HomeMy WebLinkAboutE2023-0101 - Permitsy ?ORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII��IIIII�IIIII Electrical Permit : E2023-0101
o e Community Development Department- Building Division E 2 0 2 3 0 1 0 1
*, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0353
Permit Counter Phone: (949) 644-3286 Work Class :Other
Inspection Requests Phone: (949) 644-3255 Issued Date : 02/21/2023
ORN�
newportbeachca.gov/inspections 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 : 529 VISTA FLORA Legal Desc : N TR 5740 ELK LOT 26 TR 5740 (L.L.84-214028) PAR 26
Description: ELEC 225 AMP MAIN SERVICE PANEL
Owner: DOUGLASS NANCY
Address : 2401 BUNYA ST NEWPORT BEACH, CA 92660
Phone :
Applicant: CATHYHEVENS
Address : 9240 LIMONITE AVE YURUPA VALLEY, CA 92509
Phone: (626)221-7236
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 : CURRENT HOME SOLAR
Address : 32840 WOLFSTRE RD STE A TEMECULA, CA 9259;,,,
Phone: (951)471-7190 „
Con State Lic : 1045016
Lic Expire : 09/30/2024
Bus Lic: BT30079994 '
Bus Lic Expire:11/30/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9235935
W. C. Expire: 8/3/2023
Fire Hazard Zone : NO
Occupancy Groups
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of per):••..ury 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 item(s)
,(Section 7031.5, Business and Professions Code: Any City or county that requires a pennit to construct, alter, Improve, demolish. or repair any struohres, prior to its Issuance, also requires the applicant fr oa
,ommencing with Section 7060) of Division 3 of are Business and
the pormit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (c
,professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031..5 by any
not mare than five hundred dollars ($500). applicant for it permit subjects the applicant 10 a civil penalty of
El 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 notintended proffered 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 theproperty, 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).
El I, 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
apply to an owner of property wfro builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
❑ 1 am exempt from licensure under the Contractors' Slate License Law for the following reason.
By my signature below P.. acknowledge [hat, 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 legally
sell a structure that I have built asan owner-buiddnr if it has not been constructed in its entirety by licensed contractors.. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, isavailable upon request when this application is submitted or at the fallowing Web site:http://www.laginfo.ca.gov/calaw,htmi.
Signature of Property Owner or Authortzed Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 00 of piv€lion 3 of the Business and Pfofa_ssions Code, and my license is In full force
and effect. Llcer . C'ass License No OR t /.�� Contractor signalula��
WORKERS' CCh.f'CNSATION DECLARATION
IV4RPNr0 °AILURE T J SECLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (slaiLD00), IN AcornON TO THE
COST OF COJMPENS.TION, D-MAGESAS PROVIDED FOR IN SECTION 370A OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hcri affirm under penalty of perjury one of the following declarations:
I have and wiltif l' ma'rtain a cercate 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 thl
7ehOnnaaCe Of 1110 work. for which this permit is Issued. Policy No.
have and will .nafr in 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' Compensatiol
farce D/arr er and pai'cy number are; Q
'ier "Qe�/} �'� j(,//'J/) Policy Number �,� Expiration Date x� Z
tom. of Agent _._ Phone #
JI certify that., in We penormance of the work for which thispermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California., and agre
r;t, it I sLould become'subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth'wilh comply with those provisions. p n a tgnature of Applicant DateX, 02/2—/J�
FECLARATION RECING-CONSTR DING AGENCY (_—
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).
enders 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or eoun mer the above -identified property for inspection purposes.
icnature of Pmoartv Owner or Authnri>.ar/0 _I� - „ ._. „ _ . _ . _ I n Li9a / C 1�
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY
REGULATIONS PART bl OF TITLE 40 AND ACM) RULE
1403
PERMITEXTENOEO uON40
PERMITPINAL RESTOSNOTIFICATION IS NOTAPPLICASi TO
CERTIHCA7F Of PROPOSED DEN/9LITION
OCCUPANCYISSUED E ilrrunn lRF