HomeMy WebLinkAboutE2023-0212 - PermitsCity of Newport Beach
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Community Develgorpent Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachea.gov/inspections
�111111 11111111111111111111111111111111111111111111 11111 Electrical Permit: E2023-0212
Plan Check No:
Work Class : Other
Issued Date : 03/15/2023
Inspection Area : 2
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 : 853 VIA LIDO SOLD Legal Desc : N TR 907 BILK LOT 312 TR 907 LOT 312(AND ELY 15 FT OF LOT 311 )
Description: ELEC -SFR REPLACE EXIST'G SUB -PANEL *LIKE FOR LIKE/NO CHANGE IN LOCATION
Owner: THOMPSON JOHN C TR / THOMSON FAMILY TR
Address : 853 VIA LIDO SOLD NEWPORT BEACH, CA 92663
Phone:
Applicant: BUILTWELL
Address : 15333 CULVER DR #340-333 IRVINE, CA 92618
Phone: (949)466-9695
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 4, Front: 10, Side: 4, Side: 4
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY : 1
SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY ZONE
Contractor : BUILTWELL
Address : 15333 CULVER DR #340-333 IRVINE, CA 92618
Phone: (949)466-9695
Con State Lic : 1051672
Lic Expire : 03/31/2023
Bus Lic : BT30080099
Bus Lic Expire:11/30/2023
Workers' Compensation Insurance
Carrier :
Policy No : EXEMPT
W. C. Expire: _
Fire Hazard Zone : NO
Occupancy Groups: R3/U
NO CONSTRUCTION NDSE
ON THE WEEKEND
1 �: `a li` 1L `v I d 1
OWNI=K-tSUILUCK UGI.LHKH I IWY
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) 1 have placed next to the applicable item(s)
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 In Its Issuance, also requires fire applicant for
he permit to rile 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 licensors 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
tof more than five hundred dollars ($500).
I, as owner of the property, or my employees with wagas 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,
3usiness and Professions Cade: The Contractors' State License Law does not apply to an owner of property who, through employees' ar personal effort, builds or improves the property, provided that the
mmovements are not Intended or offered for safe. 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 Corer purposepe sale). exclusively g projects project ( p )
pply to an owner of of property who builds orimprovesthereon, and who contracts for the 0 rot cts wruct tfl licensed Contractor pursuant to he Contractors* State License rLawrs' Safe License Law dons not
3
1 am exempt from licensors under the Contractors' State License Law for the following reason:._____ ---- --- -- - By my 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 cannel legally
sail a structure that I have built as an 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://www.leginfo.ca.gov/calaw,htmi. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivision 3 of the Business and Professions. and I' •_:: is in f Uorce
and effect- License Class License No Date G Contractor Signature
NORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO Timm WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIND UP TO ONE HUNDRED TH S D ISI00,000), IN ADDITION TO THE
COST OF COMPENSA-ION, OA1=FS AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
I hereby a,"irm under penalty or perjury one or the following declarations:
D I have and ww 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 th
perfvrmsoce of the work for which this permit Is issued. Policy No.
Of have and will main4n 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' compensatiol
insvrpnee carrier ono poli,:y number are: -
Carrier _ Policy Number Expiration Date
Name of Agent _ Phone #
2I certify that, in the performan of t work fo 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 agfe
tht,L -' I stould beclme subject t lh w rkers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Sf rztcr•; of Applicant Date;- ......��.
DL('1 APATION f.EGARDING S UCT DING AGENCY
II hereby affirm unJ—,r f,s,ielty a. there Is a construction lending agency -for the performance of the work for which this permit Is issued (Section 3097, Civil Code),
Lenders Name Lender's Address
IBy 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 t0 comply with all applicable city and county ordinance and state laws relating to building construction.
I authorize representatives of this city or county to enter tiara ove-identlfied property for inspection purposes.
.clnnaeira of FrnnBrtv owner or Authorized Aaert f /J Print Property Owner's or Authorized Agent's Name f lEtti dY Date I
ACTION DATE I 6Y
1403
PERMIT EXTENDED
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PERMIT FINAL
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CERTIFICATEDF
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OCCUPANCYISSUED)
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WI-PnANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
61 OF TITLE 40 AND AD Rl1lE
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APPLICABLE TO