HomeMy WebLinkAboutE2023-0656 - PermitsaEwaoRT City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
0 2 Permit Counter Phone: (949) 718-1888
cq� Fp 0.N�P newportbeachca.gov/civic
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Electrical Permit
Plan Check No : PC2022.3247
Work Class : Other
Issued Date : 0712012023
Final Date:
Permit Status: Issued
Inspection Area : 5
E2023-0656
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 : 513 ACACIA AVE
Description : ELEC TEMP POWER POLE
Legal Dose: N TR 682 BILK LOT 58
Owner: BIRE II LLC
Address : 7202 W COLLEGE DR STE B PALOS HEIGHTS, IL 60463
Phone : (949) 239-2022
Applicant:
ROD JEHEBER
Address:
410 32ND ST NEWPORT BEACH, CA
Phone:
(949)723-4393
Owner/Builder
:
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : MONTESANTOS BUILDERS INC
Address :
220 NEWPORT CENTER DR, 322 NEWPORT BEACH, CA 92660
Phone :
(949) 239-2022
Con State Lie
: 1077463
Lie Expire :
06/30/2025
Bus Lie:
BT30076141
Bus Lie Expire:08/31/2023
Workers' Compensation
Insurance
Carrier :
Policy No:
EXEMPT- NO EMPLOYEES
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups: U
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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, after, 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 Iicensure and the basis for the alleged exemption.. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant le a Civil penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property,. or my employees with wages as their sole compensation, will do (J 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 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
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
apply to an 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).
❑ I am exempt from Iicensure under the Contractors' State License Law for the following reason: _
By my signature below I acknowledge that, except for my personal residence in which I must haveresided for at [east one year prior to completion of the Improvements covered by this permit, I cannot leg -all
sell a structure that I have built asan owner -builder if it has not been constructod in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, Is available upon request when this application Is submitted or at the following Web site:http:/Iwww.leginfo.ca.govJcalaw.ntml.
Signature of Property Owner or Authorized Agent _ Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00 o ivi q3 of the Business and Pr fe Si +pt� ense is In full force
and effect. License Class License No Date J Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND =IL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100A0U), IN ADDmION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37VS OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES.
I hereby affirm under penally of perjury one of the following declarations:
111 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 the
performance of the work for which this permit Is issued. Policy No..
,—I1 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' compensation
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
N me of Agent Phone 0
ertify that, in the performance o 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' compensate n laws of California., and agree
at, i I should becomes�STRUCTfRON
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of Applicant DakCIV,
DECLARATION RO DI LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097,ode).
Lenders Name Lender's Address
By 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 h0ordi
ided is correct.
I agree to comply with all applicable city and COUPncas andslate laws relating to building construction.
I authorize representatives of this city orcou y entitled property for inspection purposes. �� YtiGI�
Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agents Name Da
ACTION DATE BY € OW ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i REGULATIONS PART61 OFTITLE40 ANDAt1MD RULE
1403
PERMIT EXPIRED _ I SJBMIMD ASBESTOS NOTIFICATION TO
PERMITCANCELtED i LTEPA
CERTIFICATE OF
OCCUPANCY ISSUED
5S_GNATJREI
ISNOTAPPLICABLE TO