HomeMy WebLinkAboutE2023-0228 - Permits�E.waoRT City of Newport Beach
Community Development Department- Building Division
�' rl 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
C9<iF0%NAP Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
II�E 2 0I0I� II Electrical Permit
Plan Check No:
Work Class : Other
Issued Date: 0312112023
Inspection Area : 4
E2023-0228
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 : 2442 VISTA HOGAR Legal Desc : N TR 5798 BLK LOT 73 TR 5798 (L.L.84-245722) PAR 73
Description: ELEC UPGRADE MAIN SERVICE PANEL TO 200 AMPS
Owner: COOMBE KRISTINA D TR K D
Address : 2442 VISTA HOGAR NEWPORT BEACH, CA 92660
Phone : (949) 554-7870
Applicant: COOMBE KRISTINA D TR K D
Address : 2442 VISTA HOGAR NEWPORT BEACH, CA 92660
Phone : (949) 554-7870
Owner/Builder : COOMBE KRISTINA D TR K D
Address: 2442 VISTA HOGAR NEWPORT BEACH, CA 92660
Phone: (949)554-7870
Code Edition : 2022
Type of Construction
Building Setbacks :
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Contractor
Address
Phone : " ,-
Con State Lie : ^
Lie Expire
Bus Lie:
Bus Lie Expire:
Workers' Compensation Insurance
Carrier : °
Policy No
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups : R2/U
OWNER -BUILDER DECLARATION
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)
(Section 7031.5, Business and Professions Code: Any city Or counly that requires a permit io 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 Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant fora permit subjects the applicant to a civil penally of
not more than five hundred dollars ($500).
M 1, as owner of the property, or my employees with wages as their sole compensation, will do 4 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 In 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 -Builder will have the burden of proving that It was not built or
ffroved for the purpose of sale).
1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
rl I am exempt from licensure under the Contractors' State 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 legally
soli a structure that I have built as an owner -builder if it has not been 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 w#tar�ihis app I tion !s ubmftted atjye following Web site:hdpl!(www,leginfo.ea-gov)caiaw.html.
Signature of Property Owner or Authorized Agonl (� ��/ /irLR ,G,vN.�R---
LICENSED CONTRACTOR'S DECLARATION
I hereby af Lunt under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. Licensd ,.iasa License No Date Contractor Signature
COMPENSATION DECLARATION
ING: FAILURE r0 SEGURE WORKERS' COMPENSATION COVERAGE 16 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S700A00), IN ADDRION TO THE
OF rOMPENSATPIN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
naraoy affirm under panaily of perjury one Of the following declarations:
I have and wr,i maildain 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
`ormance 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 performance of the work for which this permit is issued. My workers' comperi
Trance carrier anJ policy number are:
„-, Policy Number Expiration Date
of Agent Phone # _
re,t'fy that., it.. th I DO, formance of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California., and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ignature of Applicant Date„
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the Work for which this permit Is issued (Section 3097, Civil Code),
ander's Name Lender's Address
y my signature below, I certify to each of the following:
I am file property 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enteyr then love- identified propoy for inspection purposes. It I�y /(
or
PERMITCANCELLED
FEAMfr ENTENDED
PERMIT FINAL
CEATIFICATEOF
OCCUPANCYISSUED
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
L.l ASBESTOSNOTIFICATIONISNOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
mer's or Authorized Acent's Name
FOR OFFICE USE ONLY
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