HomeMy WebLinkAboutE2022-0440 - Permits�4wPo"� City of Newport Beach IIII III III
p, `��1. 1 Community Development Department- Building Division
_;.. `- •� Permit 0 unteePhone: (949) 6443268 Newport Beach, CA 92660
' ¢ Inspection Requests Phone: (949) 644-3255
IF oFN`r newportbeachCa.govlinspections � I.
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Electrical Permit : E2022-0440
Plan Check No : 1139-2021
Work Class : Other
Issued Date: 07/1912022
Inspectlon Area: 2
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 : 205 AMETHYST AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 19 LOT 26
Description: ELEC: INSTALL TEMPORARY POWER PIGGY -BACK -
Owner: BOHLINGER PETER Y TR
Address : 1140 HIGHLAND AVE MANHATTAN BEACH, CA 90266
Phone :
Applicant: BRYCESANTANIELLO
Address: 3419 VIA LIDO UNIT 115 NEWPORT BEACH, CA 92663
Phone: (714)600-3719
Code Edition : 2019
Type of Construction
Occupancy Groups:
Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY: tj•en TQv?
Contractor :
BRYCE SANTANIELLO - • ^
Address :
3419 VIA LIDO UNIT 115 NEWPORT BEACH, CA 92663 ^' .
Phone:
(714) 600-3719 -
Con State Lie :
1070607
Lie Expire :
11/30/2022 •>
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier
Policy No:
W. C. Expire:
Fire Sprinklers: NO
Fire Hazard Zone: Y
I herebyaffirm 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 appllcdble Harris)
[Section 703L5. 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
the -permit to file a signed statement [hat 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 licensure, and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as Owner of the property, or my employees with wages as their sole compensation, will do (_) ail of or U portions of the work, and the structure Is not 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 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 built or
improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and. Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who builds or improvesthereon, and whocontractsfor the projects with a licensed Contractor pursuant to the Contractors' State License taw).
❑ 1 am exempt from Iicensure 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 most have resided for at least One year prior to completion of the improvements covered by thispermit,.I cannot tegag}
sell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. -I understand that'a copy of theapplicablelaw, Section 7044ofthe Business and
Professions Code, is available upon request when this application is submitted orat the following Web site:http://uvm.leginfe.ca.gov/calawhtml.
Signature of Property Owner or AuthorizedAgentDate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under pnnatly of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Profess' c , and my Ii ansEe
and effect. LICen3e Lt[ass License No Date g= 7�'" Contractor Signature
WORI:ERS' r;OlVjPLNSATION DECLARATION
JARN:NG: FAILURE TO SECURE WORKERS -COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TOONEMUN OU$ANO DOLLARS (St00.0se). IN ADDITION TO THE
CuST Or COMPENSATION; DAMAGES AS PROVIDED FOR 1N SECTION 37W OF THE LABOR CODE, INTEREST,ANU ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
JIF-I I have. and All mointain 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
WI
of the work for which this permit is issued. Policy No.
tuft have and vA:; 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' compensa
11insurance carrier and policy number are:
ne of Agen'
certify that, in fi.c performance of the
if I should tecome subject S a wo
Policy Number
Date
this permit is issued, I shag not employ any person in any manner so as to become subject to Iris workers' compensalion laws of California, and afire
SIIZR-provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
pate' 7/19/22
hereby affirm under penalty of perjurythatthere is a construction lending agency for the performance of the work forwhich-this permit is Issued(Section3007, Civil Code)
Ender's Name Lenders Address
ly 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 correct.
I agree to comply withallapplicable city and county ordinances and state taws to but ing construction.
I authorize representatives of this city or county to enter ve-identified rope purposes. X BI"VC@ Satlt�
.;—I.— -f o.,.,.on„ n.�,n . ,— A,Jh —d Anent X i � PTn Print nem, Owner's nr Authorized Anent's Name C
ACTION I DATE By �N of COMPLIANCE WITH CODEOFFEDERAL I FOR OFFICE USE ONLY
( LATIONS PART 61 OF TITLE 40 AND AQt4D RULE
PERMIT EXPIKED
LJ I SUBMITTED ASBESTOS NOTIFICATIONTO
All required alarms, latchesgates and fenceswhich serve as part of a pool/spa barrier, shalt
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
PERMITCANCELLED
DEPA
PERMIT EXTENDED
DNtD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYf55UED
�Qj (,�
1 ' I
ASBESTOS NOTIFICATION 15 NOT APP ABLE TO
6 PROPOSED DEMOUTCOf ,,
` SIGNATUFR£:
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