HomeMy WebLinkAboutE2022-0442 - Permitsolmm of NDewoport BPacent-Building
Permit
DivisionElectrical
:E2022-0442
OF'
100 Civic Center Drive, Newport Beach, CA 92660Plan
Check No
Permit Counter Phone: (949) 644-3288Work
Inspection Requests Phone: (949) 644-3255newportbeachca.gov/inspections
Class :Other
Issued DateCInspection Area : 4
L
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 : 933 BELLIS ST Legal Desc : N TR 489$ BLK LOT 20 ....
Description: ELEC: R/R ELECTRICAL MAIN SERVICE PANEL TO200A AND INSTALL (N) 50A CIRCUIT,FOR A/C UNIT (SEPARATE PERMIT) ......
Owner: GILL RONALD R TR GILL FAMILY TR Contractor ALLISON ELECTRIC
Address: 933 BELLS ST NEWPORT BEACH, CA 92660 Address: "- 17651 FREMONT ST FOUNTAIN VALLEY, CA 92708
Phone: Phone : -. 949887.:. • • °
Con State Lic : 740707
Applicant: ALLISON ELECTRIC Lic Expire: 09/30/2023 °°o•
Address : 17651 FREMONT ST FOUNTAIN VALLEY, CA 92708. - - Bus Lic: BT300491*9Q. t &03
Phone : 949887 Bus Lic Expire a2hlf2l� '7--'5I-2L23
Workers' Compensation Insurance ••
Carrier:
. °
Policy No
W. G. Expire:
Code Edition: 2019 Fire: Sprinklers NO -
Type of Construction : Fire Hazard Zone : Y
Occupancy Groups: U -
Building Setbacks: Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone: X -
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
° .
• • 3
°°.°
LM NCK-bU1LUCK UCL.LAKA I JUN
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 checkrnark(s) I have placed next to the applicableftem(s)
(Section 7031,6. Business and Professions Coda 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
the 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 $action 7000) df Division 3'of the Business and
Professions Code) or that he or she is exempt from licensors and the basis far the alleged ezernptfon. Anyviolafon of Section 7031.5 by any applicant for a permit subjects the applioant 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, wlll do („) all of or {_) portions of the work;: and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code, The Contractors State License Law does not apply to anownerof 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-Builderwill have the burden of proving that 11 was not built or
iln roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors.tD construct the project (Section 7044. Business and Professions Code:. The Contractors' State License Law does not
a ply to an owner of property who builds or Improveellbareon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License. Law).
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 residedfor at leas[ one year prior to completion of the Improvements covered by this. permit, Lcannot legally
Sell a structure that I have built as an owner -braider fill 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, is available upon requestwhen this application is submitted or at the following Web site:http:/Iw ,leginfo.ca.gov/calaw:htmi.
Signature of efp N%Owner or Authorized Agent. Date
LICWED 00INTRACTOW5 DECLARATION
I"emby affirm untler perialty of perjury that I am flcensed under provisions of Chapter 9 (commencing. with SectionTODD) of Division of the Business and Professions oca and' !'i In orce
• and effect. 4i0ense Class License No bate Contractor Signature )C
• W0%KERS' CQMPEN5ATION DECLARATION
• WARNING: PAILUW TO. FCURE WORx.ERS' COMPENSATIGH COVERAGE 15 UNLAWFUL. AND. SHALL SUBJECT. AN EMPLOYER TO CRIMINAL. PENALTIES AND OPAL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.000t. rN' AODrTION TO THE
COS? OF COMPCKSAfOX, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
• I hslaby afri..rmunder penalty of perjury one of the following declarations,
Dave arid,;lU.lfiaintain a certificate of consentto, self -insure for workers' compensation. issued by the Director of industrial Relations as provided for by Section 3700-of the Labor Code, for IN
• F194f1brmance of (ho work for which this permlt is. issued. Policy. Na.
I have and will rasintain 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' compensator
insurance cftij And policy number are:
aarasr. Policy. Number Expiration Date
i
aa'.'ofAgefit, • Phone If
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 workers' compensation laws of California, and agree
t at 1f I should become sub` to the Ivor rs' /ppensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
SlgnatureatAppllt.art �` _�///�
.. . Lam" ° �""u�r '_.�.� �—ru
rpr
rrahy affirm under penalty of Perjury that Is a'constructlon landing agency for the performance of the workforwhich This permit is,issued_ (Section 3097, Civil CcdeJ..
iders Name: Lender's Address
my signature below, t certify to each of the following:
I am the pmperty 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 with all applicable city and county or ' tangos ansl;ata iews latmg to building constfuchon, j
I authorize representatives of this City or county Iop t e ciao a -id fie any for inspection purposes,
DATE
1403
CERTIFICATEOFpito
OCCUPANCY f55UEO ��CCII
WITH CODE OF FEDERAL ( FOR OFFICE USEONLY
40AND.AQMD RULE
All required alarms, latches gates and fenceswhich same as part of apoollspa barrier, shall
be In place priorto:approval tofill pool/spa & shall remain in piece & be maintained for the
IS NOTAPPLICABLE TO life of the pool.