Loading...
HomeMy WebLinkAboutE2022-0950 - Permits��EWPoRr City of Newport Beach p �cn Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 OR newportbeachca.gov/inspections 11111111111111111111111111111111111111111111111111II jj Electrical Permit : E2022-0950 Plan Check No : 0942-2020 Work Class : Other Issued Date : 12/23/2022 Inspection Area : 1 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 : 619 36TH ST Description: ELEC - PROVIDE TEMP POWER POLE Owner: JEFF THEDERS Address : 11216 RESERVOIR SANTA ANA, CA 92705 Phone: (949) 922-1833 Applicant : JEFF THEDERS Address : 11216 RESERVOIR SANTA ANA, CA 92705 Phone: (949) 922-1833 Owner/Builder: JEFF THEDERS Address : 11216 RESERVOIR SANTA ANA, CA 92705 Phone: (949)922-1833 Code Edition: Type of Construction Building Setbacks : Front: 25, Front: 5, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Legal Desc : A TR CANAL SECTION BILK 636 LOT 10 Contractor Address Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire: Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Fire Hazard Zone : NO Occupancy Groups : ��.1�1`t s"As"wI , Iz CTO OWNER -BUILDER DECLARATION 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 require$ a permit 10 Construct, alter, improve. demolish, or repair any Structure, prior t0 its Issuance, also requiresthe applicant for the permit to file a signed statement that he or sheis 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 licensure 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). 13 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 notintended 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 property, 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 it was not buitt or im oved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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 pursuantto the Contractors' State License Law). El I am exempt front licensors 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 haveresided for at feast one year prior to completion of the Improvements covered by this permit, I cannot logoll sell 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 Professions Code, is available upon request when this application is subml e t the following Web site:http:fl%vw.leginfo.ee.gov/calaw.html, y Signature of Property Owner or Authorized Agent ----- n == Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am ficensed under provisions of Chapter 9.(commencing withSection 7000) of Division 3 of the Business and Professions Code,. and my license is In full force and effect License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 {;1 P0.0D0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury' one of the following declarations: © 1 have 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 IN performance of the workfor which this permit is issued. Policy No. 01 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' compensatio insurance carrier and policy number are:. Carrier Policy Number Expiration Date Name of Agent Phone N DI certify the , ir.:;Ta 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 laws of California., and ogre. that, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p Signature of ApNlcan, _ Date t DECLARATION REGARDING CONSTRUCTION LENDING AGENCY ` I hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit Is issued. (Section 3097, Civil Code). t end=rs Nome Lender's Address By my signature helcw, I certify to each of the following: I am the p.operty owner or authorized to act on the property owner's behalf. I have real ;his application and the information I have provided is correct. (I I agree to comply withall applicable city and county ordinances and state laws relating to building construction. I a'.Ithorize raprea„niatives of this city or county to enter the above -identified property for inspection purposes. I(Signalure of Prcpzrt Dwner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY I DECLARATION CF COMPLIANCEW17H CODE OF FEDERAL FOR OFFICE USE ONLY RFr ULATIONS PART 61 OF TITLE 40 AND AOMD RULE j 1403 PERMIT EXPIRED 1 SUBM17FEO ASBESTOS NOTIFICATION TO PERMIT CANCSUED EPA PERMIT EXTENDED OMD' PERMIT FINAL ASBE5TO5 NOTIFICAr10N 15 NOT APPLICABLE TO -/ CERTIFICATEDF l^OZ vs rv�� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: