HomeMy WebLinkAboutE2023-0458 - Permits�FaPoRT. City of Newport Beach
Community Development Department - Building Division
" 100 Civic Center Drive, Newport Beach, CA 92660
yip 2' Permit Counter Phone: (949) 718-1888
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C9<tLeR��P newportbeachca.gov/civic
11111�1111111111111111111111111111111111111111111111 jjElectrical Permit : E2023-0458
Plan Check No : PC2023-0713
Work Class : Other
Issued Date : 05/18/2023
Inspection Area : 8
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 : 2304 CLIFF DR
Description
: ELEC OUTLET FOR BBQ
Owner:
GONTERMAN CUSTOM HOMES
Address :
502 30th St NEWPORT BEACH, CA 92663
Phone :
(949) 697-0746
Applicant:
PG LANDSCAPE
Address :
424 S OLIVE ST ANAHEIM, CA 92805
Phone :
(714) 290-0490
Owner/Builder :
Address :
Phone :
Code Edition :
Type of Construction :
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
19 PROCESSED BY:
SPECIAL CONDITIONS:
Legal Desc : N TR 919 BLK 4 LOT 5
Contractor : PG LANDSCAPE
Address:
424 S OLIVE ST ANAHEIM, CA 92805
Phone :
(714) 290-0490
Con State Lie
: 1055351
Lie Expire :
07/31/2023
Bus Lie:
BT30080410
Bus Lie Expire: 01131/2024
Workers' Compensation
Insurance
Carrier:
Policy No:
EXEMPT
W. C. Expire:
�a f
Fire Hazard Zone : NO
Occupancy Groups: U
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable items)
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 ns issuance, also requires the applicant for
Ic permit to file a signed selamont 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
'professions Code) or that he or she is exempt from Iicensure 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
of more than five hundred dollars ($50D).
1 1, 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 properly, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
nproved for the purpose of sale)-
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law).
I I am exempt from Iicensure under the Contractors' State License Law for the following 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 covered by this permit, I cannot legalif
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofesslons Code, is available upon request when this application is submitted or at the following Web site:htlp:/twww.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 00) 1 1 in 3 the Business and Prof sfa my boons is in full force
nd effect License Class License No Dat� Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNG E THOUSAND DOLLARS (S70D,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarallori
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' eompense
trance carrier and policy number are:
Policy Number
Date
11Te of Agent Phone N
i Certify that, in the pe orma: ce of
work for which this Perm" is issued'., shall 00[ employ any person in any manner so as to
become subject io the wake ' c mpansats laws of alifomia, and ogre
tat, ould become ' bjec to k rs' compansebaIT provisions of Section 3700 of the Lobar Code
. stwll forthwith comply with those provisions.
signature Di APPlioa _ Date
IECI_ARATION FtEG G C S CT
LENDING AGENCY
hereby affirm under i Wait eg Fy that there is a construction lending agency for the perormance of the work for which this permit is issued (Section 3097, Civi Code).
enders Name Leh OR 5 Address
y my signature below, I certify to each of the following:
1 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. r A n , „�U� yr�
I agree to comply with all applicable city and county dinan sa d slate laws relating to building construction. v `r/I'(,l L
authorize representatives of this city or county�o er the b ve'derlbfied property for inspection purposes.
Signature of Property Owner or Authorized Age
ACTION I DATE I BY
PERNITEXTENDED
P£RM1T FAN_i
CERTIFICATE OF
OCCUPANCY ISSUED
1403
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION
U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY