HomeMy WebLinkAboutE2023-0563 - PermitsoR' City of Newport Beach iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii II Electrical Permit : E2023-0563
p.. 6'� Community Development Department - Building Division E 2 0 2 3 0 5 6 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
6 m Permit Counter Phone: (949) 718-1888 Work Class : Other
cq� FonN�P newportbeachca.gov/civic Issued Date :
.-.,.- 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 : 2100 VISTA DORADO
Description: ELEC PANEL UPGRADE 200 AMPS
Owner: NOUTARY JEAN M TR
Address : 18162 ALLEGHENY DR SANTA ANA, CA 92705
Phone :
Legal Desc : N TR 5741 BLK LOT 1 TR 5741 (L.L.84-214029) PAR 1
Applicant: DIRECT ELECTRIC COMPANY
Address: 25695 JEFERSON AVE #17' MURRIETA, CA 92562
Phone: (951) 200-5262 x 10 1
Owner/Builder
Address
Phone:
Code Edition : 2022
Type of Construction
Building Setbacks :
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : DIRECT ELECTRIC COMPANY
Address : 25695 JEFERSON AVE #17' MURRIETA, CA 92562
Phone : (951) 200-5262 x101
Con State Lie : 872782
Lie Expire: 03/31 /2024
Bus Lie: BT30081987
Bus Lie Expire:06/30/2024
C)
Workers' Compensation Insurance
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Carrier : SECURITY NATIONAL
0
Policy No: SWC1424322
W. C. Expire: 2/8/2024
Fire Hazard Zone : NO
'
Occupancy Groups : U
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 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
is 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 Iicensurs and the basis for the alleged exemption. Any violation of Section 7031:5 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred. dollars (SSOO).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
uslness 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 Pat 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
nproved forthe purpose of sale).
I I, 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
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 licensure under the Contractors' Slate License Law for the following reason,
y my signature below I acknowledge that, exceptfor my personal residence In which I must have mailed for at least one year prior to completion of the Improvements covered by this permit, I cannot legal
all a structure that I have built as an owner -builder If it has not been constructed in itsentirely by licensed contractors. 1 understand that a copy of theapplicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.html..
gnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Sectio 00) of Division 3 of the Business and Profs one Code, and Icy license is In full force
nd effect. License Class License No Da —T 6 -2 Contractor Signature eA 1/10 . -.. l C A i O®
1fORKERS' COMPENSATION DECLARATION
V - r .41,— -
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SID0.000), IN ADDITION
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affrm under penalty of perjuryone of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industries Relations as provided for by Section 3700 of the Labor Code, for
ormance of the work for which this permit is issued. Policy No.
and wilt 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'
canter and policy number are:
Policy Number Expiration Date
of Agent Phone 9 _
I 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 workempens ation laws of Califomia, and agre
t, if I should become
,sugple(c�,[�a the workers-' comJ pensaIt t provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. \
:nature of Applicant ®fl I / 5� �{— Dot
CLARATION REGARSTRUCTION LENDING AGENCY
3reby 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).
iders Name Lenders Address
my signature below, I certify to each of the following: 4
I am the property owner or authorized to act on the property owner's behalf.
I have real this application and the information I have provided Is correct.
I agree to comply with all applicable city and county ordinances an slate laws reiafing to building construction.-
1 authorize representatives of this city orcoan led property for'ns a npurposes. cG�l rX. ��Y t �,`-C
OF COMPLIANCE WITH CODE OF FEDERAL i I FOR OFFICE USE ONLY
PART bt OF TITLE 40 AND AOMD RULE
I I (1403
PERMI r EXPIRE6 I I SUB,v11TTFb ASBES-OS NOTIFCATION 10
PERMIT EXTENDED I I I I A I L.IAOMD
PERMIT FINAL [7/tt/2-3 5 AS13ESTOS NOTIFICATION IS NOT APPUCARLE TO
CERTINCATEOF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: