HomeMy WebLinkAboutE2022-0887 - PermitsQ ��WPOQT
City of Newport Beach
Community Development 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
C9C/F00.N�P
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
111111111111111111111111111111111111111111111111111111Electrical Permit : E2O22-o887
Plan Check No:
Work Class : Other ��
Issued Date: 1112812022 �"-
4 �" 6 .aV .
Inspection Area: 4
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: 2106 LOGGIA Legal Desc : N TR 15584 BLK LOT 5
Description : ELEC RE -ENERGIZE ELECTRICAL METER
Owner:
NEWPORT BLUFFS LLC
Address :
6110 RESIDENCIA NEWPORT BEACH, CA 92658
Phone:
Applicant :
L.0 Electric Inc.
Address:
17762 Mitchell N. Irvine, CA 92614
Phone:
(949)536-3200
Owner/Builder
:
Address
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks:
Flood Zone
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
X
PC - Bonita. Canyon
Contractor : L.0 Electric Inc
Address : 17762 Mitchell N. Irvine, CA 92614 -
Phone: (949)536-3200
Con State Lie : 603868
Lie Expire : 11/30/2023 °
Bus Lie: BT30041336
Bus Lie Expire:11/30/2022
Workers' Compensation Insurance
Carrier : PALOMAR SPECIALTY INS COMPANY
Policy No: PSIC0815206
W. C. Expire : 10/30/2023
NO °° °
Fire Hazard Zone: °
Occupancy Groups:
OWNER -BUILDER DECLARATION
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 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, priorto its Issuance, also requires the applicant for
ie 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 lieensare 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).
11, as owner of the property, or my employees with wegas as their sole compensation. will do (_) all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044,
Iusiness 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
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bulider will have the burden of proving that it was not built or
eproved. for the purpose of sale)-
3 I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
5ply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason'
Iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I Cannot legal[,
all a structure that 1 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 7C44 of the Business and
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:/hnvm.leginfo.oa.gov/ualow.htmi.
Iignature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Dlvi'on 3 of the Business and Profossio. ode, antl_1diCanse is In full force
ndeffect. License Cf,rs License No Date 1/ 2jj Y2 Contractor Signature t��P
VCRKERS' COMPENSATION DECLARATION
ARMING: FA. LURE TC re:9PF WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN AODFDON TO THE
OST OF COMPENSATION, OANLrGF9 AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I !rave and will malntem 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 to
erprmvnce of the workiar which this permit is issued. Policy No..
,a vJ and will :na'ritalc 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'
T-tre carrier and policy number are!
Policy Number
of Agent
Date
certify -hat, 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 laws of California., and afire
, if I s0ould be,olnL Sol t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions.
ralure of Applicant /......, Date / /'/ Z �/� Z
`I ARAT1nN 1; , niNr f>E' _
Neby affirm under penal of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 country to enter the. -identified property for inspection purposes.
Date
ACTION DATE BY DECLARATION
COMPLIANCE61 OF Ik,I FOR OFFICE USE ONLY
LATIONS PARTTITLE 40 AND AQMO RULF.
PERMITEXPIRED i LJ f SUBMITTED AS8ESTOS NOTIFICATION TO
PERMITEXTENDED
iFAOMO
P£RMITFINAL
it
___
A58FS105 NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OP
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: