HomeMy WebLinkAboutE2023-0305 - Permits_WPogT City of Newport Beach
O e Community Development Department- Building Division
r'- 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachce.gov/lnspections
�111111 1111111111111111111111111111111111111111111 11111 Electrical Permit : E2023-0305
Plan Check No : PC2023-0366
Work Class : Other
Issued Date : 0410512023
Inspection Area : 5
5 s 4oy
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 : 2820 BAYVIEW DR Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 134 LOT 1 RESUB OF CORONA D EL MAR LOTS 1,
EX SELY 1
Description: ELEC INSTALL 200A TEMPORARY POWER POLE tXI1 20Z3-oLaq)
Owner: 2820 BAYVIEW LLC
Address : 2820 BAYVIEW DR CORONA DEL MAR, CA 92625
Phone: (310)714-7976
Applicant:
GABBY UVIDIA
Address:
151 KALMUS DR, G-1 COSTA MESA, CA 92626
Phone:
(714)754-4040
Owner/Builder
:
Address
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY: 5:5
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Contractor : LEGACY C D M INC
Address : 2618 SAN MIGUEL DR #204 NEWPORT BEACH, CA 92660
Phone: (949)677-3650
Con State Lic: 962720
Lic Expire : 04/30/2023
Bus Lic: BT30043218
Bus Lic Expire:05/31/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9147240
W. C. Expire: 11/24/2023
Fire Hazard Zone : NO
Occupancy Groups: U
I�9 O a -'ON
5,7
I hereby affirm under penalty of perJ'•••.ury 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 ilia applicant for
the permit to file a signed statement that he or sheds 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 to a civil penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property,or my employees with wages as their sole compensation. Will do (_) all of or C) portions of the work, and the structure is notintended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves theproperty, provided that the
improvements are not Intended or offered for sate. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
D I, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project ($action 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 pursuantto the Contractors' State License Law).
13 I. am exempt from tcensure 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 legally
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 Alec site:htip:Owww.leginfo.ce.govtcalaw.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 previsions of Chapter 9 (commenting 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 9 L Contractor Signature _
WORKERS' COMPENSATION DECLARATION..
WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'I hereby affirm under penalty of perjury one of the following declarations:
El 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 Coda, for th,
perfo tTce of the work for which this permit is issued. Policy No.
�I 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
nsurance carrier and policy number are:
Policy Number
of Agent
Date
3 certify 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,
tat if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ignature of Applicant_ _�
DECLARATION REGARf)3NG'CONSTR ENDING AGENCY Date N,_„�______,,,-,,,______
hereby affirm under penalty of perJ'••..ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Enders Name Lenders Address
y my signature below, I certify to each of the following:
I am the property rnvner or authorized to act on the property owner's behalf.
I have read ttris application and the information f have provided is correct
I agraa to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize repres.,nlatives of this city or county to enter theabove-identifiedproperty for inspection purposes.
sic„aWIa of PfODOdV Owner or Authorized Agent /-- Print Property Owner's or Authorized Agent s Name _ "� `�� c Data. Y /T l
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQi RULE
PtGFAI tz
P n'vbr cn7FNDED1 1 L1AQMD
PLRMITFINAL N_Zl" A$eESrOSNOTIFiCA'TION IS NOrAPPLICA5LE TO
C n-drLAFEOP ��" PROPOSED DEMOLITION
OC TIFANCY ISSUED SIGNATURE: