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HomeMy WebLinkAboutE2022-0806 - Permits (3)aEWPo� City of Newport Beach d Community Development Department- Building Division ". 100 Civic Center Drive, Newport Beach, CA 92660 ' 2 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqG/FOAN�P newportbeachca.gov/inspections Electrical Permit Plan Check No: Work Class : Other Issued Date : 1012612022 Inspection Area : 7 E2022-0806 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 : 504 BAY FRONTS Legal pesc : A TR..BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 3 BALBOA ISLAND RES UB SEC 1 LOT 3 BLK 9 Description: ELEC -DISCONNECTS FOR 5 ROOF -TOP Owner: TELLER FAMILY TRUST Address : 504 S BAY FRONT AVE NEWPORT Phone: Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VI Phone : (818) 735-7876 Owner/Builder: Address Phone: Code Edition : 2019 Type of Construction Building Setbacks : Flood Zone: AO 1; X Use Zone: MU-W2 - Mixed -Use Water PROCESSED BY: X SPECIAL CONDITIONS: 92662 Contractor.: ALPS / Address.: 1895 S vnone: Con State, Lic Expire GE CA 91362 Bus Lic: Bus Lic Ex Workers'. C Carrier Policy No: W. C. ExDh DITIONING & HEATING INC CRUZ ST ANAHEIM, CA 92805 surance THE WEST �O OOJ O O J 3 O O Y • ° O 0 0 0°° o Ooo 00 ea euo © o 0 00 0 0° ° I . hereby affirm under penalty of perjury that I am exempt from the Contractors -State License. iction 7031.5, Business and Professions Code: Any city or county that reguires,p permit to coi 1, as owner of the property, or mess and Professions Code:' rovements are not intended or roved for the purpose of sale). 1. as owner of the property, an I am exempt from licensure my signature below I:acknoa I a structure that t have built Of License sea with wages as their sole compensation, will do (_) all of or (_) portions of: the work, andthe structure Is not intended or offered for sale (Section 7044, :tors` 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 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 not built or y contracting with licensed Contractors to construct the project:(Saction 7044, Business: and Professions: Code: The Contractors' State License Law does not iproves thereon. and who: contracts for: the projects with a licensed Contractor pursuant to the Contractors' State License Law).. ntractors' State License Law for the followirtq reason:. -- - —_— — -- - -- - - - — _- — -___ and In full force IN AOOrION. TO THE hereby affirm under penalty of perjury one of the following dectamff ons: I -have and will maintain a certificate of consent to sett -insure for workers' compensation, :issued. by the Director of Industrial Relations as .provided for by Section 3700 of the Labor Code, for ance of the work for which this permits issued. Policy No,. and will maintain workers compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of thework for which this. permit Is issued. My workers' compensatioi ca carrier and policy number are: :a r Policy Number Expiration Date is of Agent. certify that. In the pi , if 1: should become. Aho-work for which this permit Is iss afl not employ any person in any manner so as to become subject to the workers' oompensatimi laws of Califorria, and agre workers` compensation ns o� f Sec on 3700 of the Labor Code, I shall forthwith comply wth those provisions. ECI-ARATION REGAR�bt at'�C M�'ffON LENDING AGENCY iereby affirm underpart _ ury thatHiere is a construction fending agencyfor the performance of the work for which this permit is.: issued (Section 3097, Civil Code) moors Name.. Lendeis Address r my signature below, € certify to each of the following: I. am the property owner or authorized -to act on the property owner's "half. I have read this application and the information I have provided is rrect. I agree to comply with all applicable city and county ordin and. state fawsr i authorize representatives ¢rthis city or county to enter above -.identified pro BY 61 OF PERMIT EXPIRED • • . • • • • • • "11DlaRtid PERMITCANEELLED PA PERMIT EXTENDED • � • � �a � m� �•tpQt�{J PERMITRIVAL `a-1 ••]Z t�-� AI-,1 5aE'STq! G€RTiFICAi'EOE PROPOSEgD OCCUPANCY USU£D • e • a • • • • SSGFiATUR e e s ee e e e •ee wee ee m oo eoo TO 6