HomeMy WebLinkAboutE2023-1003 - Permits¢��WPoRT City of Newport Beach
p Community Development Department- Building Division
y. 100 Civic Center Drive, Newport Beach, CA 92660
o- S Permit Counter Phone: (949) 718-1888
c,�/FOPN�P newportbeachca.gov/civic
111111 �111111111111111111111111111111111111111111jjj Electrical Permit : E2023-1003
E 2 0 2 3 1 0 0 3 Plan Check No ; PC2022-3243
Work Class : Other
Issued Date : 12/14/2023
Final Date:
Permit Status: Issued
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: 412 ST ANDREWS RD Legal Desc : N TR 1220 BLK LOT 37 TR 1220 LOT 37 SLY 9.75 FT(AN
Description : ELEC TEMP POWER POLE *XR2023-2244*
Owner: SHEKIA LLC
Address : 31352 VIA COLINAS STE 101 WESTLAKE VILLAGE, CA 91362
Phone : (714) 287-0056
Applicant: MIKE JOHNSON
Address: 31352 VIA COLINAS STE 101 WESTLAKE VILLAGE, CA 91362
Phone : (949) 662-4443
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
Front: 20, Side: 4, Side: 4, Rear: 10
X
R-2 - Two -Unit Residential
Contractor : ZONOUZ INC
Address :
15560 ROCKRIELD BLVD UNIT 212 IRVINE, CA 92618
Phone :
(949) 880-7146
Con State Lic :
1097510
Lic Expire:
10/31/2024
Bus Lic :
BT30082363
Bus Lic Expire:08/31/2024
Workers' Compensation Insurance -
Carrier:
EXEMPT - NO EMPLOYEES
Policy No:
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups :
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
aecflon 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
TO 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
'rofessions 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 (3500).
1 1, 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 notintended 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
nprovements 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
�n roved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pfy to anowner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from Iicensure under the Contractors' State License Law for the following reason..___,_T,___.___ _
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 legally
oil a structure that I have built asan owner -builder if It has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofassions Code, isavailable upon request when this application Is submitted or at the following Web site:http:tiwww.leginfo.ce.govlcalaw.htmi,
signature of Property Owner or Authorized Agent _ Date.
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of parl'ury that I am licensed under provisions of Chapter 9 (commencing with Sec " 7000 f Sy1f the Business nd Profes my license is In_�_ full fore
no effect License Class License No Dat Contract gnature —
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSANO DOLLARS ($100,000), IN AODRION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FERS.
hereby affirm under penalty of perjury one of the following declarations:
I have and will main,ain 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
formance of the work 'or which this permit Is issued. Policy No.
have and will maimpin 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' compense
.Iran^e carrier andpai,cy number are:
Policy Number
Date
g cf Agent _ Phone N
renify that, in the performance of the work f hich this permit is issued., I shall not employ any person in any manner so as to become subject to the
I;; sh becorye-subjec O t or cpansat provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisfoa
Bture of C
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
Name Landar's Address
:ry signature below, I certify to each of the following:
I 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.
I agree to comply with all applicable clay and county ordinances and state laws relating to building construction.
I authorize representatives of this ity or cogoty to enter the above -identified property for inspection purposes.
ACTION
PERMIT'EXPdRED
CERTIFfCATEOr
OCCUPANCY ISSUED
DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
( REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
ION IS NOT APPLICABLE 10
PROPOSED DEMOLITION
compensation laws of California, and
Civil Code).