HomeMy WebLinkAboutE2022-0773 - Permits�EwvoR� City of Newport Beach IIII I I II I I) I II II II IIII II
p<' d Community Development Department- Building Division Electrical Permit: E2U22-U773
�j. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2619
S Permit Counter Phone: (949) 644-3288
> Work Class : Other
c ca `P Inspection Requests Phone: (949) 644-3255 Issued Date: 10/19/2022 �-
s<iFoaN newportbeachca.gov/inspections Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGI OISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND ''ttDA@(5 ,IN ALL AREAS
c'
Job Address : 1110 KINGS RD Legal Desc : N TR 1219 BLK G LOT 4
Description: ELEC OUTLET FOR EXTERIOR TV c -
Owner: WILLIAMS THOMAS J TR THE WILLIAMS FAMILY REVOC LIV Contractor :. PREMIER POOLS & SPAS e
Address : 1110 KINGS RD NEWPORT BEACH, CA 92663 Address : 26052 MERIT CIR, #106 LAGUNA HILLS, CA 92653
Phone: Phone: I: (626)422-5426 �•••••
Con State Lie: 7982f
Applicant: PREMIER POOLS & SPAS
Lie Expire; 03/31
Address: 26052 MERIT CIR, #106 LAGUNA HILLS, CA 92653
Bus Lie: - BT30
Phone: (626) 422-5426
Bus Lie Expire:03131
Owner/Builder :
Address
Phone:
Code Edition :
Type of Construction
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
SPECIAL CONDITIONS:
Workers' Compensal
Carrier : STA7
2
Policy No: 91582u,4
W. C. Expired 5/3/2023`
2019 Fire Hazard Zone : NO
Occupancy Groups:
Front: 20, Side: 4, Side: 4, Rear: 10
X
R-1 - Single -Unit Residential
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I hereby::
1, as owner o€ the property, or my employees with wages as their sole compensation, will do j_) all of or (_) pottlol
siness and Professions Code: The Contractors" State License Law does not: apply to an owner of property who; the
)rovements are not intended or offered for sale. ff, however, the building or improvement is sold within one year of
)roved for the purpose of sale)..
I,. as owner of the property,: antexclusively contracting with licensed Contractors to construct the project (Section'
)€y to an owner of propertywlw builds or improves thereon, and who contracts for the projects with a licensed Cant
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that., exceptfor my personal residence in which I must have resided for -at[East
i a. structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor.
)fesslons Code:, is available: upon request when this. applicationis: submitted or afine following web sita:http:l(wwa
am licensed
DECLARATION
the
a(
'or personal effort, builds or improves
Owner -Builder will have the burden of
bunt or
d Professions Code: The Contractors' State License Law does not
the Contractors' State License Law).
3 of
Is In full force
AND CIVIL FINES UP' TO ONE HUNDRED THOUSAAf0 DOLLARS (53 W,000): IN ADDITION TO THE
Firm under borialty;of perjury one of the following declarations:
4
andwill maintain it certificateof consent to self4risure for workers' compensation,. Issuedby the Director: f Industrial. Relations as provided for by Section:3700 of the Labor Code, for th
m of tN;wwk sor which this permit is issued. Policy No.
Ind will ytyainti9n workers' bompensahon insurance, as required by Section 3700 of the Labor Code, for the performance :of the work for which this: permit is issued. My workers' compensation
aarrier'a;nalicynumber are.
Policy Number Expiration Date
gent. - Phone #
that,rntpe pado.. na e k wit[ Is permit Is -issued, 3 shall not employ any person is any manna sa as to became subject to the workers` aontpensatlon aws of California, andagra
outd bwomrsu jeoY i e rke ' omp bon provisions of Section 3700 of the Labor Code., I :shalt forth wl comply with those provisions.
�
)f APP�cant • Date
ider's Name.......
my signature: below, I certify to each of the following:
I am the property owner or authorized ko. act on t owner`syebalL
1 have read this application and the Infarma' i have p ida is cor ct
I agree to comply with -all applicable city and county, or
' ces a s a laws
(authorize representatives of this city or cou ty t r the abo. dentified o
.ACTION I DATE
PERMIT EXTENDED
.I6-L3
R
construction.
ISNOTAPPLJEAKE. TO
this permit is issued :(Section 3097, Civil Code),.