HomeMy WebLinkAboutE2023-0408 - Permits�� WPoRr, City of Newport Beach
Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 544-3288
C,�ORN`P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
111�111 11111111111111111111111111111111111111111111 111jj Electrical Permit : E2023-0408
Plan Check No:
Work Class : Other
Issued Date : 05/03/2023
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 : 2495 VISTA HUI
Description : ELEC SERVICE
Owner: KLEIN PAUL V TR F
Address : 81307 JASMINE CT
Phone: (714)598-4818
Applicant:
KLEIN PAUL V TR F
Address:
81307 JASMINE CT
Phone:
(714)598-4818
Owner/Builder:
KLEIN PAUL V'
Address:
81307 JASMINE CT
Phone :
(714) 598-4818
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone : X
Use Zone : R-1
PROCESSED BY:
SPECIAL CONDITIONS:
Desc : N TR 5798 BLK LOT 102 TR 5798 (L.L.84-245722) PAR 102
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VIN91'It 96 BYf t> TfFHST, 23 Contractor
QUINTA, CA 2253 GG Address
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If applicable:
❑ 80% or\ 100% refund
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to whom:
Bus Lic Expire:
�Fw kjpjlifipmpensatlon Insurance
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Fire Hazard Zone : NO
1 Scan plan f 3aDisca3rd plan
(work started) (no work started)
e-Unit Residential
Note: antis
t46c"i IF,41IM17,
WAS TUtt jl f-2023 - 05K Insp. initials:
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)
Teflon 7031.5, Business and Professions Code: Any city or county that requires a permit to construot, alter, improve, demolish, or repair anystructure, prior to Its Issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter B (commencing with Section 7000) of Division 3 of the Business and
fessfons 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
more than five hundred dollars (T$500).
I, as owner of the property,. or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended proffered for sale (Section 7044,
sines and Professions C of to an owner of property who, through employees' or personal effort, builds or improves theproperty, provided that the
movements are not intend d or offered for sale. lf, how eG t bu Id'ng Improvemen is s kae• - bR:.burden of proving that it was not built or
moved for the purpose of le).
€, as owner of the proper, am 61Cc�o9i�ely e6 nUaci"oP�fo consuvct the project (Sectio QQDD�s� yyII ��}y�yi Professions Code. The Contractors' State License Law does not
ft to an owner of prope wfzo tiullds or improves ihereo and who c ntracts for fhe profec s wI a wensed C �n1r�'c fl�td-the Contractors' State Lice se Law).
I am exempt from licensi 14,
my signature below I ack ovule that, pt fo y p on e n c e or a O t I (qf m�dem¢nts Covered by this permit, I cannot legal
a structure that I havo by'It as Idor has not ns B ' entirety s- ontraUors. I understand that a copy of the applicable I1 Section 7044 of the Business and
ifessions Code, is avalla upo ra en t p, tl d,t ' t tell i. a si htip:!lvnvw.leginfo ca.govlcalaw himl..
nature of Property 0wne cir Au nt ,, 1art, �" _ _ tt7 1Alhnm- Date �L S ��2�
I hereby affirm under peha
and effect. License Class
NARNINC: FAILURE TO SPC%PR
c0"T OF CCMPENSA 10i, PAD
hereby nfflrm under peha
-- 1 have and will mvypt:
)erfcrma.ice of thL work L
�Y have and will malgtai
nsoao�u carrier and pock
3aloal
Nalne or Agent -
-1I certify that, In tl•.e pad
,he,, it I snnuld become rt
Signature of Applicant
AND
with Section 7000) of Division 3 of the Business and Profesoons.Code,. and my license Is In full force
ate Contractor Signature
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
S As PAbVCEb4"ft IN SECTION 37066F THCEAffOR COOE,`fRTE"ST, AM M±`AANEY"�+ESCY!
of per}ury one of the iollowing declarations:
a c ificat / of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for
,hich rniT""'� If 4, fie No.
orke ert�rle i r - e, s I 3a ion 3700 of he L or od ,�f f t r7rch this
um r are: a EtI
�VVt71 piration Date
artegAcne.
which this permit is issued, I shall not employ any person in any manner so as to become subject to the
r Code I shall forthwith comply with those provisions.
I hereby affirm under penal f ce of the work for which this pepar
Lenders Name Lenders Address
By my signature below, I certify to each of the following:
1 am the property owner or authorized to act on the property o ra behalf.
I have read this application and the information have provi d f correct.
I agree to comply with all applicable city and county crdfn ce d. state laws relating to building construction.
I authorize representatives of this city or county o ente v identified property for inspection purposes.
Signature of Property Owner or Authorzed Agent Print Proper Owner's or Authorized A
ACTION I DATE BY DECLAR N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULA DNS PART 61 OF TITLE 40 AND AQMD RULE
DOLLARS ISI00.0001, IN ADDITION TO THE
Section 3700 of the Labor Code, for
is issued. My workers' com
compensation laws of California, and agre
it Code).
PERMlr EXPIRED
L.A I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
-_.. ._._.
PERMMI EXTENDED
�
...... ..._
on AQMD __
PERMN FNNAL
ASHEs ro5 NOTIFICATION IS Nor APPLICABLE TO
CER'IFICATEOF
PROPOSED DEMOLITION
OCLUPANCYISSUED
z SIGNATURE: