HomeMy WebLinkAboutE2023-0177 - Permits;WPoR� City of Newport Beach
p� d em Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
6 r Permit Counter Phone: (949) 644-3288
C,GriD ftN�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
1111111111111111111111111111111111111111111111111111JillElectrical Permit : E2023-0177
Plan Check No : PC2023-0492
Work Class : Other
Issued Date : 03/21/2023
Inspection Area : 6
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 : 33 BARGEMON Legal Desc : N TR 15934 BILK LOT 39
Description: ELEC -200 AMP MAIN SERVICE PANEL UPGRADE
Owner:
JAMES TRUONG
Address :
33 BARGEMON NEWPORT COAST, CA 92657
Phone:
Applicant:
WALDIRHENRIQUEZ
Address :
614 W COLORADO ST GLENDALE, CA 91204
Phone :
(818) 804-3122
Owner/Builder
:
Address:
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Newport Ridge
PROCESSED BY: �q2
SPECIAL CONDITIONS:
Contractor : SOLAR OPTIMUM INC
Address :
614 W Colorado St. GLENDALE, CA 91204
Phone:
(818) 804-3122
Con State Lic:
972228
Lic Expire :
04/30/2024
Bus Lic:
BT30063259
Bus Lic Expire:05/31/2023
Workers' Compensation
Insurance
Carrier:
STARNET INS CO
Policy No :
BNUWC0157027
W. C. Expire:
5/18/2023
Fire Hazard Zone : NO
Occupancy Groups : R3/U
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the resson(s) indicated below by the checkmark(s) I have placed next io the applicable item(s)
(Section 7031.5, Business and Professions Code. Any city or county that requires a. permit Io construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
the pormit 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 licensers 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
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all Of at L) portions of the Work, and the structureisnot intended or offered for sale (Section 7044,
Business 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 properly, provided that the
Improvements 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 II was not built or
'gym -(proved for the purpose of sale).
L-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
apply 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).
❑ 1 am exempt from liconsure under the Contractors' State License Law for the following reason:.
............... --- — —
By 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 legalll
sell a structure that I have built as an owner -builder If it has not boon constructod in its entirety by liconsnd contractors.. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code., Is available upon request when this application Is submitted or at the following Web site:http:I/www.leginfo.ca.gov/calaw.htmf,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of gt�erry that I am licensed under provisions,q to 9 commencing with Section 7000 of Division 3 of the Business and Professio s Code, a sa is In full force
and effect. License Class M License No ''11 Date 'r � 1 I Q Contractor Signature
NORKERS' COMPENSATION DECLARATION /t )
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR LODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm order per alty of perjury one of the following declarations:
. I havr. and will 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
)Artormacce of ll t.ork ;or 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 thework for which this permit is issued. My workers' compensatior
'F ural,Ga carder nd policy number are: fy
�ar,ier_J,A p y, r�'.� ' wvne:»4 Policy Number � IU we-o 1 � _, O � Expiration Date h Y
Vame at Agent _. r��-� Phone ft
JI certify that, in the per:Ormanee 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' compensati6 n laws of California., and agree
hat, it I should become Subject to the workers'conevensaflon revisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
iBmalure of Appli^.ant T`149 Date
DECLARATION REGAf G GCONSTRUCTION LENDING AGENCt
h-ireby a`firm under FOrAlty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3D97, Civil Code).
-enders Name Lender's Address
3y 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 tarred.
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 count he led property for inspection purposes. ( yp�- �j )Q
3ionature of Prnnartv Owner or Authorized Anent Print ProDertv Owner's or Authorized ADent's Name X, f j ✓, Dates )/ J. 1
n[7ICN DATE BY - DECLARATION OF COMPLIANCE WITH CODE OF FFDCRAL FOR Of -FIDE USE ONLY r
REGULATIONS PART 61 OF TITLE 40 AND AOMD RU I E
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY I55.
UASHES POS NOTIFICATION IS NOT APPLICABLE TO
-ICA��� r, 6Y� IC• PROPOSED DEMOLITION
SGNATUR