HomeMy WebLinkAboutE2023-0221 - Permits"1,* 0RT City of Newport Beach
p - ecn Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
r Permit Counter Phone: (949) 644-3288
Cq</F00.N`P Inspection Requests Phone: (949) 644-3255
newpodbeachca.gov/inspections
1pil1111111111111111111111111111111111111111111111111Electrical Permit : E2O23-0221
Plan Check No
Work Class : Othpr
Issued Date: QOj760C3
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 : 1795 PORT STANHOPE CIR Legal Desc : N TR 14533 BLK LOT 2
Description: ELEC UPGRADE TO 200 AMP MAIN SERVICE PANEL
Owner:
NATHAN KUCHERA
Address :
1795 PORT STANHOPE CIR NEWPORT BEACH, CA 92660
Phone :
Applicant:
BILL SELVIG
Address :
20905 QUAIL CIR YORBA LINDA, CA 92886
Phone :
(714) 873-8767
Owner/Builder
:
Address
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 20
Flood Zone :
X
Use Zone:
PC - Harbor View Hills
PROCESSED BY
SPECIAL CONDITIONS:
Contractor :
NEXGEN SOLAR
Address :
20905 QUAIL Cl YORBA LINDA, CA 92886
Phone :
(714) 873-8767
Con State Lie
: 973276
Lie Expire :
05/31/2024
Bus Lie:
BT30080834
Bus Lie Expire:02/29/2024
Workers' Compensation
Insurance
Carrier :
STATE COMPENSATION INSURANCE FUND
Policy No :
9284406
W. C. Expire:
10/1/2023
Fire Hazard Zone : NO
Occupancy Groups : R3/U
T ry
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 items)
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 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
Irofessions Code) or that he or she is exempt from leensure 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 wages as their sole compensation, Will do (_) all of or (_) portions of the work, and the structureisnot intended or offered for sale (Section 7G44,
fusiness 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-Builderwill have the burden of proving that It was not built or
n-tproved for the purpose of sale).
11, 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 pursuant to the Contractors' State License Law).
I I am exempt from hGensure 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 least one year prior to completion of the improvements covered by this permit I cannot legall}
oil a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rafessions Code, is available upon request when this application is submitted or at the following Web site:http:tfwww.loginfo.ca.gov(calaw.html.
;ignature of Property Owner or Authorized Agent Date
,ICENSEC Z::,NTRACTOR'S DECLARATION
hereby ahfrT .a.der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) tuts n 3 of the Business and Profess' s C it, a d y i' a is In full force
rid effect. Licerse Class License No Date Z Contractor Signalur
VCRKERS' C_MPENSATION DECLARATION
'A'tNINO: FAILURS TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISID . IN DITION TO THE
031 OF COMPENSATION, OAMAGFS AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm ur.do, penalty of perjury one of the following declarations:
1 have and w'r'I 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, forth
ttrmanceof the work for which this permit Is issued- Policy Rkr _
,I`Iave and wit: maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatio
�mrce carrier anC ;cICy number are:
vier Policy Number Expiration Date
r=_ cf Agent _ Phone N
Ledify that., Ir the perform a of the rk for h this permit is issued If not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
1f I should become subje t the r rs c n a n provf Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
rat`reofApplicant. p
hereby affirm under penalty 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).
ender's Name Lender's Address
ly 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 c}q(�rect.
I agree to comply with all applicable city and county Fdh/ n�cps apt5 ktate laws relating to building construction.
I authorize representatives of this city or coup rite ;/a eptified property for Inspection purposes. � _ r'] J y C,i
or
PERMIT CANCELLED
REGULATIONS PART 61 TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
�-7-'TL_IAQMD
PERMIT FINAL
_
11 ASRES FOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF
PROPOSED DEMOLITION
OCCUPANCYISSUEO
SIGNATURE:
Owner's or Authorized AD
i FOR OFFICE USE ONLY