HomeMy WebLinkAboutE2022-0674 - PermitsC"
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Counter Phone: 644-3288
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Permit (949)
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Electrical Permit : E2022-0674
Plan Check No : PC2022-2387
Work Class : Other
Issued Date : 0912312022
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 : 11 RUE VILLARS Legal Desc : N TR 78Q0 BLK LOT 17
Description: ELEC: INSTALL ELECTRICAL LINES FOR (2) NEW FIREPITS & BBQ
Owner: R D OLSON INVESTMENTS II LLC
Address : 11 RUE VILLARS NEWPORT BEACH, CA
Phone:
Applicant: POOLICONSINC
Address: 15935 DEL PRADO DR HACIENDA HEIGHTS, CA 91745
Phone: (562)455-8883
Owner/Builder :
Address
Phone:
Contractor : POOL ICONS INC
Address :
15935 DEL PRADO DR HACIENDA HEIGHTS, CA 91745
Phone:
(562)455-8883
Con State Lie :
479446
Lie Expire :
10/31/2023
Bus Lie:
BT30077496
Bus Lie Expire: 12/3112022
Workers' Compensation
Insurance
Carrier:
STATE FUND
Policy No:
9268030
W. C. Expire:
1/16/2023
Code Edition : 2019 Fire Hazard Zone : NO
Type of Construction : Occupancy Groups : U
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 , -
Flood Zone: X
40 t�
Use Zone : PC - Big Canyon
PROCESSED BY: " u
SPECIAL CONDITIONS:
DWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury [fiat I am exempt from the Contractors' Stale License Law for the reasons) indicated below by the checkmark(s) I have placednext to the applicable itern(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 toits issuance, also requires the applicant for
the permit to file a signed statement that no of she is licensed pursuant to the provisions of the Contractors' State Liccnso Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt fmm IlCensure and the basis for the alleged exemption Any violation of Section 7031.5 by any applicant for a permit subjects the appliOant to a OlVil penally of
not more than five hundred dollars ($500).
❑ I, is 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, -
Business 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 theproperly, provided Thal the
improvements are not Intended Or Offered for sale. If, however, the building Or Improvement is sold within one year of completion, the Owner-Bulldar will have the burden of proving that IL was notbuilt or
Im roved for the purpose of sale).
I, as owner of the property, an) exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The COntraGrOFS' Stale License Law does not
ra�pfply to an owner of property wbo builds or improves. thereon, and whocontractsfor the projects with a licensed Contractor pursuant. to the Contractors' State License Law).
t...l I am exempt from licensurs under the Contractors Slate license Law for the following reason:............ , ._,, .._.....
By any signature belowacknowlodgo that, except for my personal residence in which must have rosidod for at least one year prior to completion of the improvements covered by this. pemili I cannot legall}
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http;flwww.legigfo.ca,govlcalaw,Mml.
Signature of Property Owner or Authorized Agent _ _ ate
LICENSED CONTRACTOR'S DECLARATION
I limeby'affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing With Section 700g,) r Divislon 3-of- the Business and Pro cis ode d my license is In full force
and effect. License Class License No Dale );) contractor .Sig natur
WORKERS' COMPENSATION DECLARATION 7, III,
"`
WARNING: 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 ($IUU.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
IJ I have and -will maintain a Carl of consent to self -Insure for workers' compensation, Issued by the DirectororIndustrial Relations as provided for by Section-370o or the Labor Code, for the
porfor � e Gillis work for which thispermitis 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 nurnber are: - -
is of Agent _
certify that, in
If I should be
lature Of Appli
Policy Number
Date
�rformance ht the work.Jervhich this permit is issued. 1 shall not employ any person in any manner 80 es to become subject to the workers' compansat Iayyy���s of CalirmTra. and. agre
subject to a wor s•' cam e_p nsatlon provlsfepy of Section 3700 of the Labor Code., I shall Forthwith comply with those provisions. /
_ _ _ Date ,A -A`
NSTRUCTION LENDING AGENCY�W
naraoy Lound S'nper penally of pegury Inat there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
enders Name Lender's Address
j .r.y signature Ce:ow,' certify to each of tie following:
I am the pfope:q-. CPmer or authorized to act on the property owner's behalf.
I harre road thit application and the Information 1 h provided i Orrect,
1 agree to comply+vlthall applicable city and co V rdaianc and stale laws relating [O building construction. ' /
I authorize rome ematives of this city or cbU to Fier t above -identified property for Inspection purposes. ITT t[ ` ��
neiure of Property Owner or Authorized Aye t _ Print Property Owner's or Authorized Anent's Name v L • \ 1\ �-
1)3
ACTION
I DATE
IL �YOECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61. OF TIT€E 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PER'I,T EXPIREC0
SURMITTEO ASRESTO5 NOTIFICATION TO
FEW VT CANCELLED
--
Tf7 lTEXFEIVO=❑
EPA
Qrv1D
PERMIT FINAL
--_.-- ..—........ ..__.._—
�,I ASBESTOS NOTIFICATION Ig NOY APPLICAatF TO
CEBTfFICATF OF
I PROPOSED DEMOLITION
OCCUP4 NCY ISSUED
Sir. W ATi rn r.