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Home My WebLink AboutE2022-0855 - Permits�Ew; oRr City of Newport Beach IIII I I II I II I II III III II II Community Development Department- Building Division Electrical Permit: E2022-0855 > y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 644-3288 rw. _ Work Class : Other Inspection Requests Phone: (949) 644-3255 c9<rFoncDr newportbeachca.gov/inspections £ Issued Date : 11I10/2022 Inspection Area : 2 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 : 218 VIA PALERMO Legal Desc : N TR 907 BLK LOT 112 TR 907 LOT 112(AND NELY1/2 LOT 111 Description: ELEC: UPGRADE MAIN SERVICE PANEL TO 200A Owner: ERIC JIMENEZ Address : 218 VIA PALERMO NEWPORT BEACH, CA Phone : (415) 272-0881 Applicant; THE TRADESMAN ELECTRIC INC Address: 23276 DEL LAGO DRIVE LAGUNA HILLS, CA 92653 Phone: (949) 378-8334 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks Flood Zone Use Zone: PROCESSED BY SPECIAL CONDITIONS: Front: 4, Front: 10, Side: 4, Side: 4 X R-1 - Single -Unit Residential `S Contractor : THE TRADESMAN ELECTRIC INC Address : 23276 DEL LAGO DRIVE LAGUNA HILLS, CA 92653 Phone : (949) 378-8334 Con State Lic : 1049948 Lic Expire : 02/28/2023 Bus Lic : BT30080045 Bus Lic Expire: 11/30/2023 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INSURANCE COMPANY Policy No: SWC1390356 W. C. Expire: 6/1/2023 Fire Hazard Zone : NO Occupancy Groups: U NO CONSTRUCTION NOISE ON THE WEEKEND 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 item(s) 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 :he 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 'rofesslons 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 Tot more than five hundred dollars ($50D). ❑ 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 mprovements 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 mproved for the purpose of sale). ❑ 1, 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 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' Stake License Law). ❑ 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: By 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 legallt sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:http:tlwww.leginfo.ca.govlcalaw.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 Division 3 of the Business and Pwl`, e, an isen is in full f and effect. License Class License No Date ontractor Signature WORKERS' COMPENSATION DECLARATION NARNMG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100.0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $7H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance 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 ne of Agent certify that, in the performance of the work for which this permit Is issued, 1 shall not , if I should become lac he workersfy Lion provisions of Sects 370f of Date any person in any manner so as to become subject to the workers' compensation laws of California, and agre Labor Code, I shall forthwith comply with those provisions. Dafe� IECLARATION REG:.ROt11I1lCC0KSTRUt3T11DN 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). endnra Name Lenders Address y my signature below, I cel:ify to each of the following: I am fhe'property owner or authorized to act on the property owner's behalf. I have read this applicaLon and the Information I have provided is correct. I ag,ee td comply with al applicable city and COULD rdinances and slate laws relating to building construction. I authorize repres,nta'ives of this city or county,6 gvter t bove-id ii � property f i action purposes. (�F�f/�I A„ h. n,oe Ancn1 i Print Prooertv Owners or Authorized AOent's Name Nf_H1ig lb to ACTION DATE BY DEZDiRA MN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PER..A1T fXP17EDU I SUBMITTED ASBESTOS NOTIFICATION TO EPA MIT PERCANCELLED PERMIT EXTENDED QM D PERMITFINAL 0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFVCATEOF OCCUPANCYISSUED l 1,Z PROPOSED DEMOLITION SIGNATURE: