HomeMy WebLinkAboutE2023-0864 - Permits�wwpoRT City of Newport Beach
e, Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
cqt Fo a��r newportbeachca.gov/civic
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Electrical Permit
Plan Check No : PC2023.2497
Work Class : Other
Issued Date : 10/17/2023
Final Date:
Permit Status: Issued
Inspection Area : 6
E2023-0864
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 : 869 SANDCASTLE DR
Description : ELEC - OUTLET FOR BBQ
Legal Desc : N TR 6228 BILK LOT 54
Owner: CRISTINE COHEN
Address : 1718 PORT MARGATE PL NEWPORT BEACH, CA 92660
Phone: (714)393-6692
Applicant: SCHWARZ POOL INC.
Address: 3344 TAURUS LN SANTA ANA, CA 92704
Phone: (714)241-7665
Owner/Builder :
Address
Phone:
Code Edition :
Type of Construction
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : SCHWARZ POOL INC
Address :
3344 TAURUS LN SANTA ANA, CA 92704
Phone:
(714)241-7665
Con State Lic :
967325
Lic Expire :
09130/2024
Bus Lid:
BT30038738
Bus Lic Expire:03/31/2024
Workers' Compensation Insurance
Carrier :
EXEMPT
Policy No :
NO EMPLOYEES
W. C. Expire :
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 reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
iechun 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
Ic 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 Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penaity of
of more than five hundred dollars. ($500).
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 does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovoments 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 R was not built or
nproved for the purpose of sale).
1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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),
J I am exempt from lioensure under the Contractors' State 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 Iegall,
oil a structure that I have built asan owner -builder if it has not boon constructed in its entirety 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:l(wvv,leginfo.co.gov/calaw,html.
ignature of Property Owner or Authorized Agent �__ �_ Date
.ICEN.SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr-ofejsions Code, and my license is In full force
Ind effect. License Class License No Date 10 • i Z Contractor Signatu&
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL (8t00.000), IN ADDITION TO T'HE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certifrcal , 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 Ih
erformance of the work for which this permit is issued. Policy No.
have 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'
ranee carrier and policy number are:
Policy Number
Date
9of Agent rruna n
�i. illy that, in the peRormance 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 agre
t f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
Ignature of Applicant _,.,,..._...,,._...,___.______._...._._...—..-.--.--.------..,--_.._._.._._.�_.___ D i G l� " Z 3
._<..
ECLARATtON REGA f CONSTRUCTION LENDING AGENCY
hereby 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, full Code).
enders Name _ Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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.
I authorize representatives of this city or cou`nty�to enter thy. above-ide tied property for inspection purposes. /�
ignalure of Property Owner or Authorized Agenry !7J!/ Print Property Own or Authorized Agent's Namg�{ �-nn:r � i Gwa 2 Date ) C t 7 2Z
ACTION DATE BV W \ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY
REGULATIONS PART 61, OFTITLF. 40 AND AgMO RULE
1403
PERMIT EXRiREO I I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
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j ❑ ASHE5105 NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE Or
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S PROP05FO DEMOLITION
OCCUPANCYISSUEO
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' SIGNATURE: