HomeMy WebLinkAboutE2022-0527 - PermitsaE,wPoRr@ City of Newport Beach Electrical Permit: EZOZZ�OJL�
II I I II I II I II III I I III I II
Community Development Department- Building Division a
1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
� Permit Counter Phone: (949) 644-3288
0 w Y Inspection Requests Phone: (949) 644-3266 r ,», r-•. rf'�"a' Work Class :Other
C'4L/po RN�P newportbeachca.gov/inspections =a ;i'� jI Issued Date : 01111012022
1 Inspection Area : 7
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 SATURDAIMF2 SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 4680 MACARTHUR CT Legal Desc : P BK 196 PG 40 PAR 4
Description: ELEC: INSTALL "INSTA-HOT" TAN KLESS WATER HEATER
Owner: IRVINE COMPANY LLC THE
Contractor; SASCO
Address: PO BOX 2450 NEWPORT BEACH, CA 92658
Address : 2750 MOORE AVENUE FULLERTON, CA 92833
Phone:
Phone: (714)870-0217
Con State Lic : 125897
Applicant : SASCO
Lic Expire : 05/31/2023
Address : 2750 MOORE AVENUE FULLERTON, CA 92833-
Bus Lic: BT30047521
Phone: (714) 870-0217
Bus Lic Expire: 06/30/2016
Workers' CompensationInsurance
Owner/Builder:
Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
Address :
Policy No: UBON1616082225K
Phone:
W. C. Expire : 5/1/2023
Code Edition : 2019 - -
- Fire Hazard Zone : N
Type of Construction :
Occupancy Groups : U
Building Setbacks
J
Flood Zone : X
-
Use Zone: PC -Kall Center
PROCESSED BY:
OWNER -BUILDER DECLARAI IUN.
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: 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" Stato 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 licensors 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages es their sole compensation, will do L) all of or U 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 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 (het It was not built or
improved for the purpose of sale),
1, as owner of the property, am exclusively contracting with licensed COHITaCtOrS IG construct the proJeet (Section 7044, Business and Professions Cade: The Contractors' State License Law does not
anpply to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensers 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 legall!
sell a structure that I have built as an owner -builder If it has not been constructed In its entirely by licensed contractors. I understandthat a copy of the applicable law, Section 70" of the Business and
Professions Code, Is available upon request when this application Is submitted or at the following Web site:hltp:f/www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am Ncenued under provisions of Chapter 9 (commencing with Section 7000 Met a 3 of the Business and Professdo a y license is in full force
and effect. License Class License No Date >C VIC iv2 L Contractor Signature SC
NORKERS' COMPENSATION'.. DECLARATION IJ--
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS PiI Be,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 090E OF THE "Son CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Seclion 3700 of the Labor Code, for th
25c4ormsnee 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 Cede, for the performance of the work for which this permit Is issued. My workers'
rance carrier and policy number are:
Policy Number
of Agent
UkiC
certify that In the performance of I 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 ogre
I, if I shaul� .Iccame subject to t. wo a CO a lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
r3ture ofhpplicard_Lc �_ _____ Dale C��,,,,( Z 9'
C:LARATION K�GARDING CON T TION L G A Y /
ireby ail ur,Gar penally of perjury that Liberals a construction lending agency -for the performance of the work forwhich this permit Is Issued (Section 3097, Civil Code).
ICer's Name _ Lender's Address
my signature belnw, i certify to each of the following:
I am the prupeAJ owner or authorized to acton the property owner's behalf.
I have read this application and the Information I have provided is correct..
l agree'.D corri withall applicable city and county or ces a stale laws relating to building construction.
I authorize representatives of this city or county to ant rth bo e- entitled property for Inspection purposes.
ralure of Properzed ly Owner or AuthoriAgent X _ 1 - Print Prooertv Owner's or Authorized Acent's Name,
DATE BY I REECULAITIONS PART E30 TITLE 4AND AOMD RUI.€
WITH CODE OF
FEDERAL I FOR OFFICE USE ONLY
I
rtKJVaI cnrmc✓ t_-N SUBMITTED ASBESTOS NOTIFICATION TD
PEnMIrcANc€1L€D EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
-
FEnMrrexr€ND€o D be in place priorta approval to flit pool/spa &shall remain in place & he maintained for the
PfftMfT FINAL Zl-�Z'ZZ ❑ASaFSTUS NOTIFICATION IS NOT APPLICABLE TO life of the pool.
C€ftTIFfCATE OF PROPOSED DEMOLITION
OCCURANCY ISSUED SIGNATURE: