HomeMy WebLinkAboutE2023-0105 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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
newportbeachca.gov/inspectons
E 2 0 2 3 0 1 0 5Electrical Permit : E2023-0105
Plan Check No :
Work Class : Other
Issued Date : 02/15/2023
k t e,,,, ,_,,, f--_ _ _ 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 : 2433 VISTA HOGAR Legal Desc : N TR 5798 BLK LOT 82 TR 5798 (L.L.84-245722) PAR 82
Description: ELEC: UPGRADE ELECTRICAL MAIN SERVICE PANEL TO 200A
Owner: COOPER LOUISA S TR
Address : 3625 NUUANU PALI DR HONOLULU, HI 96817
Phone : (808) 245-5009
Applicant: COOPER LOUISA S TR
Address : 3625 NUUANU PALI DR HONOLULU, HI 96817
Phone : (808) 245-5009
Owner/Builder: COOPER LOUISA STIR
Address: 3625 NUUANU PALI DR HONOLULU, HI 96817
Phone : (808) 245-5009
Code Edition: 2022
Type of Construction
Building Setbacks:
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: I ' 1
SPECIAL CONDITIONS:
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: U
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, prior to its Issuance, also requires the applicant for
To permit to file a signed statement that he or sheds 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 Ilcensure 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,
Eusiness 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-Buiiderwill have the burden of proving that it was not built or
+nyproved for the purpose of sale).
a�! 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
pply 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).
3 1 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 reel ence In which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)
ap a structure that I have built as an owner -builder if it has t In nstmctod in Its entirely by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and
7ofessions Code is available upon request when this SIG It is Ib or at the following Web site:htip://wwwaeginfo.ca:gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION I/_
hereby affirm under penalty of perjury that I am licensed rider provisions of Chapter g (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNINO 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
OST 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 declarations:
] I 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
erformancaof 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 # _
41 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 laws of California, and agree
fat, if I should become subject to eryr�ompensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply With those provisions.
ignature of Applicant � / �� Data,— �
ECLARATION REGARDING CD $ RUC DN L ENDING AGENCY
hereby affirm under penalty of p jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
ender's Name Lenders Address
y my signature below, I certify to each of the following:
I am the prank Try 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 corno.y wi,t, all applicable city and county ordinances a state laws rotating to building construction.
I authorize representa;ives of this city or county to en r/ at�,�,, Identified property for inspection purposes. �e may/ I,�/
ionawre of Property Owner or Authorized, /A /f Print Property Owner's or Authorized Aoent's Name s-/ L�-tW� V Y- '�- Dato ,� / 3
FOR OFFICE USE ONLY
RE ULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
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