HomeMy WebLinkAboutE2024-0138 - Permits04'.
City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
11111111111111111111111111111111111111111p111111jjjjj Electrical Permit : E2024-0138
E 2 0 2 4 0 1 3 8 Plan Check No : PC2024-0440
Work Class : Other
Issued Date : 0310612024
Final Date:
Permit Status: Issued
Inspection Area : 5
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 : 3328 OCEAN BLVD Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 139 LOT 1 RESUB O
Description : ELEC TEMP POWER POLE *XR2024-0531/0532*
Owner: SWEENEY RYAN J TR
Address: 53 BARRY LN ATHERTON, CA 94027
Phone: (650)862-5053
Applicant: LEGACY C D M INC
Address: 2618 SAN MIGUEL DR #204 NEWPORT BEACH, CA 92660
Phone: (949)677-3650
Owner/Builder:
Address
Phone:
Code Edition :
Type of Construction
Building Setbacks : t: 25, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-1 - ingle-Unit Residential
PROCESSED BY:
Contractor : LEGACY C D M INC
Address :
2618 SAN MIGUEL DR #204 NEWPORT BEACH, CA.P-2660
Phone:
(949)677-3650
Con State Lie
: 962720
Lie Expire :
04/30/2025
Bus Lie:
BT30043218 '
Bus Lie Expire:06/31/2024
Workers' Compensation
Insurance '
Carrier :
STATE FUND
Policy No :
9147240
W. C. Expire :
11124/2024
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 forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
5eclion 7031.5, Business end 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 the applicant for
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and
rofessions Cods) 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
of more than five hundred dollars ($500).
1 1, 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,
:usiness and Professions Code: The Contractors' State License Law doesnot apply to an owner of property who, through employeesor personal effort, builds or improves theproperly, provided that the
nprovemenls are not intended or offered far sale. If, however, the building or impravement is sold within one year of completion, the Owner -Builder will have the burden of proving that II was not built or
nproved forthe purpose of sale).
1 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
poly 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 Lave).
3 1 am exempt from licensure under the Contractors' Slate License Law forthe 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 legal
all a structure that I have built as an owner-bulldcr if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rdfessions Code., is available upon request when this application is submitted or at the following Web site:http:ilwww,leginfo.ca.govlcalavr.html.
signature of Property Owner or Authorized Agent _Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with 5000) f Division 3 of the Bus as and Professions Code, and my license is in full force
nd effect. License Class License No a Contrac r ignature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECG.3E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tEt Oe,UDII), IN ACDrTMN TO TH
OST OF COMPENSA\ IUN, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE. INTEREST, AND ATTORNEYS PEES.
:ILrJly fflrm ui.der penalty of perjury one of the following declarations:
J. I have and will maintain a certificate of consent to self•irbu re for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 11
Eajormairce of the workfor which this permit is issued. Policy No..
a 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
Date
In a' Agent _/ Phone # I_
ca, h,y hat, in. A pgrrormande of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the M orkers' compensation laws of California., and
if I sLoN bycoma subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with Phase provisions.
Ireby 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 Code).
Ider s Name Lender's Address
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 info ation I have provided Is correct.
f agree to comply with all applicable o y and county ordinances and slate laws relating to building construction.
I authorize representatives of this city r county to enter the above -identified property for Inspection purposes.
or Aul orted Nent Print Property Owner's or AUthof¢ed A
DATE VI BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL '.. FOR OFFICE USE ONLY
RE13ULATIONS PART St OF TITLE 40 At AOMO RUU
PERMIT EXPMED Lt I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED �— LJEPA
PERMIT FINAL r�Y -7 ASBESIU5 OIIEICATION IS NUTAPPLICABLE TO
CERTfFOCCUPICATE OF ✓ �• Z ' SIG AT BL OLITION --
OCCUPANCYlSSUEO ? SiGNATUR �.4