HomeMy WebLinkAboutE2023-0333 - PermitsQ"�WPo", City of Newport Beach
p 7 11r Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
C] T Permit Counter Phone: (949) 644-3288
C9C�iOM1N�P Inspection Requests Phone: (949) 644-3255
newportbeachea.gov/inspections
1111111111111111111111111111111111111111111111111111 jjElectrical Permit : E2023-0333
Plan Check No : 0829-2021
Work Class : Other
Issued Date : 04/17/2023
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: 921 ALDER PL Legal Desc : N TR 4705 BILK LOT 6
Description : ELEC - SFR INSTALL (7) OUTLETS FOR BBQ/FIREPIT
Owner:
PAUL JONES
Address :
921 ALDER PL NEWPORT BEACH, CA 92660
Phone:
Applicant :
BLAKE RIELLY
Address :
1000 QUAIL ST, 220 NEWPORT BEACH, CA 92660
Phone:
(949)679-7086
Owner/Builder
:
Address
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone :
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: Cee
SPECIAL CONDITIONS:
Contractor: BLAKE RIELLY
Address : 1000 QUAIL ST, 220 NEWPORT BEACH, CA 92660
Phone : (949) 679-7086
Con State Lic : 986194 '
Lic Expire: 08/31/2023
Bus Lic: BT30045036
Bus Lic Expire: 10/3112023
Workers' Compensation Insurance
Carrier : CYPRESS INSURANCE COMPANY ,
Policy No : LEWC321951
W. C. Expire: 12/2/2023
Fire Hazard Zone : NO o o o
Occupancy Groups: U
oo0
f
OWNER -BUILDER DECLARATION
1 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 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 70DO) 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 for a permit subjects the applicant to a civil ponaky of
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structureisnot intended or offered for sale (Section 7044,
Business and Professions Code: The ContractorsState 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 moving that it was not built or
I,-myproved for the purpose of sale),
W I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State 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 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
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 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 siteihttp:/lwww,leginfo.co.gov/calow.html..
Signature of Property Owner or Authorized Agent, Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perury that I am licensed under provisions of Chapter 9 (commencing with Section ' 7000) f Divion 3 of the Business and Professions C and my license is In felt force
and effect. License Class License No Date / 7 2 Contractor Signature 15
WORKERS' COMPFNSATION DECLARATION
WARNING: FAILURE TO SFAURt WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
CO-T OF CCMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3766 OF THE LABOR LODE, INTEREST, AND ATTORNEPS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
0 1 nave 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 lhi
penfogesoce of the work for which this permit is issued. Policy No,
have Ind will maintam 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'
rance carrier and .policy number are:
Policy Number
of Agent
Date
codify that, in Ste per`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' coreponsa ion laws of California., and agret
, if I should become subject to the
wjwjg cers' compensation provisions of Section 3700 of the Labor Cade,: I shall forthwith comply With those provisions.
Irhire of APpI'canl -7l/ Data 41 y% Z
:i ARGTinN I^n i,7nmr-rn1JCTRIlrTInm I rMnlAlr Anr Nr:V
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Codey
enders Name Lender's Address
y my signature below, I certify to each of The fallowing:
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.
1 agree to comply withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter tl}g OVe-identified property for inspection purposes.
ACTION DATE ( BY �- LARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
f REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE J
PERMIT EXPENDED _ _ _/tjJAONtp
PERMIT FINAL %/J���j ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CE1tTIFICATE DE �j�j PROPOSED DEMOLITr
OCCUPANCY 155UED E SIGNATURE: Z/l _
Date �/17J Z