HomeMy WebLinkAboutE2023-0125 - Permits4 a�WPORT City of Newport Beach
O ear, Community Development Department - Building Division
F " 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
C9��OPN�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
1111111111111111111111111111111111111111111111111111 jj Electrical Permit : E2023-0125
Plan Check No : 0365-2022
Work Class : Other
Issued Date : 02/22/2023
Inspection Area : 2
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: 414 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 479 TR 907 LOT 479 SELY 15 FT AND NWLY 20 F T LOT 480
Description: ELEC - TEMP POWER POLE (X2022-0413)
Owner: LIDO PARTNERS 414 LLC Contractor : I D L HOME
Address: 5 UPPER NEWPORT PLAZA DR NEWPORT BEACH, CA Address : 5 UPPER NEWPORT PLZ #201 NEWPORT BEACH, CA 92660
Phone : (949) 903-5777 Phone : (949) 945-9945
Con State Lic : 760451
Applicant: I D L HOME
Address: 5 UPPER NEWPORT PLZ #201 NEWPORT BEACH, CA 92660
Phone : (949) 945-9945
Owner/Builder :
Address:
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
X
RM - Multiple Residend.
s~
SPECIAL CONDITIONS:
Front: 4, Front: 0
Lic Expire : 11/30/2023
Bus Lic : BT30059341
Bus Lic Expire:05/31/2023
Workers' Compensation Insurance
Carrier :
Policy No : EXEMPT
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' State License Law for the reason(s). indicated below by the checkmark(s) I have placed next to the applicable iterl
Section 7031.5, Business and Professions Code: Any city or County that requires a permit io construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant fur
the pormit to file a signed statement that no 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 Ilcensure and the basis for the alleged exemption. Any violation of Section 7031..5 by any applicant for a. permit subjects the applcantto a civil penalty of
Tot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Beaton 7044, Business and Professions Code: The Contractors' State 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).
1 am exempt from licensure 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 have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll
sell a structure that 1 have built asan owner -builder if it has not been constructed in its entirety by Ilconsed 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 y1'eb site:htip:llnwaw,leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized AgentDate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) Divis' n 3 of the Business and Profession `o y ]license is in full force
and effect. License Class License No Date LL Zo7 Contractor Signalur
WORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN ALTI£S AND CIVIL FINES UP TO ONE HUMORED U D S ($100100 , IN AOOMON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370A OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the fallowing 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 ih
performance 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'
ranee carrier and policy number are:
Policy Number
Agent
Date
DIfy that, in the performance of ework for whic. this permit. is issued.., I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
I t, f I should become subject to ih wo kars•' co s bn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ignature of Applicant ._...�,_A..�._ ._.-. Date 2 LU-J-c b7
ECLARATION REGAR O STRU ING AGENCY
hereby affirm under pen.. p rjury th re is construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civilcde).
ender's Name Lender's Address
y my signature below, I certify to each of the following;
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordi noes and ws relating to building construction.
I authorize representatives of this city or county tq ei he bov d property for inspection purposes. ,�� /�A/f�
ianalure of Property Owner or Authorized Agent_ / ��� Print Property Owner's or Authorized Agent's ivart)� /tf ell- lI 6—v, I -e7-1 s..+ Data
1409
PERMITEXPIRED
rMRLiANCE WITH CODE OF FEDERAL
bl OF TITLE 40 AND AQMD RULE
ASBESTOS
PERMIT T FINAL EMENDED _ _ f10.QMD__
PERMI__. . p�-T`-' ASBESTOS NOI ITIC.4TION IS NOT APPLICABLE TO
CERTIFICATEOF }%dti PROPOSED DEMOLITION
OCCUPANCY ISSUED GI - ! SIGNATURE:
FOR OFFICE USE ONLY