HomeMy WebLinkAboutE2024-0154 - Permits�EWPpQT City of Newport Beach
0� ecn Community Development Department- Building.Division
F 100 Civic Center Drive, Newport Beach, CA 92660
G = Permit Counter Phone: (949) 718-1888
C��/wFO0.N�P newportbeachca.gov/civic
Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 03/11/2024
Final Date:
Permit Status: Issued
Inspection Area : 2
E2024-0154
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 : 105 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 877 TRACT NO 907 LOT 877 & 878 AN
Description: ELEC - RELOCATE POOL PUMP (P2024-0093)
Owner: FLUTER RUSSELL E TR
Address : 2025 W BALBOA BLVD NEWPORT BEACH, CA 92663
Phone: (949)466-9468
Applicant: MICHAEL A EVANS INC
Address: 9197 NADINE RIVER FOUNTAIN VALLEY, CA 92708
Phone: (714)963-9809
Owner/Builder :
Address
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 10, Front: 4, Side: 4, Side: 4
Flood Zone :
AE, 8 FT; X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY
Contractor : MICHAEL A EVANS INC
Address :
9197 NADINE RIVER FOUNTAIN VALLEY, CA 92708
Phone :
(714) 963-9809
Con State Lic
: 498867
Lic Expire :
09/30/2024
Bus Lic:
BT30082598
Bus Lic Expire:09/30/2024
Workers' Compensation
Insurance
Carrier:
NO EMPLOYEES
Policy No:
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups:
OWNER -BUILDER
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)
Secton 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 foe
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
'professions 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 for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 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,
: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).
11, 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
pply to an owner of property Who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ConlractoFs' State License Law).
I I am exempt from licensure under the Contractors' State License Law for the following reason:._,T_____
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 legally
Gil a structure that I have built as an owner-buildar if it has not boon constructed In its entirety by licensed contractors. I understand that a copy of the applicable )ow, Section 7044 of the Business and
'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:ti"ww.leginfo.co.gov(calaw,html.
.ignature of Property Owner or Authorized AgentDate
ACENSED 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 Profe'.;Igns C �mY license is in full force
nd effect. License Class License No ate a3�('g-z� Contractor Signature !! G f d
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CwR FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following dec€arallons:
] I have and wHl maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lhr
erformance of the work for which this permit Is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
ranee carrier and policy number are:
Policy Number Expiration Date
of Agent Phone N
certify that, in the performance of the work for which this permit is issued, I shall not employ any :person in any manner so as to become subject to the workers' compensation lays of California, and agre
that, If I should become subject to hle/ew��vorkers' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions.
Signature of Applicant����C.._ .-.-..�. Date
DECLARATION REGARDING ONSTRUCTION LENDING AGENCY
i hereby affirm under penalty of perjury that there Is a construction [ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I claoVy to each of the following:
1 am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city orcounty ter the b e-id tified property for inspection purposes. C o _
Signature of PropertyOwner or Authorized Agent ` 1, Print Property Owner's or Authorized A enT$ Name N1`�^'r A�`"E "S Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE
1403
PERMMIT EXPTED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCEU EO CIEPA _
PERMIT EXTENOEC — -- g_.__MAQND
PERMIT FfNAL EE ASBESTOS NOT IFICATION IS NOT APPLICABLE TO
CERTIFICATE OF 'Y t PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: