HomeMy WebLinkAboutE2022-0946 - PermitsCity of Newportt Beach
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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: