HomeMy WebLinkAboutE2023-0470 - Permits�EWP0 City of Newport Beach iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii II Electrical Permit : E2023-O470
p� ,., e Community Development Department- Building Division E 2 0 2 3 0 4 7 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2223-2021
W} = Permit Counter Phone: (949) 718-1888 Work Class : Other
cgc�oxNVP newportbeachca.gov/civicp ypYy .,1-,tee, ,m... Issued Date : 05/23/2023
l L:' o f 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 : 4 RUE SAINT CLOUD Legal Desc : N TR 7519 BILK LOT 52
Description : ELEC INSTALL 200A PIGGY -BACK METER (X2021-2565)
Owner:
BARMAN ROBERT T JR TR
Address :
6 RUE SAINT CLOUD NEWPORT BEACH, CA 92660
Phone :
Applicant:
Will Mendez
Address :
11240 Mountain Avenue Riverside, CA 92505
Phone :
(949) 290-1842
Owner/Builder
:
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15
Flood Zone : X
Use Zone : PC - Big Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : W A M CONSTRUCTION INC
Address :
11240 MOUNTAIN AVE RIVERSIDE, CA 92505
Phone :
(949) 290-1842
Con State Lie
: 1071961
Lie Expire :
12/31/2024
Bus Lie:
BT30080477
Bus Lie Expire: 01 /31/2024
Workers' Compensation
Insurance
Carrier :
EXEMPT- NO EMPLOYEES
Policy No :
EXEMPT
W. C. Expire:
Fire Hazard Zone : NO
Occupancy Groups : U
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate.
(Section 7031 6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption,. Any violation of Section
not more than five hundred dollars ($500).
❑ I, as owner of the property,. or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the I
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through imp
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completil
improved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, But
apply to an owner of property wbo builds or improves thereon, and who contracts for the projects with a licensed Contractor put
0 I am exempt from licensure under the Contractors' State License Law for the following reasom
By my signature below I acknowledge that. except for my personal residence in which I must nave resided for at least one year
sell a structure that I have built as an owner -builder If it has not been constructed in its entirety by liconsed contractors, I under.
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/fwww.legmfo.c
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9.(commencing with Section 77Qp y Dj;
and effect. License Class License No Date Alj "
COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
'.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES,
hereby affirm under penalty of perjury one of the following declarations:
] I have and Will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of In(
erformance of the work for which this permit Is issued. Policy No.,
-1I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfor
lsurance carrier and policy number are:
zanier Policy Number
lame of Agent r
below by the checkmark(s) I have placed next to the applicable item(s)
, or repair any structure, prior to Its Issuance, also requires the applicant for
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
)31.5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or improves theproperty, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' Stale License Law does not
to the ContractorsState License Law).
that a copy of the applicable law. Section 7044 of the Business and
The Business and Profe si ns od a rmy ense is In full force
Contractor Signature (((
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100.0001, IN ADDITION TO
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
certify that, in the perfarman of the work r which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should become subject t t a workers' l mpensatlon provisions of Section 3700 of the Labor Code, I shall forthwith cc ply with those provisions. /.Al/�{ yy
Toone of ApplicantM,u_, �_� Date" ` -77' �6 Z
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
Enders Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this annlication and the information have p ed correct
I agree to comply with. all applicable city and county or roan s nd state laws relating to building construction.
I al thnnze representatives of this city or county, to ent lh bov -Identified property for inspection purposes.
lidnature of ProDHrtY Owl,er cr Authorized Agent Print PrODertv Owner's or Auk
ACTICIN
( DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART bl OF TITLE AO AND AOMD RUL€
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CERTIFICATE Of
OCCUPANCY ISSUED
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fTIA '-/'� ' SIGNATURE:
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permit Is issued (Section 3097, Civil Code).
FOR OFFICE USEI ONLY
23-