HomeMy WebLinkAboutE2022-0899 - Permitsa��WPoR' City of Newport Beach
O 1 A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
G r Permit Counter Phone: (949) 644-3288
CgG�GO ftN�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
IIIII�IIII��III�IIIillillillillillillilliillillilillijiElectrical Permit : E2022-0899
Plan Check No : 1551-2022
Work Class : Other
Issued Date:
Inspection Area: 6
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 : 3927 SANDUNE LN Legal Desc : N TR 6425 BLK LOT 77
Description : ELEC TO BBQ *change of contractor*
Owner:
STEPHANIE QUESADA -
Address:
3927 SANDUNE LN CORONA DEL MAR, CA 92625
Phone :
(714) 721-2417
Applicant :
MASON POOL CO
Address :
27651 SOLTERO MISSION VIEJO, CA 92691
Phone:
(949)677-8169
Owner/Builder
:
Address
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: _
SPECIAL CONDITIONS:
Contractor : MASON POOL CO
Address : 27651 SOLTERO MISSION VIEJO, CA 92691
Phone : (949) 677-8169
Con State Lic : 1085859
Lic Expire : 01/31/2024
Bus Lic: BT30080052
�d�
D i
Bus Lic Expire:11130/2023
1�,
1
Workers' Compensation Insurance
Carrier : NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups:
I111 TjlLYZE 1111w11 7i73i
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, poor to its Issuance, also requiresfile applicant for
permit to Fla 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
fessions 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 pena*f
more than five hundred dollars ($500).
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,
i ness 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 theproperty, provided that the
Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bullderwill have the burden of proving that it was not built or
,roved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)Iy 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),
J I am exempt from licensure under the Contractors' State License Law for the fallowing 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 cover)
:of a structure that I have buift 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
'rofessions Code, Is available upon request when this application is submitted or at the following Web siteihttp:/lwww.leginfo.ca.gov/calaw.html.
>ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (Commencing with Section 700 of I of the Business end Profe ions Cod
Ind effect. License Class License No Dat Contractor Signatu e
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT" EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T NO 001
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 07050E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
of the Business and
n license is in full force
[$100.00(1), IN ADDITION TO THE
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
ormance 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' compensa
rance carrier and policy number are:
Policy Number Expiration Date
4qa-ft of Agent Phone it
qIxo),fify that, in the perfor- ce of the work for which this permit is issued, I shall not employ any person in any Planner so as to became subject to the workers' compensation laws of California., and egret
I should become s act to the w ker core nastier provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
nature of Applicant -_ D �Q/j,CAj Z a.
DECLARATION REG RUCTION ENDING AGENCY ✓✓✓ "'7TT�
i hereby affirm under penalty pe ` ry that tIlaA is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name Lender's Address
By 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 pr idea is correct.
I agree to comply with all applicable city and county dine as and state laws relating to building construction. c,, ke-
I authorize representatives of this city or cou enter th ve lified propert ection purposes.
Signature of PropertyOwner or Authorized A ent Print Property Owner's or Authorized Agent's Nam Data
ACTION DATE By J E ARATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
GULATI I PART bt OF TITLE An AND ADMIT) LE
1403 _
PERMIT -EXPIRED I SOBM5 TEO AJBFSTOS NOTIFICATION TO
PERMITCANCELLED _ �Epr1T
PERMIT EXTENDED --_ ._:._--tT QMD..._ _.__�. _.._.._..
PERMIT FINAL � U ASBESTOS NOTIFICATION IS NOTAPPLICABLE TOO
CERTIFICATEOF _f2.13 ff PROPOSED nFMOI ITION
OCCUPANCY ISSUED I nIG.qA,UhEi