HomeMy WebLinkAboutE2022-0579 - Permits�EwaoRT City of Newport Beach IIII I I II I II I II IIII III I II Electrical Permit : E2022-0579
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2163
Permit Counter Phone: (949) 644-3288 Work Class : Other
S Inspection Requests Phone: (949) 644-3255 Issued Date : 08126/2022
C9//FOAN`P newportbeachca.gov/inspections Inspection Area : 4
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: 1 HERMITAGE LN
Description : ELEC TO BBQ
Owner: PETER POLOS
Address : 2 HERMITAGE LN NEWPORT BEACH, CA 92660
Phone:
Applicant: Jc C Wright
Address : 833 Dover Dr, 7 Newport Beach, CA 92663
Phone: (949)795-0648
Owner/Builder :
Address:
Phone :
Code Edition : 2019.
Type of Construction :
Building Setbacks : Front: 10, Side: 5, Rear: 15
Flood Zone : X
Use Zone : PC - Big Canyon
PROCESSED BY: Ae
Legal Desc : N TR 7223 BLK LOT 91
Contractor : INSTANT POOLS LLC
Address :
116 SENCILLO PL LADERA RANCH, CA 92694
Phone:
(949)795-0648
Con State Lic :
1009644
Lic Expire :
07/31/2023
Bus Lic :
BT30053469
Bus Lic Expire:12/31/2033
Workers' Compensation Insurance
Carrier:
NO EMPLOYEES
Policy No:
EXEMPT
W. C. Expire:
Fire Hazard Zone: N
Occupancy Groups : R-3/U
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that E am exempt from the Contractors' State License Law for the reasons) 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, after, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
is 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
'rofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemptlon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500),
7 I, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
;usiness 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
nprovemenls 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
nproved 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
P�ply 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),
J I am exempt front licensure under the Contractors' Slate License Law for the following reason: -,
,y 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
ell 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 of the Business and
'rofesslons Code, Is available upon request when this application is submitted or at the following Web site:http:flwww.leginfo.ca.gov/calaw.btml.
signature of Property Owner or Authorized Agent oat
ICEI SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 V, iQ the Business and Professions ode, and my
nd effect. License Class License No Date l ontractor Signature
1IORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DUCLARS 15100,000).1N AD.arn0N TO THE
2OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 1 have and will maintain a certificate of consent to sell-insvre for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for th
rerformance of the work for which this permit is issued. Policy No.
:1I have and will maintain workers' covpensaton insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
nsurance currier znd policy nu are:
,arler Policy Number Expiration Date
t.aPOnln.dtp N, b?ineRBcctFhacGenmEApe_asr, fuobr`manto the •weodwteTrsIO' Noo r LwEhNicDh ENthGis ApGerEmwNitaCiisYeR
isss-eueL,d�,aIrasihoaa_ll 3nZo0t0 eomf pthloey Laanhycpr aCrosdoen , fnI sahnayll mfoarnthnweirthsocoams ptoly bweicthPamhthoeonses6 a# bp
hereby aff
jreocvtistoiotnhse. woorekteejrs�' co,mp�ensation�law�s of �Calif�ornia, and ogre
L.n penalty of p iry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.andur's Name Lender's Address
cy my signature below, i certify to each of the following:
I Lai the f,ropErty owner or authorized to act on the property owner's behalf.
I have read mis application and the information I have provided is correct.
I agree to CUTIV ly with all applicable city and coup as and state laws relating to buid[rdi construction-
Iauthorize representatives of this city or county o enter the a ove-identifi or In purposes.l `— �i�t,I O l
ii nature of Property Owner or Authorized Agan Print Property Owner's or Authorized Agent 's Name �1t(� \_ l Dat
ACTION DATE BY I p bFrCOMPLIANCE WITfi DE OF FEDERAL FOR OFFICE USE ONLY
I LATION5 PART AND AOMD RULE
i 1403
PERMI r EXPIRED 3 --- ILJ I SuRMITTFD ASBESTOS NOTIFICATION TO
FERMfTCANCELLED LIEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMIT EXTENDED I €L be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
PERMIT FINAL. I ASBESIQS N IFICATIO. RPLICABLE TO life of the pool.
CERTIFICATE OF
OCCUPANCYGSUED �J�� F PROPpSED Q