HomeMy WebLinkAboutE2022-0367 - Permits04'.
City of Newport BeachCommunity Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportheachca.gov/inspections
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE
NO CONSTRUCTION RELATED NOISE ON SATURP
Job Address : 3927 SANDUNE LN
Description : ELEC TO BBQ AND FIREPIT
Owner: Stephanie Quesada
Address : 3927 Sandune Ln Coro el ' ri
Phone: aj
Applicant : PAUL ELLI
Address : 24642 VI
Phone : (949) -(
M`c` � p•.
OLAST VALID IP
OR SUNOAY IN
c��e rice( Permit : E2022-0367
Ce
t��?Plan C ck No : 1551-2022
Work la :Other
Oo'o Issu Date: 7/12/29,22
NZ I pection Are;
I"NO LATER THAN 3 YEARS FROM?
AREAS AND NO WORK ON SUNDAY
ntractor:
92�
:Q1ddress
Phone:
Lic ir4 :.%
92 ^AWO
Bu is Eic�it�e
Workers' Coml
Carrier
Policy N
!. �`�XZX
14
Code Edition : 20e6 NO
Type of Construction . 1;:.: /► G ��: N
Occupancy Groups
b
Building Setbacks:
Flood Zone
Use Zone: G
PROCESSED BY:
0
BLVD
ISSUANCE DATE
IpAYS IN ALL AREAS
ii°�1 ECG
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
often 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demet
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License 1
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation. of lion 7
more than five hundred dollars ($500).
IJ I, as owner of the property, or my employees with wages as their sole compensation., will do (_) all of or ortions of the work,
Business and Professions Code: The Contractors' State License Law does not apply to an wmar of pro,Wfry who, through employ I
Improvements are not intended or offered for sale. If, however, the building or Improvement is sold In one year of completi
'mproved for the purpose of sale). fie' • olo
❑ I as owner of the property, am exclusively contracting with licensed Contractors to co of the p ecti n l Busines.
enp..ply to an owner of property who builds or improves thereon, and who contracts for "roja is ww''d 8Ylicennssed( of tractor pursuan
�u 1 am exempt from licensors under the Contractors' Slate License Law for In £fs11 wing rea+ (i
By my signature below I acknowledge that, except for my personal residence: in which I must have re r at least oney6r prior
sell a structure that I have built as an owner builder if It has not been constructed in its entirety byed contractors nderstanc
Professions Code, Is available upon request when this application ise submitted cr at follo� site:htt i W.leginfo.ca,gm
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION— t0
checkmark(s) I have placed next to the applicable items)
e structure, prior to its Issuance, also requires the applicant for
menctng with Section 7000) of Division 3 of ilia Business and
tpticant for a permit subjects the applicant to a evil penalty of
is not intended or offered for sale (Section 7044,
)rt, builds or improves the property, provided [hat the
at have the burden of proving that it was not built. or
that copy of the
The Contractor State License Law does not
e License Law).
I hereby affirm under penalty of perjury that I am lice under provis s of Chapter 9 tcornmen g with Section 700 Divi jqp 3 of the Business and Pi
and effect. License Class Lieen No - Zf Cq_ % L C— Contractor$jgnald
WORKERS' COMPENSATION DEC TION •J�a�i,
NARNING: FAILURE TO SECURE WORKERS' C ENSATION �f%III GE IS UNLAWFVL: AND SHALL SVBJECT AN LMPLQYikllD CRIMINAL PENALTIES AND CNrL FIN �riNE HVNDr
COST OF COMPENSATION, DAMAGES AS IDE➢ FORE N 3T06 OF THE LA80R CLEF, INTEREST, ANO ATTORNE'f S FEES,
hereby affirm under penalty o erlury one g7.C1 ollowing decimations
r
eve and whi mat. in a cerbf c consent to self Insure for corkers' compensation sued by the Director of I�rtl�ltl�l ela ilts as provided
Wmance of the work for whip(rth; ermlt Iqd. Policy No.. t /
Ih e and w,it-g�ail
va a carrier ar'ht r
10 er Agent. _
certify that, in the-j
, if I should becom,
lature of Applicant
hereby affirm under penaf
tinder's Name `i ,
ly my signature below, I cedily
I am the property owner or
1 have read this application
I agree to comply with all a1
I authorize representatives
ACTION I DATE
PERMIT FXPIPBD
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANMSSUED
of
a required by Section 37430 of the Labor
the work
s covered by this permit, I cannot
Section 7044 of the Business and
Is in full force
($1000001, IN ADDITION TO
of the Labor Code, for
My workers'
Xei slit Is issoed, I shall not employ any person in any manner so gs,16 De50s�,b�
the workers' compensation laws of California, and agree
n provisions of Section 370 the Labor Code, I shell forth omply v>7 s.
AGENCY
Jclor. lengingage.Vf tot the performance I_ ork for 1>6 t ' ermlt is issued (Section 3097, Civil Code).
to oat. on tha pr �IAfter's
ormaQu
e
and'.in. I'd s to au ting to b Fig struction. j // c7�2
conter bov enti ropert sp n purposes. AL �AA t �.t-1�7� /
PART C PL 7 E.. AO ANO AQCIF FEDERAL FOR OFFICE USE ONLY
Yf°r � .STOS NOTIFICATION TO
,�'"' All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
D be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
)S NOT 15 NOT APPLICABLE TO life of the pool.
DEMOLITION