HomeMy WebLinkAboutE2022-0652 - PermitsCity of Newport Beach
�atiWPOR'
O @
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
d
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C7r-/FO RN�P
newportbeachca.gov/inspections
Electrical Permit : E2022-0652
Plan Check No : PC2022-2337
Work Class: Other
Issued Date: 09/19/2022
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: 1 HAMPSHIRE CT Legal Desc : N TR 3852 BLK LOT 33
Description: ELEC: INSTALL ELECTRICAL LINES FOR FUTURE BBQ & FIRE PIT. (S2022-0195)
Owner:
ROWLAND & JAIME DAY
Address :
1 HAMPSHIRE CT NEWPORT BEACH, CA
Phone:
(949)795-4881
Applicant :
INSTANT POOLS LLC
Address :
116 SENCILLO PL RANCHO MISSION VIEJO, CA 92694
Phone:
(949)795-0648
Owner/Builder
:
Address
Phone:
Code Edition :
2019
Type of Construction :
Building Setbacks :
Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone:
X
Use Zone :
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: r
F97 x9I3Lidi1217111I
Contractor : INSTANT POOLS LLC
Address :
116 SENCILLO PL RANCHO MISSION VIEJO, CA 92694
Phone :
(949) 795-0648
Con State Lic
: 1009644
Lic Expire :
07/31/2023
Bus Lic:
BT30053469
Bus Lic Expire: 12/31/2023
Workers' Compensation
Insurance
Carrier :
NO EMPLOYEES
Policy No :
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups: U
„>o
Qo
OWNER -BUILDER DECLARATION "
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reasons) indicated below by the cheekmark(s) I have placed next to the applicable item (a)
Seclion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its Issuance, also requires the applicant for
is 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
'rofossions Code) or that he or she is exempt from Ilcensure 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
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or l_) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
.usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
n roved for the purpose or sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law)
I am exempt from Iicensure under the Contractors' State License Law for the following reason ,..... .,..,._ _ . --- ---- .
,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hRp://www.leginto.ca.govfcalaw.html.
Ignafure of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby Affirm under penalty or perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70@$�of i Iio Qf the Business and Pro salons u, a is X"ferc@
nd effect. License Class License No Date l ` - `- Commctor Signature
COMPENSATION DECLARATION
YARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS If 100,000), IN ADDITION TO THE
]OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 07080E THE LABOR CODE, INTEREST, AN➢ ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thr
lerformance of the work for which this permil Is issued. Policy No.
have and 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'
ranee carrier and policy number are:
Of
Number Exoiralion Date
<at, in the performance of the work for whitys issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
mould become subject to the worker' rpensalion prov' lions Labor Code. I shall forthwith comply with those provisions. G
of Ap...,._ plicant_..-._ ._._--______s._..--_...,..,...........�_.._.....�......._.�._...._ �.._____ Date— `� 1 g 2 L
hereby affirm under penalty of peQE thaWkerTTsa construction lending 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 prooerty owner or authorized to act on the property owner's behalf.
I have reaJ this application and the information I have provided is correct.
I agree to comply with all applicable city and county Drell tale laws relating to building construction.
I Eathorizc reprus,ntatives of this city or county to er the abo ntified property for inspection purposes. S
Rionifure of Pronerty Uwnar or Au rion, Ananl P nl Prnnndv Ownar'c or Aulhnn7od Anenl's Name V�
9-1 `t_z
AC tON
DATE
BY
1V OF COMPLIANCE WITH CO F FEDERAL
REGULATIONS PART JD AOMD RUt.F.
FOR OFFICE USE ONLY
PERM"? EXPIREL
LJ ISUBMITTED ASBESTOS NOTIFICATION TO
PER MrT CAA'CELihG
Ep�A
PERM'TEXTENDEU--
PFRM'TFINA!
_—
3�3�`l,}
_..
—�
7��
t_I _D,_
IJ g5BF51'OS NOTIFICATION IS NOT APPLICABLE i0
rFRTfrfCATEOF
DEMOLITION
0CCC?ANCYf55JE0
I
SIGNATURE: