HomeMy WebLinkAboutE2023-0302 - Permits (2)��WPoRT City of Newport Beach I 111�111III11111111111111111111111111111111111111111111 II
Electrical Permit: E2023-0302
O� �cn Community Development Department- Building Division E 2 0 2 3 0 3 0 2
r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No :
u Permit Counter Phone: (949) 644-3288 Work Class : Other
CqG/FORN�P Inspection Requests Phone: (949) 644-3255 i a t r. m Issued Date : 04/04/2023
newportbeachca.gov/inspections 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 : 2201 VISTA HUERTA, MP Legal Desc :.N TR 5798 BLK LOT 42 TR 5798 (L.L.84-245722) PAR 42
Description: ELEC UPGRADE ELECTRICAL SERVICE METER 125A
Owner:
PLAZA HOMEOWNERS COMMUNITY ASSN
Address :
15241 LAGUNA CANYON RD IRVINE, CA 92618
Phone :
(949) 838-3207
Applicant:
RB ELECTRICAL SERVICE
Address :
27393 FINALE COURT MENIFEE, CA 92584
Phone :
(951) 201-0116
Owner/Builder:
Address:
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks :
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: 13
SPECIAL CONDITIONS:
Contractor : RB ELECTRICAL SERVICE
Address :
27393 FINALE COURT MENIFEE, CA 92584
Phone :
(951) 201-0116
Con State Lie
: 949601
Lie Expire:
07/31/2024
Bus Lie :
BT30080671
Bus Lie Expire:02/29/2024
Workers' Compensation
Insurance
Carrier :
NORGUARD INSURANCE COMPANY
Policy No:
BRWC378018
W. C. Expire:
6/5/2023
Fire Hazard Zone : NO
Occupancy Groups: 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, dumoli5h, or repair any structure, prior to Its Issuance, also requires The applicant for
he permit to file a signed statement that he or sheds 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 licensers 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
lot more than Eve hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an: owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sate).
31, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature holow I acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the improvements covered by this permit, I Cannot legally
Gil a structure that I have built as an ownar-buildar if it has not boon constructed in its entirety by licensed contractors.. I understand that a copy of [he applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when Ihis application Is submitted or at the following Web site:http:!(www.leginfo.ca.gov/calavi.html,
lignature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'$ DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f D'vi-Ion 3 of the Business and Profess)ons Cod and my license is In full force
Ind effect. License Class License No Date Contractor Signature
VORKERS'COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS tSIDD.000), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 have and will maintain a certificate of consent to sett -insure for workers' compensation, issued by the Director of Industrial Relations as provided forby Section 3700 of the Labor Code, for IN
Ko ore ormanceof the work for which this permit is issued_ Policy No.
ave 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' compensatior
tsurance, carrier and policy number are:
r Policy Number Expiration Date
of Agent Phone N
certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrat
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
'I AM of Applioant_,�lar -/C�/Date
R ure of Au acnno rnructol lPTll1 I rxunrur_ nncelry
hereby affirm under penalty of perjury 'that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
ander's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 e - above-iidentifieI5 property for inspection purposes.
�iar ature of ProDertl CAner or Authorized Agent 1( �%7/ / Print Property Owner's or Authorized Anent'$ Name I , Fr a`^ twt �y Date
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE. 40 AND AOMD RULE
PERMITCANCELL j SUBMITTED
PEAMlTCA�—r-rEP�J A.
Pf4M1TEkfENDED t v ) rn0MD
PE7'47F'NAL (6//�L3 /A.! L,,,,t A5BE5705 NOTIFICATION 15 NOT APPLICABLE TO
CERTIGFCAiEOE ( t GPROPOSED DEMOLITION
OCCUPANCY 155UED SIGNATURE: