HomeMy WebLinkAboutE2022-0599 - PermitsQ ��WPOa� City of Newport Beach
Community Development Department- Building Division
D 100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone: (949) 644-3288
u a.Inspection Requests Phone: (949) 644-3255
°g4conN`P newportbeachca.gov/inspections
II IIII II II II Electrical Permit : E202,2-0599
Plan Check No : 1120-2022
Work Class : Other
Issued Date :
Inspection Area : 1
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 : 1734 PLAZA DEL NORTE Legal Desc : N TR 518 BLK L LOT 9
Description: ELEC-TEMP POWER POLE (XR2022-2397)
Owner: MICHAELSTUHLEY
Address: 8 DEL PADRE FOOTHILL RANCH, CA 92610
Phone :
Applicant: JAMES DAVID CUSTOM HOMES
Address: 15375 BARRANCA PKWY G102 IRVINE, CA 92618
Phone : (888) 847-OB23 �t i
Owner/Builder:
Address
Phone :
Code Edition :
Type of Construction
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
Contractor : JAMES DAVID CUSTOM HOMES
Address : 15375 BARRANCA PKWY G102 IRVINE, CA 92618
Phone: (888) 847-0823
Con State Lic : 801389
Lic Expire : 10/31/2023
Bus Lic: BT30038095
Bus Lic Expire: 01/31/2023
Workers' Compensation Insurance
{ Carrier : INS CO OF THE WEST
S1flvc1,O/v W.Iicy No: C. Expire : 5/15/202366600
2019 QA/ y,� �/®/ Fire Hazard Zone: N
// �_ IQ�Zupancy Groups:
Front: 9, Side: 3, Side: 3, Rear: 0 A
X
R-1 - Single -Unit Residential Y� i
N
CdA,
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 items)
Section 7031.5. Business and Professions Cade: 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' Stale 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 licensure 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 moreThanfive hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
luainess 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-Builderwiil 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),
3 1 am exempt from licensors under the Contractors' Slate 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 permit, I cannot legally
all a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofessfons Code, is available upon request when this application is submitted or at the following Web site:httpJ/wWWJeginfo.ca.gov/calaw,hUT)I.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Di*ion 3 of the Business and Professions Cqda,.an mHfIf force
rid effect. License Class License No De '2-'2 Contractor signa�
UORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINAL PENALTIES AND CIVIL FINES UP TO ONE H RED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
J 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 lh<
aLformance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number Expiratic
of Agent Phone N
Date
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 agree
, if I should become subject to the workers' compe •• hR ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G
lalure of Applicant _ _ / / lo/ 2 2
.1-AFtATIONRErAIRDINGISO TRUCTION LENDING AGENCY
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 Cade).
.enders Name Lender's Address
ly my signature below, I certify to each of the following:
i are 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 enter th=��operty for inspection purposes. P� er
signature of Property Owner or At
ACTION I DATE
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CEERTiFiCATE OF
OCCUPANCY ISSUED
110
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART Bl OF TITLE 40 AND AOMD RULE
1403
SUBMITTED ASBESTOS NOTIFICATION TO
JJ? I•.,I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
( SIGNATURE:
Owner's or
FOR OFFICE USE ONLY
Date Z7e;l Z Z