the information I have providedis correct.
• I aprm fo comply wiM all applicable City and county ordinances and staff laws relating to building construction.
• I authorize mpnentatives of this city or county toenterthe above -identified pPe for inspection purposes.
BY
OF TITLE AO AND AClMD RULE
VERMIT
tCINALATt �-51ff ��Jt` ROSBESTPOSED DENONOTIFICATION
15 NOT APPLICABLE .TO
OCCUPANCY ISSUED SIGNATURE;
FOR