HomeMy WebLinkAboutE2023-0487 - Permits�EWPokr
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
111111111111111111111111111111111111111111111111111111Electrical Permit : E2023-o487
Plan Check No:
Work Class : Other
Issued Date : 06/02/2023
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: 735 ST JAMES RD Legal Desc : N TR 1218 BLK LOT 17
Description: ELEC/UPGRADE (E) SERVICE PANEL TO 200AMP **RENEW EXPIRED PERMIT E2021-0355 ***
Owner: BERNARDETTE JEAN TR THE B J MCCANN 2019 TR MCCANN
Address : 735 SAINT JAMES RD NEWPORT BEACH, CA 92663
Phone:
Applicant: Madison Jess stone electric
Address : 301 E 19th Street Costa Mesa, CA 92627
Phone :
Owner/Builder : BERNARDETTE JEAN TR THE B J MCCANN 2019 TR MCCANN
Address: 735 SAINT JAMES RD NEWPORT BEACH, CA 92663
Phone: (949)642-2320
Code Edition : 2019
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Front: 10, Side: 4, Side: 4, Rear: 10
X
R-1 - Single -Unit Residential
(3:5
SPECIAL CONDITIONS: RENEW EXPIRED PERMIT E2021-0355
Contractor
Address
Phone:
Con State Lic
Lic Expire:
Bus Lic:
Bus Lic Expire:
Workers' Compensation Insurance
Carrier :
Policy No:
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 item(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 ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 70".
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
9i roved 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' State License Law does not
pply 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).
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 legall,
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 o the Business and
Professions Code, is available upon request when this ppli n is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/ealaw.htmi. aZ
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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000L IN ADDITION TO THE
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
'ormance 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' compensa
Trance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
;ertify that. in the performance 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 laws of California, and agre
if I should become ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //
@lure of Applicar /,,
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ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lenders Address
my 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 city and county ordinances and state laws relating to building construction. M C. W fin
I Guth-irize representatives of this city or county to enter the above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent /�-®-1. Print Property Owner's or Authorized Agents Name Date
ACT:ON I DATE I BY I RDECLARATION EGULATIONS OF COMPLIANT 61 OF TITLE WITH
CODE
OF FEDERAL
I FOR OFFICE USE ONLY
PE4V.fT rANCELLEP VEPA
PE7.`1 EMENDEDDAQMD
PEX/:_. FKJAL LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CEPTIFICA7E OF PROPOSED DEMOLITION
Qcc4pq!ry lssUEo I SIGNATURE: