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HomeMy WebLinkAboutE2022-0644 - PermitsaEWPpRT City of Newport Beach IIII I I II I II I II II II II II II Electrical Permit : E2022-0644 p @ Community Development Department - Building Division Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 ,Date Work Class : Other Issued 7UFOgN newportbeachca.govfnspections 0 s g $ E � � �' & .. ion Are9/15/2022 Inspection Area : 2 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 BILK LOT 20 TR 4003 LOT 20 AND FOR LOT C Description: ELEC: INSTALL (2) 110V OUTLETS AND 80A EV: CHARGER (WALL CONNECTOR) Owner: KENT J ROGER TRUST Contractor : THE ELECTRIC CONNECTION Address : 20 LINDA ISLE NEWPORT BEACH, CA 92660 Address : 9937 COMMERCE AVENUE TUJUNGA, CA 91042 Phone: Phone: ,(818)446-0888 Con State Lie : 406002 Applicant : IE Inc. Lie Expire : 09/30/2023 Address : 31225 La Bays Dr 9213 Westlake Village, CA 91362 Bus Lie: BT30073295 Phone: (818) 735-7876 Bus Lie Expire: 10/3112022 Workers' Compensation Insurance - Owner/Builder : Carrier : INSURANCE COMPANY OF THE WEST Address: Policy No: WVE505631.102 Phone: W. CExpire: :7/1/2023 Code Edition : 2019 Fire Hazard Zone:' NO Type of Construction : Occupancy Groups : R3/U Building Setbacks : Front: 10, Front: 25, Side: 4, Side:4 Flood Zone: AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential _ •••• • ° i P••a • e• ° o ee�ocm j `� a s a•PaP a o PROCESSED BY: /✓ • P °°P ryJ3 ¢ SPECIAL CONDITIONS:NO =••Ps• CON aP®�¢ • 3 4 O ° °°aP ® 6 ON THE \NEEKEN O 0 o c aPPP_s ° G P•aa • ¢P 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 checkmark(s) I have placed next to the applicable Item(s) action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contmctors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and lessions Code) or that he or she is exempt from ficensure 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 more than five hundred dollars ($500). J 1, as owner of the property, or my employees with Wages as their sole compensation, will do (_) all of or (_) portions of the I 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through ernf mprovements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of complefi+ �m roved for the purpose or safe). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bm apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pm 1 am exempt from lieensure under the Contractors' Stale License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year :ell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I under. Srofessions Code, is available upon request when this application is submitted'.. or at the following Web site:httOflWww.legintO.c signature of Property Owner or Authorized Agent -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Ind effect. License Class License No Data YORKERS' COMPENSATION DECLARATION JARRING: FALURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, ANO SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTws ;OST OF COMPENSATION, nAMAGES AS PROVIDED RIF IN SECTION 37" OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES. hereby affirm under penalty of perjury oneof the following declarations: J I have and Will maintain a Certificate of Consent to self -insure for Workers' compensation, issued by the Director of Ind h"once of the work for which this permit is issued. Policy No, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the porter `surance carrier and policy number are: of Agent Edify that, in the performance of if I should become subject t }lure of Applicant Policy Number and the structure is not intended or offered for sale (Section 7044, s' or personal effort, builds or improves the property, provided that the e Owner -Builder will have the burden of proving that it was not built or and Professions Code. The Contractors' State License Law does not to the Contractors State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date Business and Professions nd my license is in full force ntractor Signature UP To ONE NUNUREO THOUSAND DOLLARS ($10"00), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for Of the work for which this permit is issued. My Workers' Date I ue , ssemploy any person in any manner so as t become subject to. the workers' compensation laws of California, and agre provisions of Section 3700 of the Labor Code, f shall forthwith comply with those provisions. OENCY Date%c hereby affirm under penaltyt�rjury that these is a construction lending agency for the performance at the work for which this permit is issued (Section 3097, Civil Coda). _ender's Name Lender's Address 3y my signature "tow, I certify to each of the followings I am the properbyowner or authorized to act on the property owner's behalf. • • 4 iTnve read &his application and the information I have provided is gct- i agree to eW3Y.IAth all applicable city and county m,dinan nd state laws relating to building construction. A •, I•apthorize nalresentatives of this city or county 1.0 enter the above•I ntified property for Inspection purposes. _• .......... 3 Cft7MF/CALE00i OCCUPANCYISSLT6 IMCARATION OF COMPLIANCE. WITH CODE OF FEDERAL I FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40AND AQMD ROLE Lt ASBESTOS NOTIFICATTON 15 NOT APPLICABLE TO PROPOSED DEMOLITION