HomeMy WebLinkAboutE2023-0189 - PermitsWPORT City of Newport Beach
o - A Community Development Department- Building Division
r n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
o-
Cq��FORN\P Inspection Requests Phone: (949) 644-3255
newportboachca.gov/inspections
iiiiiiiiiii II
� s t. � s ... wr' s '�.✓' d 9
Electrical Permit : E2023-0189
Plan Check No : PC2023.0486
Work Class : New
Issued Date : 04/06/2023
Inspection Area : 7
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 : 137 NEWPORT CENTER DR Legal Desc : N TR 6015 BLK LOT 14 TR 6015 LOT 14 POR OF LOT AND POR OF LOT 17
Description: ELEC (36) LOW VOLTAGE LIGHTING FIXTURES AND (1) NEW CIRCUIT FOR (E)COMM UMBRELLAS
Owner: IRVINE CO
Address : 111 INNOVATION DR IRVINE, CA 92617
Phone : (949) 720-3167
Applicant:
JAMES BRECK
Address:
3187 AIRWAY AVE., C COSTA MESA, CA 92626
Phone :
(949) 368-3003
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
SPECIAL CONDITIONS:
X
PC - North Newport Center
Contractor : CUESTA CONSTRUCTION CO
Address :
3195A AIRPORT LOOP DR COSTA MESA, CA 92626
Phone :
(714) 557-5877
Con State Lic
: 568466
Lic Expire :
05/31/2023
Bus Lic :
BT20012806
Bus Lic Expire:12/31/2023
Workers' Compensation
Insurance
Carrier:
INS CO OF THE WEST
Policy No:
WVE503883004
W. C. Expire:
12/31/2023
Fire Hazard Zone : NO
Occupancy Groups:
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 items)
(Section 7031.5, Business and Professions Code; Any city or county that requires a permit to Construct, alter, improve, demolish, or repair any structure, poor 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 licensure andthe 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 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
f
improved for the purpose of sale).
13 f as owner of the properly, 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 pursuantto the Contractors' State License Law).
11 1 am exempt from lEensure 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 legal
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 taw.. Section 7044 of the Business and
Professions Code., is available upon request when this application is submitted or at the following Web site:tittp:tlwww.leginfo.ce.gov/calaw,htmi,
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 Wi ion of the Business and P fe oda.. and my license is 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 HUNDRED THOUSAND DOLLARS fS100,000), IN ADDRION TO TH
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
k❑ 1 ve 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 11
pe mance of the work for which this permit is issued. Policy No.
ave. 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' comperi
insurance carrier and policy number are;
ter Policy Number Expiration Date
is of Agent Phone If
certify the(, in the perfa 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 agree
if I should become eject e workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. //o /v iature of Applicant Dat
`I AOATInU Ge„, I / %'mil' •
L'nA b FITM r`n Ai eTDI 1F: Iu nW CMl nrr_ encti e—V
hereby affirm under penalty of perjury that there is a construction Iend!rg agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade),
.Coders Name Lenders Address
iy 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 appItcaLon and the information f have provided is correct.
I sg,bs to comply , ithall applicable city and coup rdinane s and state laws relating to building construction.
I authorize represe, ta::lves of this city or county enter e-Identified property for inspection purposes. ��j3�" �(�nj��
;ic.latare of Prooertv Owner or Authorized Agent Print Prooertv Owner's or Authorized Apar is Name Y F''G
ACTION ' DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I 1 REGULATIONS PART 61 OF TITLE 40, AOMD RULE
PERMF7 EXGR£D
0 I SUBMITTED ASRE5T05 NOTIFICATION TO
_____
PERMiTCANCEILED
EPA__
PfrMl r£X ENDED
QM.D
F_fi4 Tpglgl
CI-�•�.�
_
—�-- ASBESTOS NOT IS NOT APPLICABLE TO
CEh TIFIr'AI d OF
PROPOSED DEMOLITION
OCCUPANCYf55UEC
SIGNATURE;