HomeMy WebLinkAboutE2023-0455 - Permits"EWpo City of Newport Beach IIII I II II I III II II III III I III II Electrical Permit : E2023-0455
O� Q Community Development Department- Building Division F 2 0 2 3 0 4 5 5
r i 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2040
�.� Permit Counter Phone: (949) 718-1888 Work Class : Other
r
CgC�FOR��P newponbeachca.gov/civic Issued Date : 05/17/2023
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
: 1B PINEHURST LN
Description:
ELEC TEMP POWER POLE
Owner:
PINEHURST INVESTORS LLC
Address :
15391 CHERBOURG AVE IRVINE, CA 92604
Phone :
Applicant:
Elizabeth Innes
Address :
9521 Irvine Center Dr. Irvine, CA 92618
Phone:
(949)861-2244
Owner/Builder
:
Address
Phone:
Code Edition :
Type of Construction
Building Setbacks : Front: 20, Front: 10, Side: 5, Side: 5
Flood Zone : X
Use Zone : PC - Big Canyon
PROCESSED BY
SPECIAL CONDITIONS:
Legal Desc : N TR 7223 BILK LOT 59
Contractor : JW CONTRACTING INC
Address :
16833 HAY DR CHINO HILLS, CA 91709
Phone:
(714)812-2136
Con State Lie
: 987024
Lie Expire :
09/30/2023
Bus Lie:
BT30079586
Bus Lie Expire:08/31/2023
Workers' Compensation
Insurance
Carrier :
Policy No :
EXEMPT
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 items)
cdon 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
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
fesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption.. Any violation of Section 7,031..5 by any applicant for a. permit subjects the applicantto a civil penalty of
more than five hundred dollars ($500).
Ll I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the t
Business and Professions Code' The Contractors' State License Law does not apply to an owner of property who, through emp
Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compietir
reproved for the purpose of sale).
'1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Bu:
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pui
❑ I am exempt from licensure under the Contractors' Stale License Law for the following reason:., __
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year
sail a structure that 1 have built asan owner-buildar if it has not been constructed in its entirety by licensed contractors. I undon
Professions Code, is available upon request when this application Is submitted or at the following Web sLe:htip://Ww^waeginfo.c
Signature of Property Owner or Authorized Agent -
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f b
and effect. License Class License No Dat /7
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0701 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE&
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 Cirectorof
ormance of 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 pe
prance canter and policy number are:
'ter Policy Number.
in the performance of the work for which this permit is issued., I shall not employ any person in any manner so
become Subject to the_yrorJ w$r Compensation provisions of Section 3700 of the Labor Code, I shall forthwith c
of
hereby affirm under pely�ty of perjury that there Is a construction leency for the performance of the work for which
enders Name jam' Lenders Address
ly my signature bet w, 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 thisapplication and the information I have provided is correct.
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that It was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law),
to completion of the improvements covered by this permit, 1 cannot
that a copy of the applicable law, Section7044 of the Business and
Date
n 3 of the Business and Pr ssions (' my license is in full force
Contractor Signatur
CIVIL FINES UP TO ONE HUNG D THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to the workers' compensation laws of Caffomia, and agre
lyly with those provisions. �^
Data J /
permit is issued'. (Section 3D97, Ci I Code),
I agree to comply with all applicable city and county ordinances an state lases relating to building construction.
I authorize representatives of this city or county [ ter the -identified property for inspection purposes.
>i g nature of Property Owner or Authorized Agent Print Pro a Owner's or Author ed A
ACTION DATE BY If E EON OF COMPLIANC I. CODE OF FEDERAL FOR OFFICEUS ONLY
REGULATIONS PART b1. OF TITLF.4 DAt7MD RULE
PERMIT EXPIRED
PERMIT F1NAt
CERTiFfCATEOF
OCCUPANCYISSUED
ASBESTOS NOTIFICATION TO
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_.__..__ _ _.._i_____._
11 A54F5T05 NOi IIiCATEON IS NJ'f APPLt.:ARtF
PROPOSED DEMCLITION
SIGNATURE:
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