HomeMy WebLinkAboutE2023-0106 - Permitsaw�. aRT City of Newport Beach �������1111111111111111111111111111111111111111111jj Electrical Permit : E2O23-o1 os
p� Afi Community Development Department- Building Division E 2 0 2 3 0 1 0 6
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
u ya> z Permit Counter Phone: (949) 644-3288 Work Class : Other
C,G/FORN�p Inspection Requests Phone: (949) 644-3255 Issued Date : 02/15/2023
newportbeachca.gov/inspections 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 : 2417 VISTA HOGAR Legal Desc : N TR 5798 BILK LOT 84 TR 5798 (L.L.84-245722) PAR 84
Description : ELEC: UPGRADE ELECTRICAL MAIN SERVICE PANEL 200A
Owner: CURTIS EARLE
Address : 2417 VISTA HOGAR
Phone: (949)233-6751
Applicant:
CURTIS EARLE
Address :
2417 VISTA HOGAR
Phone:
(949)233-6751
Owner/Builder:
CURTIS EARLE
Address:
2417 VISTA HOGAR
Phone:
(949)233-6751
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone: X
Use Zone : R-1
PROCESSED BY:
IRT BEACH, CA 9266 n
C aA
,
�,o-i�a'.
Contractor
Address :
Phone: z3, y-
Con State Lic :
LtcE�E'if&J11"CCCLP
pire: ❑8v`Ic
: ,
peaiS� 4fi�ilrance
Carrier:
)RT BEACH, CA 92660 wofflom, EX '
ire
ne: NO
Occupancy Groups U g^y
Oscan plan ia7 I i
(work started) (no work started)
SPECIAL CONDITIONS: jrS • i;litials:
OWNER -BUILDER
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reascri indicated below by the checkmark(s) I have placed next to the applicable item(s)
dlon 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
pormit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from kcensure 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
more than five hundred dollars ($500).
I, as owner of the property,or my employees with wages as their sole compensation, will do
iness and Professions Code: The Contractors' State License Law does n (r, l r
'ovemenls are not intended or offered for sale: -R irtltia9F ul Ing or Iryfprovemenyfs s
roved' for the purpose of sale). I � / / --� ,/n
J I, as owner of the properly, am exclusively
pply to an owner of property who builds or inn
3 1 am exempt from licensure under the Con
:y my signature below I acknowledge that, ext
oil a structure that I have built as an owner-bt
'rofesslons Code, is available upon request w
signature of Property Owner or Authorized Agl
.ICENSED CONTRACTOR'S DECLARA
hereby affirm under penalty of perjury that I a
nd effect License Class
COMPENSATION
'ARNING: FAILURE TO SECURE WORNERS' COMPENSAI
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR
hereby affirm under penalty of perjury one of tl
I have and will maintain a Certificate of Cr
erformance of the work for which this permit Is
]I have and will maintain workers' compensa
Isurance, carrier and policy number are:
pe of Agent
certify that, in the performance of the work for
, if I should become subject to the
workers' co
Mature of Applicant
fioensed
State
not
all of or ( ) Portions of
Hof-pvsperty wh'o,"ttlinugfi'r.`mployees' ar personal effort, builds or improves the pro
IIdIId within
,Done year of completion, the Owner-8 ilder`v_ilj ehave the burden of proving
1f appy;ca
Ion 4, Business and h Professions Code: The C tracto State
with a licensed Contractor pursuantr OL13/d V Ps'I�v-'4 -4 Nfune�
r9 lJ 0.�.
fiustitavc csidtd `',r al ICaS. one .car prior to completion of the Improvements cove
cntuoty by li onsod r:ontnrtol : I Understand III atrngpy® ° aoplicabl
following `Neb slte,;hl�,l ! wvhf9gmfa.CavfG
= Date
under rovisions of Ghapter 9 (convneltcrrg wiiYilSeCtlori`i'if5R6 of Mry 116T. 3 of the Business and Professions Code, and
tb eNc Din ta - Contractor Signature
OG UNLAWFUL Aria SHALL SUSJET AN EMPL CRINRIAL PENALn S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
='ENE LABOR CODE: IN f EREST. AND ATTORNEY'S FEES.
(Section 7044,
, provided that the
it was not built or
Law does not
and
is In full force
IN ADOFTION TO 7HE
it to self -insure for workers' compensation, issued by the Dire nd I R ttiq/ ' 7 )0 of t e Labor Code, for
ad. No. u
ins ante as e d 4 fin 3 f a r Code, for rmance Of the work for which j i permrisissed.My rkers' compensa
°� f (no work started
_ Policy Numbs '110nl'k Rtarted) Expiration Date
is issued., I shall not
hereby affirm under penalty of perjury that there i a constructio work
Radar's Name Lendi Address
y my signature befa:v, I certify to each of the following:
I am the propery c r, ner or authorized to act on the property owner's behalf.
: f.zvoread this appi"cation and the information I have provided is correcL
I agree to comply with all applicable city and county ordinances and state laws mating to building' construction.
I nuthrtize representatives Of this city or county to enter the above-jdeotified property for inspection purposes.
comply with those rovis'on
�nsp- initials:
permit Is issued (Section 3097, Civil Code).
Si nature of Proper.' Owner or Authorized A ant Gr��>/ Property Owner's or Authorized A
ACTION I DATE BY DECLARATION OF 0NIPLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART bt OF TITLE 40 AND AQI ftULF.
PERMIT CF N'C£LLED
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
LIASBESFOSNOT IFICATION15Nor APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
Name
California, and