HomeMy WebLinkAboutE2023-0152 - PermitscEwPOar City of Newport Beach
o @�Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
cy��"esN�r Inspection Requests Phone: (949) 644-3255
newportbeachea.gov/inspertions
II�EI�IIIIIIIIII�II�I�II0II�IIIII� II Electrical Permit
Plan Check No:
Work Class : Other
Issued Date : 02/28/2023
Inspection Area : 4
E2023-0152
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 : 624 HILVANAR
Description: ELEC PANEL UPGRADE 200 AMPS
Owner: HILVANAR LLC
Address : 1420 5TH AVE STE4200 SEATTLE, WA 98101
Phone : (612) 859-1683
Applicant: LINDA JONES
Address : 624 HILVANAR NEWPORT BEACH, CA
Phone : (612) 859-1683
Owner/Builder : HILVANAR LLC
Address : 1420 5TH AVE STE4200 SEATTLE, WA 98101
Phone : (612) 859-1683
Code Edition : 2022
Type of Construction
Building Setbacks :
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: O/B FORM ATTACHED
Legal Desc N TR 5798 BLK LOT 91 TR 5798 (L.L.84-245722) PAR 91
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:
r f+
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 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 applioant for
io permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing. with Section 7000) of Division3 of the Business and
'rofessions 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 penalty of
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, Will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
ms)ness 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
nprovements 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
roved. for the purpose of sale).
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
Drply o 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),
J I am exempt from licensure under the Contractors' Slate License Law for the following reason
,y 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 Iegall)
all a structure that I have built as an owner -builder if it has no oon constructed in i anliroty by licensed contractors. I understand that a copy of the applicable law, Section. 7044 of the Businessand
'rofessions Code is available upon request wheln(f' appr".y �tfiio�n I submi or t th following Web site:htip:lfwww.leginfo.ca.govlcalaw,htmi. /^y/
tgnature of Property Owner or Authorized Agent /7Y2� -
.ICENSED CONTRACTOR'S DECLARATI N / \
hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9 (commenting with Section 7000) of Division 3 of the Business and Professions Code.. and my license is in full force
nd effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NANNING: 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 (S100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations;
El I have and will maintain a certificate of consent to self4risure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IF(
performance of the work forwhich this permit is Issued. Policy No.
❑1 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' compensatior
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone It
❑I certify that, in the performance of ework 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 agree
that, if I should becnm s fact t ork@rs' corn rise ' revisions of Section 3700 of the Labor Code, I shall forthwith comply W9lh those provisions. (i
Signature of Applicant 9 . Dat
DECLARATION RE Dl STRUCTION LEND6 AGENCY
I 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 309 Civ Code),
Lenders Name Lender's Address
By 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 cou y ording9ces and state laws relating to building construction.
1 authorize representatives of this city or open ant -a ve-id 'fie ro arty for inspection purposes. JJ
Signature of Property Owner or Authorized Agent Print Pr artyOwner's or Authorized Agent's Nam Ll U�- DI �C P Date
ACTION DATE BY E ARATION OF COMPLI CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITLE 40 AND ACIMD RULE
1403
PERmir EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED I�EN
PERMIT EXTENDED CAOM�
PERMIT FINAL e� r�; PROPOSED//'/f ASBES'f05 NOTIFICA'f10N ISNOTAPPLICABLE TO
CERTIFICATEOF NATUDEMOLITION
OCCUPANCYISSUEO c
wewae 966/2022e9 m yew+ by California Secretary R mate
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