HomeMy WebLinkAboutXR2022-2678 - Permits�EWPoRr
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
m.
Inspection Requests Phone: (949) 644-3255
Cg41F00.N�P
newportbeachca.gov/inspections
Combination Type - ELEC
Work Class - Other
jji11111111111111111111111111111111111111111111111111111111 COMB Permit : XR2022-2678
Plan Check No : 2492-2021
Issued Date : 1012012022
Inspection Area : 6
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 : 2 VIA GIADA Legal Desc : N TR 15394 BILK LOT 12 TRACT 15394 LOT 12 POR OF LOT & POR OF LOT
Description: SFR INSTALL 25 kw GENERATOR AND (2) 200 AMP TRANSFER SWITCHES
Owner: FORD GREGORY BRENT TR
Address : 2 VIA GIADA
NEWPORT COAST, CA 92657
Phone:
Applicant : FGC Engineers
Address : 848 El Dorado Drive
Fullerton, CA 92832
Phone : (949) 372-9283
Owner/Builder :
Address :
Phone
Code Edition:
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
2019
V-B
X
PC - Newport Coast
PROCESSED BY: ST
SPECIAL CONDITIONS:
Contractor:
MR ELECTRIC OF ORANGE
Address:
22961 LA CADENA DR
NEWPORT BEACH, CA 92660
Phone:
(714)984-3941
Con State Lic
: 999026
Lic Expire :
12131/2022
Bus Lic:
BT30076913
Bus Lic Expire
: 10131/2022
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL INSURANCE
COMPANY
Policy No: SWC1391488
W. C. Expire : 6/25/2023
Fire Sprinklers :
NO
Fire Hazard Zone :
YES
No of Units :
0
No of Stories :
0
Architect
Address
Phone:
State Lic:
Engineer:
Address
Phone
Designer: MR ELECTRIC OF ORANGE
Address: 22961 LA CADENA DR
NEWPORT BEACH, CA 92660
Phone : (714) 984-3941
Construction Valuation : $20,000.00
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg : 0
OWNER -BUILDER DECLARATION
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 checkrnark(s) I have placed next fo the applicable item(s)
(Section 7031.5, Business and Professions Corte: 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` 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora 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 as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Core: The Contractors' State License Law doe; 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, 01e 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
improved for the purpose of sale).
❑ 1, as owner of [be property, 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).
❑ I am exempt train licensors 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 legal,
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.govlcalaw.htmi,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 y yyisi p'y..o1 the Business and Pr ion ode, and my license is In full force
and effect. License Class License No Date ` L G_C. Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS (E100;000f. IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR M SECTION 39060E THE LABOR COOS, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 Section 3700 of the Labor Code, for th
29rformance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
me of Agent Phone M
certify that, in the p ormance of the 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 agre
t, if I should beta a ubje is the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applican D
Ct_ARATIGN R6 AR G ONSTRUCTIGN LENDING AGENCY
n,eby affirm under penal perjury that there is a construction landing agency for the performance of the work for which this permit Is issued (Section 3097, CIV I Code).
)dei s Name Lender's Address
my signature below, I certify to each of the following:
I am the 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 cRu�ty ordinances and state s relating to building construction. ` ///
I authorize representatives of this city or coup}y`(o entar abov = hied property for inspection purposes. 1��` , , ry p� ���\� , , _
nature of ProDert4 Owner or Authorized Auent I u�� Print Property Owner's or Authorized Aeent's Name Vt u ` I, D e
ACTION ( DATE BY r DECIARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V
REGULATIONS PART 6t OF TITLE 40 AND AQMD RULE
! 1403
PERMIT EXPIRED LJ�I SUBMITTED ASBESTOS Nan FICATION TO
PERMITCANCELCED 7L-d-rE�Y/t _
PERMtTEXTENDED ". LJAQMD
CERTlFICArTE Df � - J .yi t'�L PROPOSED DEMOLITION
NOTIFICAkISNDTAPFUCAHLF TO
OCCUPANCYISSUED SIGNATURE:
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