HomeMy WebLinkAboutE2022-0808 - Permits��WPoRT City of Newport Beach IIII IIIIIIII IIIIII IIII II `< Community Development Department- Building Division Electrical Permit
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
n
Permit Counter Phone: (949) 644-3288 Work Class : Other
o- S Inspection Requests Phone: (949) 644-3255 Issued Date :
°q<�roaN`P newportbeachca.gov/inspections Inspection Area : 7
E2022-0808
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 : 2008 OCEAN FRONT W Legal Desc : A TR FIRST ADD TO,NEWPORT BEACH BLK 20 LOT 5 FIRST ADD TONE WPORT BEACH LOT 5
BLK 20
Description : ELEC -200 AMP SERVICE UPGRADE
Owner:
Address
Phone:
Applicant
Address:
Phone:
2008 W OCEANFRONT LLC
606 E CHAPMAN AVE STE100 ORANGE, CA 92866
�Irl
GREG WEAVER
16460 Ross Circle Westmister,
(714)376-1056
Owner/Builder :
Address:
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks:
Flood Zone
Use Zone:
PROCESSED BY
SPECIAL CONDITIO
mil
MU-W2 - Mixed -Use Water
Contractor : GREG WEAVER
Address : 16460 Ross Circle Westmister, CA 92683
Phone :
(714) 376-1056
Con State Lie
: 850430
Lie Expire :
11/30/2022
Bus Lie :
BT30078050
Bus Lie Expire:02/28/2023
Workers' Compensation
Insurance
Carrier :
NO EMPLOYEES
Policy No :
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups: R3/U
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contrectors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable hernia)
3ecUun 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve; demolish. or repair any structure, priorto its Issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pu€suantto 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 licensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 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,
,us€ness and Professions Code: The Contractors' State License Law does not apply to anowner 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 of improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that If was not built or
n roved for the purpose of sate).
I; as owner of the property, am exclusively Contracting with licensed Contractors to constmctthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply 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).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy my signature below I acknowledge that, exceptfor 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 legaily
ell a structure that I have built as an owner -builder if it has not beenconstructed in its entirety by licensed contractors,. i understand that a copy of the applicable law, Section 7044 of the Business and
'rafessions Code, is available upon request when this application is submitted or at the fallowing Web site:h;ipdfw,nw.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 provisions of Chapter 9 (commencing with Section 7000 o Chvlsinn 3 of the Business and Pr lassie Coda, Vd my license is In full force
no effect. License Class License No Date �' Contractor signature / �or--
PORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SUS1.030), IN ADDITION TO THE
DST OF COMPENSATION OARAGESAS PROVIDED FOR IN $ECTION 379E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a cerificate of consent to self4raure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
armance 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' com ionse
ranee carrier and policy number are:
Policy Number
of Agent
Date
)I Bury 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 CaEfomis, and agre
t, f 1 should become subject to the�Eurkers' compensation provisions of Section 3700 of the Labor Cone, I -shall. forthwith comply with those provisions.
_ ature of Applicant Dat&40 Ze -Z./".7 z
CLARATION BEGARDINCONNS7`Ri�TION LENDING AGENCY
Breby affirm under penalty of perdu that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
tder's Name Lender's Address
my signature bafow, 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 with all applicable city and county ordinances and state laws relating to building construction,
i authorize representatives of this city or Cauntvv to r the a ve-identified property for inspection purposes.
nature of Property Owner or Authorized Act 1W t-✓ !� Print Property Owner's or Authorized Aaent's Name
ACTION DATE BY DrBCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AGMD RULE
1403
PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTI FICATION TD
P£RA41T EXTENDED UAQMD _
F£RM4TRU ) L� $WFSTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF J PROPOSCODEWIOLtTION
OCCUPANCY ISSUED. SIGNATURE: