HomeMy WebLinkAboutE2023-0591 - Permitsk�EWPoRT City of Newport Beach
0 A Community Development Department- Building Division
Z 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
cq� ron�'P newportbeachca.gov/civic
1111111111111111111111111111111111111111111111111jjj jj Electrical Permit: E2023-0591
E 2 0 2 3 0 5 9 1 Plan Check No : PC2023.1624
Work Class : Other
Issued Date : 07/10/2023
Final Date:
Permit Status: Issued
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: 1715 NEWPORT HILLS DR W Legal Desc : N TR 7032 BILK LOT 3
Description : ELEC TO BBQ (MORE THAN T FROM P/L, LESS THAN 42"H) *PC2023-1624*
Owner:
LITVAK URI TR LITVAK FAMILY TR
Address :
4 CHANDON NEWPORT COAST, CA 92657
Phone:
Applicant:
INSTANT POOLS LLC
Address:
116 SENCILLO PL RANCHO MISSION VIEJO, CA 92694
Phone:
(949)795-0648
Owner/Builder
:
Address:
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 19, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone :
PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : INSTANT POOLS LLC
Address : 116 SENCILLO PL RANCHO MISSION VIEJO, CA.RW94, „
Phone: (949)795-0648
Con State Lic : 1009644
Lic Expire : 07/31/2025 '
Bus Lic: BT30053469 '
Bus Lic Expire:12/31/2023
Workers' Compensation Insurance "'
Carrier : NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire: ,
Fire Hazard Zone : NO
Occupancy Groups:
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(g)
Section 7031.5, Business and Professions Code: Any city or county that requires a pehnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
IB 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 of the Business and
rofessions Code) or that he or she is exempt from licensum 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
at more than five hundred dollars ($500),
11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 70",
ushers and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale, if, however, the building or improvementis sold within One year of completion, the Owner -Builder will have the burden of proving that It was not built or
n roved for the purpose of safe).
I, as owner of the property, am exclusively Contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensors under the Contractors' State License Law for the following reason
y my signature below I acknowledge that, except. for my personal residence in which I must have resided for at least One year prior to completion of the improvements covered by this permit. I cannot legal])
oil a structure that I havo built as an owner -builder if it has not boon Constructed In its entirety by licensed Contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and
'rafessions Code, isavailable upon request when this application Is submitted or at the following Web slte:http'./Avww.teginfo.ca.govfcalaw, hunt.
!gnatura of Property Owner or Authorized Agent ______ hate
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 n giv-3$e Business and. Pr I b � n full force
nd effect. License Ulass Licensee No Date- ll '�CContraotor Signature
VORK:ERS' COMPENSATION DECLARATION
'r.NOAG. FAILURE TO 'SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL BUDJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINFS UP TO ONE HUNDRED THOUSAND DOLLARS. ($100.0001, IN ADDITION TO THE
DST OF COMPEN.^t TION, DAMAGESAS PROVIDED PORIN SECTION aRIS OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES.
hereby aff?m under penalty of perjury one of the fallowing declarations:
1 I have -and wit 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 to
erfhrme noe of the work for which this permit is issued. Policy No.
have and will maini2m workers' compensation insurance, as required by Seetion a700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rana_candec ono policy number era:.
Policy Number
Date
ofAgent _. Phone
r -'f,, that, In the performance of the + or -which this permit is issued, i shaft not employ any person in any manner so as to become subject to the workers' compensation laws Of California, and afire
g if i snould hncrme cutsjeul dd , workers compensation provisions of Seral n 3700 of the Labor Code,. I shaft forthwith comply With those provisions.
ignature of Applicant
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of. perjury that there is aconstruction lending ageneyfor the performance of the Work tar which this permit is issued (Section 3097, Civil Code).
enders 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 owners behalf,
I have read this application and the Information I have provided is correct. �1
I agree to comply with all applicable city and county ordinances a aws relating to bu g construction.
I authorize representatives of this city Or county to ar ove-identified To arty for in lion purposes. /J
ilonature Of Prooerty Owner or Authorized Apart 7f� mac... i._. runc-rTapNUL`LOwnor's pr Authorized Agent's Namevc--) L �lY , Vr" 1 \ Oate
ACTION I OATS 9Y /Cr01 L-MRCE WITH CODE OF FEDERAL FOR SE ONLY
HeFtl71, ART6t OF71TLF40ANDAQMDRULF
PERMIT EXPIRED ---i= I $UBMiTTED ASBESTOS NOTI F ICATION TO
PERMITCltNCEtlED S [—P-A_ !
PERVlii EXTENDED � �-..r�-_-
PERMIT FINAL r�
rj ry'3 " PROPOSED Oumiy EQN Is NUr APPLICABLE TO
CER7 (FfCATE Of [ii��� t
OCCUPANCY 155UEO SIGNATURE: