HomeMy WebLinkAboutE2023-0282 - Permits�E,WP6RT City of Newport Beach
Community Development Department- Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
0 r Permit Counter Phone: (949) 644-3288
cy� FeaN�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
111111111111111111111111111111111111111�1111111111 jj Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 03/30/2023
Inspection Area : 4
E2023-0282
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 : 2240 VISTA HUERTA
Description: ELEC - 200 AMP PANEL UPGRADE
Owner: MONROE ROWLAND D TR
Address : 12512 ROSETON AVE NORWALK, CA 90650
Phone:
Applicant : PLAZA CITY ELECTRIC
Address : 1319 N NAVARRO PL ORANGE, CA 92869
Phone: (714) 325-1198
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Legal Desc : N TR 5798 BILK LOT 46 TR 5798 (L.L.84-245722) PAR 46
Contractor : PLAZA CITY ELECTRIC
Address :
1319 N NAVARRO PL ORANGE, CA 92869
Phone:
(714)325-1198
Con State Lie
: 957759
Lie Expire :
02/28/2025
Bus Lie:
BT30081131
Bus Lie Expire: 03131/2024
Workers' Compensation
Insurance
Carrier :
NO EMPLOYEES
Policy No:
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups:
A
a
e
o
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable lteri
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
ie 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
Vofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secton 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty, of
otmore Ulan five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (J portions of the work, and the Structure is not intended or offered for sale (Section 7044,
tuseess 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 sale)-
3 I, 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason.
ly 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 parm it, I cannot legally
oil a structure that I have built as an owner -builder if it has not boon 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:hUp:tlwww.leginfo.co.govlcalaw.html.
Iignatureof Property Owner or Authorized Agent Data
LICENSED CONTRACTOR'S DECLARATION �%
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Div Sion 3 of the Business and Prgfe�s'I�lts Q�'ode, and my license is In full force
nd effect. License Class License No Da Zia Contractor Signalu a '
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1SWO.000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I 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 th,
erformance of the work for which this permit 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:
Policy Number Expiration Date
of Agent Phone #_
rlify 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 agree
I should become subject to the worker mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions -
at)
fignature of Applicant,Do /30 1ZI)
EECLARATION REGARDI _ ON UCTION LENDING AGENCY
hereby affirm under penalty of perjury that there 1s a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vil Cade),
.enders Name Lender's Address
ly 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
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 tD entet."bo -id ntified property for inspection purposes.
signature of Property Owner or Authorized Agent Print Prop
ACTION
DATE
BY j DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
j I SJBIJIT-Eli ASBESTOS NJT10CATION TO
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PERMIT CANCELLED _
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PERMITEXTENDED
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PERMITFINAL
RATIO II$Nor APPLICABLE TO
CERTIFICATE OF
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OCCUPANCY ISSUED
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FOR OFFICE USE ONLY
Date