HomeMy WebLinkAboutE2023-0465 - PermitsCity of Newport Beach 11111111111111p1111►p11111111111111111111111111111 jjElectrical Permit : E2023-0465
p� _ Community Development Department - Building Division E 2 0 2 3 0 4 6 5
9 'e
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO
6 Permit Counter Phone: (949) 71 B-1888 Work Class : Other
newportbeachca.gov/civic Issued Date : 05/22/2023
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: 29 PEPPERTREE Legal Desc : N TR 15479 BLK LOT 8
Description: ELEC UPGRADE TO 400 AMPS* (E) 200 AMP PANEL TO BECOME SUB -PANEL
Owner: ERIKO KUSUMOTO
Address : 29 PEPPERTREE NEWPORT BEACH, CA 92660
Phone: (949)322-9884
Applicant: KENNY TRAN
Address : 23276 DEL LAGO DR. LAGUNA HILLS, CA 92653
Phone: (949)378-8334
Owner/Builder
Address
Phone :
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5
Flood Zone: X
Use Zone: PC - Bonita Canyon
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : THE TRADESMAN ELECTRIC INC.
Address : 23276 DEL LAGO DR. LAGUNA HILLS, CA 92653
Phone: (949)378-8334
Con State Lie: 1049948
Lie Expire : 02/28/2025
Bus Lie: BT30080045
Bus Lie Expire:11/30/2023 ,
Workers' Compensation Insurance
Carrier: SECIROITY NATIONAL INSURANCE CO
Policy No : SWC1390356 '
W. C. Expire: 6/1/2023
Fire Hazard Zone : NO
Occupancy Groups: R3/U
INSPiZCTOR
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 itemts)
(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 t0 Its Issuance, also requires the applicant for
the permit to file a signed statement that be 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
Professions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption, Any violation of Sorton 7031.E by any applicant for a permit subjects the applicant to a civil penalty of
riot more than five hundred dollars (S500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 the property, provided that the
improvements 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 not built or
improved for the: purpose of sale).
0 1, as owner of the property, am exclusively contracting wtth licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply 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 ficensure under the Contractors' State License Law for the following season.
By my signature below i acknowledge that, except for my personal residence in which I must haveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:htip:/fwww.l"into.oa.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of 8vls'on 3 of the Business and Profes d ny license Is In full farce
and effect. License Class License No Date o?� �3 Contractor Signatu e '
iNORKERS' COMPENSATION DECLARATION.
NARNIN(: FAILURE 13 52vURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL„ AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT�S AND CIVILFINES Up TO ONE HUNDRED TNOUSAN DOLLARS iE n0.000). IN ADDITION TO THE
COST OF COMPENSA11011, 7AMAGES AS PROVIDED FOR IN SECTION 173E OF THE "Ran CODE, INTEREST, AND ATTORNEY'S FEES,
^:ierebv affirm unrlpr penalty of perjury one of the following declarations!
>Gi 1 have and will n,antain 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
)Rtfcrrdtance of the, vork for which this permit Is issued. Policy No..
)€fve and will mainm[n 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' compensatio
raner carrier a.iJ poCcy number are:
ier _ Policy Number Expiration Date
i e of ."gent Phone #
cartlfy that, in the performance of the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
:I 1 si,ould become Subject to the WORM r ompan an provisions of Section 3700 of the Labor Code,: I shall forthwith comply with those provisions.
Y!Lr_, of Applicant„ ..,..(y �—
'I APATION `EC J rl NCa CONSTRt n011'LENDIN Up"
ireby affirm under penalty of perjury that tyre is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
idler's Name Lenders Address
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 provided is correct.
I agree to comply withall applicable city, and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t nt r th ave-igpn iHed property for inspection purposes. 1
nature of ProDedv Owner or Authorized Auenf = Pa..r p�..r,...r„ rw,.,.,o. ,,. A„n.,.�..o.r n,.n,,... n,�...., I. �.�,n I , A
ACTION DATE BY ' I bECLARATION/61' COMPLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY J'
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1409
PERMIT kXAIREO LJ I SUBMITTED ASBESTOS NOTIFICATION TO —I
PERMIT£MENDFo _ MOB
PERMl7FINAC _J7ftV 3 ASBESTOS NOTiPICATION IS NOT APPLICABLE TO
CERTfFlGAiE OF I PROPOSE.pi7
OCCUPANCY ISSUED i crr.MAn m%L� /