HomeMy WebLinkAboutE2023-1007 - Permits�EWPoRr City of.Newport 3caJ.
p� e Community Develcpmenn Depanment- BNld'ng Division
n 100 Civic Center Drive, Newport dearh, CL 92660
Ja�j Z' Permit Counter Phone: (949) 718-1888
Cq�OM1N�P newportbeachca.gov/Civic
iiiiiiii7 II
Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 1211512023
Final Date:
Permit Status: Issued
Inspection Area :2
E2023-1007
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 : 20 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 20 TR 4003 LOT 20 AND POR LOT C
Description: ELEC CHANGE OUT AND INSTALL (80) LED LIGHTS
Owner: KENT J ROGER TRUST
Address : PO BOX 866728 PLANO, TX 92660
Phone:
Applicant: ALL IN ONE ELECTRIC
Address : 14181 HEREFORD ST WESTMINSTER, CA 92683
Phone: (714)837-8462
Owner/Builder :
Address :
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 10, Front: 25, Side:4, Side: 4
Flood Zone: AE, 8 FT; X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : ALL IN ONE ELECTRIC
Address:
14181 HEREFORD ST WESTMINSTER, CA 92683
Phone :
(714) 837-8462
Can State Lic
: 1064516
Lic Expire :
03/31/2024
Bus Lic :
BT30081143
Bus Lic Expire:03/31/2024
Workers' Compensation
Insurance
Carrier :
Policy No:
EXEMPT
W. C. Expire:
Fire Hazard Zone: NO
Occupancy Groups: R3/U
NO CONS-rp 33 ;1 ION \NIORK
4 .,
ON Sr&JURDAYS
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors State License Law for the reasons) indicated below by the checaurr s) , heave placed .next In the applicable items)
(Section 7031.5, Business and Professions Code: Airy city or county that requires a permit to construct, alter, improve, dampish. or repair any structure, ari,r U it'., Is>u,nc9, also requires the applicant for
the pormPt 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 Ci�isien 3 of the Business and
Professions Code) or that heor she is exempt from licensure 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
not more than five hundred dollars. ($500).
❑ I, 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 strnCture is not. rote, Ided cr 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-BAcle: '.Y11 have the burden of orcong that it was not built or
improved for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed Contractors to consWctthe project (Section 7344, Business and Professions Code: The Contractors' State License Law does not
appty to an owner of property whe builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contrectors' Spate 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 prior to completion of the improvements covered by this permit, I cannot legal)
soil a structure that I have built as an owner-buildar if it has not boon constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:t,"mw.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proff essions Code, and my license is In full force
and effect. License Class License No Date!I Z-15=2-,i Contractor Signature WORKERS' COMPENSATION COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
,performance of the work for which this permit is issued. Policy No.
❑I have and will 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' compensation
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone q
c ify 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 workers' compensation laws of California, and ague
t 1 I should become subject to the workers compensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
Signature of Appicant GaG%s
DECLARATION REGARDING CONST JG 'I * LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued. (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
i am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information I have provided is correct.
t agroe to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city orccunty to enterjhp above -identified property for inspection purposes.,
Sicnature of Prooarty Owner or Authorized Agent i_ Print Property Owner's or Authorized Agent's Name /
ACTION DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61. OFTITLF. 40 AND AgMO RULE
1403
PERMITCANCELLED LIEPA
_—''��1I
PEAMIT EXTENDED W �LI.AOMD
PERMIT NNAL ) ASeLS'r0SN01'IFICATIONISNO'r APVLICARLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUEO j SIGNATURE: