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HomeMy WebLinkAboutE2022-0946 - PermitsCity of Newportt Beach U4,, Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 64F-3266Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspertions 11�111111111111111111111111111111111111111111111111111Electrical Permit : E2022-0946 Plan Check No: PC2022-3214 Work Class : Other Issued Date: 0111012023 Inspection Area :3 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 : 2090 TUSTIN AVE Legal Desc : A TR NEWPORT HEIGHTS BILK LOT 247 NEWPORT HEIGHTS LOT 247 NEL Y 70 FT SWLY 210 FT Description: ELEC FOR BBQ & FIRE PIT; 3/09/2023 REVISE TO ADD (3) OUTLETS Owner: JAMESLEARNED Address : 2090 TUSTIN AVE NEWPORT BEACH, CA Phone: (714)745-6984 Applicant : PAUL ELLISON Address : 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: (949)683-9861 Owner/Builder : Address Phone: Code Edition : Type of Construction Building Setbacks Flood Zone Use Zone: PROCESSED BY : SPECIAL CONDITIONS: Contractor : TIMELESS POOLS INC , Address : 660 DUNDEE CT BREA, CA 92821 Phone: (714)618-3326 �• Con State Lie : 1019202 " Lie Expire : 08/31/2023 Bus Lie: BT30080412 " Bus Lie Expire:01131/2024 "" Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9206353 W. C. Expire: 3/10/2023 Fire Hazard Zone : NO .. Occupancy Groups Front: 15, Side: 10. Side: 10, Rear: 10 X R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Cade: Any city or county that requires a. permit to construct, alter, improve, der i sh, or repair any structure, prior to its Issuance, also requires the applicant for the permit to Tale a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commer^Ing with Section 7000) 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 foi a. permit subjects the applicant to a civil penalty 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 (_) portions of the work, and the structureisnot 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-Bullder will have the burden of proving that it was not built or Improved for the purpose of sale). 0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsStale 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 pursuantto the Contractors' State License Law), ❑ I am exempt from licensure under the Contractors' Stale 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 fallowing Web site:http:/,' as r.leginfo.ca.govlcalaw.html,. 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 70 N' ion 3 of the Business and Prof s ' CorLa �If6ense is In full force and effect. License ,,ass License No Date Contractor Signatur WORKERS' C Obi PE NSATION DECLARATION fir WARNINU: FAILURE TO SFCUPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f l ID0,000), IN ADDITION TO TH COST OF COMPENSA-1'1N, 1'LMAGES AS PROVIDED FORM SECTION 3716 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, I h^.rchy a`Olrm under penalty of perjury one of the following declarations: 111 have and wql maiulain 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 If DO fonnan_e of the .vo:k for which this permit is issued. Policy No.., LJI 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 =zanier and po4cy number are: Carrier... Policy Number Explration Date Name of Agent _ Phone # Of cE'.fy :hat, in the pe Craneh Of the r whic. is 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 be, me object t t wor er ' omp .provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ( p n Dat / 2 _ _ DECLARATION REG Of G C TRU N LEN.ORJG AGENCY I hereby affirm under penalty f perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil 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 hav ro 'ded' orracl.. I agree to comply with all applicable city and county dinan e and Its la rela' to building construction. I authorize representatives of this city or count nt r t bove-ido. t i d pr spectloa purposes. Signature of Property Owner or Authorized A en' Print Property Owner's or Authorized Agent's Name 6 0"`j Dat ACTION DATE BY DECLARATON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED El I SURMITTFD ASBESTOS NOTIFICATION TO PERMITCgNCECtED PEAMIT EXTENDED--_� }EPA _—__ —r tnOMO --- —t PERMIT FINAL BFSTOS NOTIFICATION I5 NOT -APPLICABLE TO C€ATOCATEOF /) 'J rJ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: �EWPORA City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit : EZO22-0946 Community Development Department - Building Division E 2 0 2 2 0 9 4 6 Sh. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3214 Permit Counter Phone: (949) 644-3288 Work Class : Other Cq�nRN�P Inspection Requests Phone: (949) 644-3255 _ Issued Date : 01/10/2023 newportbeachca.gov/inspections - - _ Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT N6 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 : 2090 TUSTIN AVE Description : ELEC FOR BBQ & FIRE PIT Owner: JAMES LEARNED Address : 2090 TUSTIN AVE NEWPORT BEACH, CA Phone: (714)745-6984 Applicant : PAUL ELLISON Address : 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: (949)683-9861 Owner/Builder: Address Phone: Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 247 NEWPORT HEIGHTS LOT 247 NEL Y 70 FT SWLY 210 FT Contractor : TIMELESS POOLS INC Address : 660 DUNDEE CT BREA, CA 92821 Phone: (714)618-3326 Con State Lic : 1019202 Lic Expire : 08/31/2023 Bus Lic: BT30071641 Bus Lic Expire:04/30/2021 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9206353 W. C. Expire: 3/10/2023 Code Edition : Fire Hazard Zone : NO Type of Construction : Occupancy Groups Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone: R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) ' PROCESSED BY: SPECIAL CONDITIONS: ` ` ' OWNER -BUILDER DECLARATION I hereby affirm under penaltycf perjury that I am exempt from the Contractors' State License Law forthe resson(s) Indicated below by the checkmark(s) 1 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 lo.its issuance, also requires the applicant for is 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 '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 then five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended oroffered 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 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 nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70,44, Business and Professions Code: The Contractors' State License Law does not ply 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' Stale License Law for the following reason: ly my signature below 1 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 legail; ell a structure that I have built as an owner -builder it 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 �rofassions Code, is available upon request when this application is submitted or at the following Web site:httpJLw✓aw.leginfo.ca.govfcaiaw.htmi. iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiop 000) ' ` ion 3 of the Business and Prorsio�fd.&,y li Ise is in full force nd effect. License Class License No D e Contractor 3ignafure VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affir 11 rider penalty of perjury one of the following declarations: L JJV 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 fh pnce of the work for which this permit is issued. Policy No. d 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' compensatiol surance tamer and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone If ❑I certify that, in the pprlfo m ce o e r or 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 that 9F I should becfn ct ! compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1Signature of ApplicI_ Date_ DECLARATION St M STRUCTION LENDING AGENCY I hereby affirm penalty of perjury that there is a construction lending agency forthe performance of the work for which this permitis issued (Section 3097, Civil Code). 1en0p s Name Lender's Address IBy mg signatur, oLk,w, I certify to each of the following: am the property owner or authorized to act on property ownZsta� behalf, have read this application and the InPormat n 1 h ve provid one 'agree to nomo'y with all applicable city a cou rdin ting to building constnaction./' authorize representatives of this city r unt enter abony for inspection purposes. / / Fir'ralure of Property Owner or Authorized A ant Print Properly Owner's or Authorized A ent's Nam ram/ Date' �! Z f 1�T'ON DATE Bit, DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TfTLE 40 AND AOMD RULE _ _ _ 1403 PERMIT EXPIRE) 1 SUBMITTED ASBESTOS NOTIFICATION TO PERA.,IT CANC:LEED EPA _ ice'— ._ -PERMl7 EXTEhLED� _ ❑AQM.D PERMIT FINAL J ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OE �j31 CA/ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: