HomeMy WebLinkAboutE2023-0188 - Permits¢��WPoRr City of Newport Beach
p/ e� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
yr5 S Permit Counter Phone: (949) 644-3288
C,q�,Fe0.N�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
1111111 11111111111111111111111111111111111111111111 111JillElectrical Permit
Plan Check No:
Work Class : Other
Issued Date : 0310812023
Inspection Area : 4
E2023-0188
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 : 2335 VISTA HUERTA Legal Desc : N TR 5798 BLK LOT 2 TR 5798 (L.L.84-245722) PAR 2
Description: ELEC -MAIN SERVICE PANEL UPGRADE TO 200A
Owner:
WALZ JEAN H TR J H WALZ REVOC LIVING TR
Address :
2335 VISTA HUERTA NEWPORT BEACH, CA 92660
Phone:
(949)759-7771
Applicant :
WALZ JEAN H TR J H WALZ REVOC LIVING TR
Address :
2335 VISTA HUERTA NEWPORT BEACH, CA 92660
Phone:
(949) 759-7771
Owner/Builder:
WALZ JEAN H TR J H WALZ REVOC LIVING TR
Address:
2335 VISTA HUERTA NEWPORT BEACH, CA 92660
Phone:
(949)759-7771
Code Edition : 2022
Type of Construction
:
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
SPECIAL CONDITIONS:
X
R-1 - Single -Unit Residential
Contractor
Address: a000'
Phone:
Con State Lie -
Lie Expire
Bus Lie :
Bus Lie Expire: - - -
Workers' Compensation Insurance
Carrier: _
Policy No
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups: R3/U - --
OWNER -BUILDER DECLARATION
I hereby affirm 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
To 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
'rofessions Code) or that he 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 appt cantto a civil penalty of
gViore than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the Work, and the structure is not intended or offered for sale (Section 7044,
iusmass 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
nprovemants 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 fl was not built or
iijirroved for the purpose of 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
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).
3 lam exempt from licensure under the Contractors' Slate License Law for the following reason:
----- -----
ly my signature below t 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 legalll
ell a structure that I have built as an owner -builder if it has not bon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of tho usinoss and
'rofessions Code, Is available upon request when this appli fort Is submitted or f the following Web site:http:/iwww.leginfo.ca.gov/calaw,html.
Iignature of Property Owner or Authorized Agent _ Date:- 2
.ICENSED CONTRACTOR'S DECLARATIO hereby affirm under penalty of perjury that I am llcensed antler provisions a. apter 9 (commencing with Section 7000) of Division 3 of the Business and Professions. Code, and my license is In full force
rid effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'..6NlLG.. AILURE -O SECJRE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND OOLLARS t$100,0001, IN ADDRION TO THE
uST OF COMPENS.TION. OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COPE, INTEREST, ANO ATTORNeY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
J I have and wi" Te'ntam 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 th
^rfcrmanco of the work for which this permit is issued. Policy No.
I have and will ,na.r.tain 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' compensatiol
Isurancr carrier end policy number are;
Policy Number Expiration Date
of .Agent
�er*Ib'that, in the performance of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become subject to the workers` compensation provisions of Section 370G of the Labor Code, I shall forthwith comply with those provisions.
:nature of Applicant _ _. _ Data—_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of thework for which this permit is issued (Section 3097, Civil Cade).
hder's Name Lender's 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 and state laws relating to building construction.
I authorize representatives of this city or county to enterltfhe above -identified property for inspection purposes. , t
ACTION DATE BY z DMARATION OF COMP CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
1 REGULATIONS PART 61 ITLE 40 AND AQMD RULE
1403
PERMIT
PERMIT EXTENDED I WAQMD
PERMITFINAL C ASHESTOS NOTIFICATION IS NOT APPUCABLE TO
CERTIRCArE OF PROPOSER DEMOUTIO /
OCCUPANCY ISSUER I I SIGNATURE_
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