HomeMy WebLinkAboutE2023-0832 - Permits�i `�£WPORT City of Newport Beach
p _ @ Community Development Department- Building Division
r7 100 Civic Center Drive, Newport Beach, CA 92660
V µa = Permit Counter Phone: (949) 718-1888
cq�'"oaN,r newportbeachca.gov/civic
Electrical Permit : E2023-0832
E 2 0 2 3 0 8 3 2 Plan Check No : 1060-2020
Work Class: New
Issued Date: 10/02/2023
Final Date:
Permit Status: Issued
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: 1421 KINGS RD Legal Desc : N TR 1219 BILK E LOT 39
Description: ELEC - 400 AMP SERVICE UPGRADE & TEMP POWER POLE
Owner: 1421 KINGS ROAD LLC
Address: 1024 BAYS]DE DR #383 NEWPORT BEACH, CA 92660
Phone: (812)320-2955
Applicant : S T I GENERAL & ELECTRIC
Address : 106 E AVENIDA SAN JUAN SAN CLEMENTE, CA 92672
Phone: (951)852-5122
Owner/Builder :
Address:
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
Front: 10, Side: 4, Side: 4, Rear: 10
X
R-1 - Single -Unit Residential
I\
Contractor: S T I GENERAL & ELECTRIC
Address : 106.E AVENIDA SAN JUAN SAN CLEMENTE, CA 92672
Phone:
(951)852-5122
Con State Lie
: 986272
Lie Expire :
08/31/2026
Bus Lie:
BT30082715
Bus Lie Expire:09/3012024
Workers' Compensation
Insurance
Carrier :
CLEAR SPRING PROPERTY AND CASUALTY CO
Policy No:
CWC00520801
W. C. Expire:
2/28/2024
Fire Hazard Zone : NO
occupancy Groups:
f hereby affirm under penalty of periury that I am exempt from the Contractors' State License Law for the reasan(a) indicated below by the checkmark{s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code. Any city or county that requires a. permit to construct, alter, improve, demallsh, or repair any structure, pdorto its issuance, also requires the applicant for
the permit to NO 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 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. ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the Work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Coda The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale, If, however, the building Or improvement I$ sold within one year Of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for tite purpose of sale),
Q 1, as owner of the property, am exclusively contracting with ficensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contraclors' State License Law does not
appfy 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 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
soil a structure that I have builtas an owner -builder if it has not boon constructed to 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:htlp:ltwww.leginfo.co.gov/calaw.ntml.
Signature of Property Owner or Authorized Agent Data
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions q� hp ter g (oammencing with Section 700 ) of Is` n 3 of the Business and Prof oRr n ° de, and my license is to full force
and affect. License Class License ND %ye Dal contractor Signat
WORKERS' COMPENSATION DECLARATION
NANNING: FAN.URE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370N OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
—11 have and will maintain a certificate of consent to self-.9nsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IFn
ferf91"ance of the work for which this permit is issued. Polley 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 Expiration Date
no of Agent _
I certify that, in the pBrformanc f the. r which this permits issued. f shelf not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire
t, if I should become subject the w Ors' compehsation provisions of Section 3700 of lire Labor Code:, I shale forthwith comply with those provisions. 99
ICLAR Uf ON RE
ltt Date
nature
at AN REGA 1 D $ m CTIDN LENSING AGENCV r�\
3ovby 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
Coda),
idet's Name Lender's Address
my signature below, I certify to aeah of the following:
I ant the property owner or authorized to act on the property owners behalf,
I have read this application and the information I have rovid Id is corm .
I agree to comply with all applicable city and county rdinances a - A tare taws rotating to building construction.
I authorize representatives of this city or county pier the ve-tdeniified property for inspection purposes. \/�,/ 1Lt'fJ�TCn-r>m `�%OZ �Z
:nature of Property Owner_or Authorized Aga.. _ __._.. Print Property Owner's or Authorized Aoam's Name j
ACTION I DATE
PERMIT CANCELLED
PfRiNfT £XrE7NDf D
PfRM1T FINAL
CERTiFfCAT 5 Or
OCCUPANCY )5SUE0
DECCAA'ATION OF COMPLIANCE WITH: CODE Or FF.DEI
REGULATIONS PART 57. OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
LIASRESTOS NOT IS NOT APPOCARLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY