HomeMy WebLinkAboutE2024-0305 - Permits��WnoR City of Newport Beach
04 e Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
F71ryN - newportbeachca.gov/civic
iiiiiiiiii� II
Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 05/0712024
Final Date:
Permit Status: Issued
Inspection Area : 5
E2024-0305
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 : 2608 OCEAN BLVD
Description: ELEC -AC DISCONNECT (H2O24-0257)
Owner: STEPHEN NAVARRO
Address : 106 DOMINICK CT GREENVILLE, SC 29605
Phone:
Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 132 LOT 6 RESUB O
Applicant: BEN MEDINA
Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362
Phone: (818)735-7876
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - TAp-Umt Residential
PROCESSED BY:
Contractor : JUST RIGHT SERVICES PLUMBING HEATING & & A/C
Address : 23482 PERALTA DR LAGUNA HILLS, CA 92653
Phone: (949)228-2108
Con State Lic : 970383
Lic Expire : 04/30/2026
Bus Lic: BT30066798
Bus Lic Expire:04/30/2025
Workers' Compensation Insurance
Carrier : SECURITY NATIONAL
Policy No : SWC1452087
W. C. Expire: 7/15/2024
Fire Hazard Zone : NO
occupancy Groups:
I hereby affirm under penalty of perjury that I am exempt from the Contractors Slate 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, 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 (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensore 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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
,usiness and Professions CodeThe 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
nprovements 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
❑proved for the 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 Law).
I I am exempt from licensors under the Contractors' Slate License Law far 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,
all a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent ____ Date _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 i i of the Business and Profesat ode, and my license is in full force
no effect License Class License No bate Contractor Signatu
ifORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100.000), IN ADDRION TO THE
OSr OF COMPENSATION, OAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and wall maintain a certirrcate 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
'ormance of the work for which this permit is Issued. Policy 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
Date
ne of Agent Phone #
certify that, in the performance of the work for which this permitis issued', I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
. if I should become subject to the workers compensation provisions of'Section 3700 of the Labor Code,. I shall forthwith Comply with those provisions. r ) i
Of
S
hereby affirm unde al equry that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code),
ender's Name Lenders Address
fy 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 information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. 1�7
I authorize representatives of this city or county to enter me above -identified property for inspection -purposes. j y r„ Ib dr/
denature of Pronedv Owner or Authodzed Agent � 1 ----Print PronaM Owner'% or Authnrized Anant'a Name 0
ACTION DATE (BY
o UAR COMPLIANCE61 7 T E WITH
CJ DE OF FERAL FOR OFFICE USE ONLY
LATION
PERMIT FA FIRE 1
..._E i _.._.... .... ..._.V..
PERL4.T- ANCFI lSU
PERMfTFINAL 3��'`� (.AL i UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF f i PROPOSED DEMOLITION
OCCIJPANCY6d uc0 SIGNATURE:
Date " 1