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HomeMy WebLinkAboutE2022-0577 - Permitso��Ewpotr City of Newport Beach III Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 em. Inspection Requests Phone: (949) 644-3255 cqG/FORN`P newportbeachca.gov/inspections Electrical Permit : E2022-0577 Plan Check No : PC2022-2140 Work Class : Other Issued Date : 0812412022 Inspection Area : 5 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 : 318 IRIS AVE Description : ELEC -TEMP POWER POLE (XR2022-2288) Owner : WILLIAM MCBRIDE Address : 318 IRIS AVE CORONA DEL MAR, CA 92625 Phone: (949)675-7483 Legal Desc : A TR CORONA DEL MAR BLK 236 LOT 20 Applicant: KABBANY GISELLE Address : 1702 LAKE STREET HUNTINGTON BEACH, CA 92648 Phone: (714)872-0386 Owner/Builder: WILLIAM MCBRIDE Address: 318 IRIS AVE CORONA DEL MAR, CA 92625 Phone: (949)675-7483 Code Edition: 2019 Type of Construction : Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY.. Contractor Address Phone : Con State Lie Lie Expire Bus Lie : Bus Lie Expire: Workers' Compensation Insurance Carrier: Policy No W. C. Expire: Fire Hazard Zone: N Occupancy Groups : R3/U NO CONSTRUCTION NOISE E. N° THE PEKE ND i hereby affirm under penalty of perjury that f am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the appilcable €u m(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 the 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 Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 improvements arenot 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 improved for the purpose of sale). r1, s 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 ply town 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), ?k I am xempt from licensors under the Contractors' Slate License Law for the following reason _ ly my si nature 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 ell a uclum that I have built as an owner but der if it n be constructed In its entirety by licensed Contractors. I understand that copy of the applicable law, E sslons Coda, Is available upon request wh hi a pli wis s r /or at the following Web site:htip:liwww.leginfo.ca.govicalaw.html. signature of Property Owner or Authorized Age AaA .ICENSED CONTRACTOR'S DECLARA`CIO 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 Professions no effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SVWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIC FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1151110,0ooi, IN AOomON TO CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 erformance of the work for which this permit is issued. Policy No. and and my license is in full force have andwill maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code.. for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: Policy Number _ Expiration Date of Agent JI Ce ify that, in the perlormance 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 lifomia, and age lat. I I should become subject to UZR No'ompens- I rev' ions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ryj)2ECLARATIONpREGARDIN LADING AGENCY D e 2L hereby affirm under penalty of rjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 309Code). ender's Name _ Lender's Address _ y my signature below, I certify to each of the following: V I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information 9 have provided is correct. I agree to comply with all applicable city and county ordihal es a tale taws relating to building construction. I authorize representatives of this city or county to ente ab ,y%/�,�(ierty for Inspection purposes. ^ /� /)� ignalure of Property Owner or Authorized Agent f\� ,q ,r' v' Z� Print Property Owner's or Authorized Agent's Name ,IX O" �'� rw`�f / �L j.JK. Q' Date ACTION DATE 0Y i DIVI'%ATION OF COMPLIANCE WITH CODE OF FEDERA I REGIIATIONS PART 51'OF TITLE 40 AND AQMD RULF, 1,4W PERMfr EXPIRED 1SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLEPLJEPA _ PERMIT EXTENDED lJAQMD - -. PERMITFINAL 9'L�.Z2 ASSES IDS NOT IF [CATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOUTTON OCCUPANCY ISSUED _._ SIGNATURE: FOR OFFICE USE ONLY AP. regaiaid alarms, latrhesgates and fences which serve as part of a pool/spa barrier, shall he !.n place prior to,apprinval to fill pool/spa & shall remain In place & be maintained for the life of the poo€,