HomeMy WebLinkAboutE2023-0065 - Permits�Ew'oRr City of Newport Beach
p� a Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
yr+ S Permit Counter Phone: (949) 644-3288
Cq�OpN�P Inspection Requests Phone: (949) 644-3255
n ewportbeachca.govf nspections
E 2 0 2 3 0 0 6 5Electrical Permit : E2023-0065
Plan Check No: PC2022-3151
Work Class : Other
Issued Date : 02/02/2023
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
: 2124 LOGGIA
Description:
ELEC REMOVE & REPLACE (3) WALL N
Owner:
NEWPORT BLUFFS LLC
Address :
6110 RESIDENCIA NEWPORT BEACH, CA
Phone:
Applicant:
BUILDING ENHANCEMENT NETWORK IN(
Address :
23220 DEL LAGO DR LAGUNA HILLS, CA'!
Phone :
(949) 337-5746
Owner/Builder :
Address:
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks :
Flood Zone: X
Use Zone: PC - Bonita Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
ICEMENT NETWORK INC
DR LAGUNA HILLS, CA 92653
OMPENSATION+INSURANCE+FUND
10
°o 000
m
i; � o
U 1, as owner of
Susiness and Prof
improvements are
rim roved for the p'.
FJ I, as owner of:
apply to an owner.
111 am exempt h
as the property, provided that the
Of moving. that It was not built or
tor$' state License Law does not:
a nOFBDYanlrm urxier pena{ty or peryurytnat I am RcensEd under provisions of Chapter 9'{cpmmencingwitn Section;? ) M is! 3 of the Business and Prafessi n : ' �lantl rtq; 1'fzn is li uii force.
and effect .License Glass License Na Date Contractor Signature
WORKERS} COMPENSATION DECLARATION
CIVIL FINES UP TO ONE�HUNDR OUS ID DOLLARS (. 00,000), IN ADDITION To THE
ARMING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE I8 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty Of perjury one oFthe following declarations:
I have and will maintain a certificate of consent to selRfnsure, for workers compensation, Issued by the Director of Indus) lot Relations as Provided for by Section 3700 oftha Labor Cone, for th
Khave
mtance: of the work for which this permit is issued. Policy Mo.
and wilt maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the perfcrmanoe of the,work for which this permit: is issued. My workers' compensaboi
arrier and. policy number are;
Carrier Policy Number
Expitatfon Date
Name of Agent. Phone#
❑I certify that, in the porfprmanee Of a work for which t ' permit' issued; t shad not employ any parson in any manner so as to become subject do the workers' a pansallon laws of California, and agra
that, if I should tteaomB eat to i arkers' campen ti proYi its of Section 37Q0 of the Labor Cade, I shall forthwith comply with those provisions.
,
Signature of Applicant Date /
Ity
IIECt.ARATEON RE t C i0 LE AGE
9 be
SWr under pe .ally erlury'that m a is
ngirUatiOn fending agenGY for tha performance of the work Tor Which this parfiR Is issued (Section
3p97, C Gada}.
Lender's Name Lender's Address.
Hy my signature betty. [ ceror to eadh of the following: _ j
I am the. property owner or authorized to act on the Property awner's behalf,
t have read this application and the information I have provided is correct.
I agree to comply with all applicable e'vty and io my rdin - s and state laws relamig to building construction.
I authorize representatives of this ciiy nrcounty` ter .abave4d p edyrfor inspection purposes. '
Signature of Proa 0tvnarorAuthorized ant Print Pro a OWnor'sorAuthorized Agent's .Name. Date.
ACTION DATE BY RATION DF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REG TIONS PART aI OF TITLE 40 AND AOMO RULE
1443
PERMIT EXPIRED. 0i SUBMITTED ASBESTOS NOTIFICATION TO.
PERMITCANC'ELLED • • (p ... ...
PERMIT EXTENDED • • • • D
PERMff 4TF �' y3 ••• ASBFSTO_NOTIFICAi"IONASI9.OTAPPCICABLE 70
6ER77fICATEOf PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
0