HomeMy WebLinkAboutE2023-0422 - Permits"2e PORT City of Newport Beach
p4 A Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
}+} Z Permit Counter Phone: (949) 718-1888
`rcgci F�>R"�P newportbeachca.gov/civic
11IIIIII111111111111111111111111111111111111111111II 11Electrical Permit : E2O23-o422
Plan Check No:
Work Class : Other
Issued Date : 05/10/2023
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: 1949 PORT PROVENCE PL Legal Desc : N TR 6624 BILK LOT 57
Description: ELEC - SFR INSTALL (1) AC DISCONNECT FOR NEW HEAT PUMP (H2O23-0314)
Owner:
KENNETH KRUM
Address :
1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660
Phone :
(949) 235-3085
Applicant :
KENNETH KRUM
Address :
1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660
Phone:
(949) 235-3085
Owner/Builder : KENNETH KRUM
Address:
1949 PORT PROVENCE PL NEWPORT BEACH, CA 92660
Phone:
(949)235-3085
Code Edition
: 2022
Type of Construction :
Building Setbacks : Front: 24, Side: 5, Side: 5, Rear: 10
Flood Zone:
X
Use Zone :
PC - Harbor View Hills
PROCESSED BY: k—
SPECIAL CONDITIONS: O/B FORM ATTACHED
Contractor
Address
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire:
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups: R3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) Lndcate(
3eatian 7031.5, Business and Professions Code: Any city or county that requires a permit toconstruct, alter, improve, demobs
is permit to file a signed statement that he or shads licensed pursuant to the provisions of the Contractors' State License Law
'rofassibi s Code) or that he or she is exempt tram I censure and the basis for the alleged exemption. Any violation of Section'
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the v
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year at completlr
rtttroved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus
ply to an ownerhr property who builds or improves thereon, and who contracts for the projects with a licensed Contractor put
I am exempt from 1wensure under the Contractors' State License Law for the following reason:
ry my signature hsirvr I acknowledge that, except for my personal residence In which I must have resided for at Peas[ one year
all a str ictum that I taro built as an owner -builder If it has not been constmctod in its entirety by licensed contractors, I under
`rafesslo s Code, it available upon requestwhan Ctiis app' ion is so tied or at the following Web site;ttttp knio.t„�
im lwww.legi
igr of Property owner or Authorized Agent
.;C[i COro T Ai.CTOR'S DECLARATION
hereby affirm under Denalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of DA
no erred License Cd-s License No Date
COMPENSATION DECLARATION
ARHING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'
J37` OF COMPENS41 ION, J-MAGE3 AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
:Lucas; affirm under pelaity of perjury acre of the following declarations:
I
i I nave and '.vil maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of
arformanoe of the work for which this permit is issued. Policy No.
]I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
murance carrier and policy number are:
'anner Policy Number
of Agent
below by the checkmark(s) I have placed next to the applicable Hem(a)
. or repair any structure, prior to its issuance, also requires the applicant fDr
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
)31.5 by any applicant for a permit subjects the applicant to a civil penalty of
and the structure is not intended or offered far sale (Section 7044,
s' or personal effort, builds or Improves the property, provided that the
a Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State license Law does not
to the Contractors' State License Law).
to completion of the improvements covered by tuts permit, I cannot
that a copy of the applicable law, Section 7C44 of the Business and
Date Jr-140 "WZZ
3 of the Business and Professions Code, and my license is In full force
Contractor Signature
CIVIL PINES UP TO ONE HUNDRED T14OUSMO DOLLARS [$1011TI EN ADDITION TO THE
Relations as provided for by Section 3100 of the Labor Code, for
of the work for which this permit is issued. My workers'
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 aaa� to become subject to the workers` compensation taws of California, and
if I should become subject to the workers` compensation provisions of Section 3700 of the tabor Code, I shall forthwith co ply with those provisions.
of
areby affirm under penalty of perjury that there is a construction [ending agency for the performance of the work for which
Were Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act an the property owner's. behalf.
I have read this application and the information I have provided is correct.
I agree to comply withal] applicable city and county ordinance and state Caws relating to building construction.
I authorize representatives of this city or county tpyAlter. the Ve-identified property for inspection purposes.
ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE US ONLY
I REGULATIONS PART 61 OR TITLE 40 AND AQMD RU LF
1403
PERMiTEXPIRED I 1 L L-I I SUBMITTED ASBESTOS NOTIFICATION
PERMIT EXTENDED § L1AOM:D
�J-t� � FAPJ�L
ISPROPOSED DEMOLITION
OCCUUPANCWSUE— veZ
issued (Section3097, Civil Code),