HomeMy WebLinkAboutE2023-0159 - Permits�gwaoRT
City of Newport Beach
Community Development Department - Building Division
CA 92660
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100 Civic Center Drive, Newport Beach,
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
111�111 11111111111111111111111111111111111111111111 111jj Electrical Permit : EL0Z3-0159
Plan Check No: PC2023-0475
Work Class : Other
Issued Date : 03/03/2023
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 : 702 ST JAMES PL
Description: ELE-TEMP POWER POLE (XR2023-0591)
Owner: MARINE LAYER PROPERTIES LLC
Address : 751 WILDOMAR PACIFIC PALISADES, CA 90272
Phone:
Legal Desc : N TR 1218 BLK LOT 24
Applicant:
DAWSON ROSENBERG
Address :
1278 GLENNEYRE ST #213 LAGUNA BEACH, CA 92651
Phone :
(949) 285-5444
Owner/Builder
:
Address
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY: YI
SPECIAL CONDITIONS:
Contractor : WILLHOIT CONSTRUCTION INC
Address : 1278 GLENNEYRE ST, STE 203 LAGUNA BEACH, CA 92651
Phone :
(949) 677-9685
Con State Lic :
941138
Lic Expire:
11/30/2024
Bus Lic:
BT30040606
Bus Lic Expire:08/31/2023
Workers' Compensation Insurance
Carrier:
ACE AMERICAN INS CO
Policy No:
C51303362
W. C. Expire:
2/1/2024
Fire Hazard Zone : NO
Occupancy Groups : R3/U
OWNER -BUILDER DECLARATION
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) 1 have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that fayutres 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 Lleanse Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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
not more than five hundred dollars (^s500).
❑ 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 affered 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 theproperty, 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' 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).
❑ I am exempt from ficensure under the Contractors' State License Law for the following reason:
By my signature belovt I acknowledge that, except for my personal residence in which I must haveresided for at feast one year prior to Completion of the Improvements covered by this permit, I cannot legalij
sell a structure that I have built asan 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 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:Lfwww.leginfo.ca.gov/calaw.html.
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 70 of Division 3 of the Business and Profe x ' s Code, and y I� 'oPse s in full force
and effect. License Class License No Date Contractor Signature)
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS (S100,000). IN ADOMON TO THE
COST OF COMPENSATION, DAMAGES AS PROVtos) FOR IN SECTION 3706 OF THE LABOR COOP, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty 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 th•
performance of The work for which this permit is issued- Policy No..
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'
carrier and policy number are:
Policy Number
Of Agent
Dale
JI certify that, inthe 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
iat, if I should beco IS sub(jjee�cct�t to��Vie workers' �compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
ignalure of Applical Yf Xl� 1�O�19 ,_. Da 313 �Z
IECLARATGON REGARDING CONSTRUCTION LENAGENCY
hereby 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, C vil Code).
antlers Name Lender's Address
q 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 withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county Sp enter theaboxrdentifed property for inspection purposes.
ACTION
DATE
BYV\ DECLARATION CF COMPLIANCE WITH CODE OF PEDERAL
REGULATIONS PART 61 OF TITLE. 40 AND AOMD RULF
1403
FOR OFFICE USE ONLY U
PERMITEXPIRED
0 1 SUBMITTED ASBFSTO> NCTI. ICATION TO
PERMIT CANCELLED
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PERMITEXTENDEDQMD
PERMIT FINAL !'
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)� AsoE5TO5 N011FICA71ON 15 NDTAPPLICAEILE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY f55UEO
® I SIGNATURE: