The URL can be used to link to this page

Home My WebLink AboutE2022-0550 - Permits�WPo� City of Newport Beach 11111111111 �11�III�II�I��IllIIIII Electrical Permit : E2®22-05550 � Community Development Department - Building Division ft n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1694-2015 Permit Counter Phone: (949) 644-3288 Work Class : Other v r Inspection Requests Phone: (949) 644-3255 Issued Date : 0811612022 cgLrFaa�'�P newportbeachca.gov/inspections r Inspection Area : 5 <s 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 : 250 HAZEL DR Legal Desc : N TR 673 BLK A LOT 44 TRACT NO 673 BLK A LOT 44 AND POR ABAN D STIR (GLEN Description: ELEC: INSTALL (4) EXT LIGHTS @ FRONT GARAGE. **LIGHTING CONTROLS HALL BE PROVIDED BY ON/OFF & PHOTOCELL SENSOR OR ASTRONOMICAL TIME CLOCK** Owner: KAN STEPHEN WAYLAND TR Contractor.: ' Address : 250 HAZEL DR CORONA DEL MAR, CA 92625 Address Phone: Phone: Con State Lie : Applicant: KAN STEPHEN WAYLAND TR Lie Expire: Address : 250 HAZEL DR CORONA DEL MAR, CA 92625 Bus Lie: Phone : Bus Lie Expire: Workers' Compensation Insurance Owner/Builder : KAN STEPHEN WAYLAND TR Carrier Address: 250 HAZEL DR CORONA DEL MAR, CA 92625 Policy No Phone W. C. Expire. .<: Code Edition : 2019 Fire Hazard Zone : Y Type of Construction : Occupancy Groups : U , Building Setbacks : Front: 1, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: o000 00000 o � � o ° O J O ° ° 00 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 below by the checkrnark(s) I have placed next to the applicable itern(s) (Section 7031.6, lushness and ;Professions Code: ,Any city or count} that requires a permit to construct, alley, improve, demolish, or repair any structure, ;prior to its issuance, also re -quires the applicant fora the 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 Ynth Section 7000) of fDluision. 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 70315 by any applicant fora permit subjects the applicant to a civil penaityof not more than five hundred dollars ($500). El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions ofthe work, and the structure is not intended or offered for sale (Section 7G44, Business and Professions Code: The Contractors' State License L,akv does not apply to an owner of property who, through employees' or personal :effort, builds or improves the property, provided that the Impro ments are not tt torided or offered for sale. If, however, the building or improvement is sold wilh n one year of completion., the Oviner-Suitderwill have the burden of proving tliat it was not built or amp ved for the purpose prsale), I, as owner of the pf perty, am exclusively contracting with licensed Contractors to construct the project (Section 7444, Business and Professions Code. The Contractors` State License Lawn does not ,apply to an owner of property who builds or improvesthereon, and who contracts for the projects yr th. a. licensed Contractor pursuant to the Contractors' State License Law), El I am exempt from ticensure under tha Contractors': State License Law for the following reason: By my signature below i acknowledge that, except for nay 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 ]egad; self a structure that I have built as on owner -builder if it has not been constructed in its entirety b ens:ed contractors. I understand that a copy of the applicable law-, Section 7W. of the Business and Professions Code, is available upon request when this application is sub or at the follow ' Web site:http:hlw-wvv..Ieginfo.r-a.gov/r-alaw.htmi. Signature of Property Owner or Authorized. Agent �---- Cate � % 20 � — LIGENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of iDMsfon 3 of the Business and :Professions Code, and my license is in full force and effect. License Glass License No Date Contractor Signature WO RKERV COMPENtATION DECLARATION WARRING: FAILURE TU' SEC4�R k'4fOR.ifERS' CCC#MPETISATIOM GQ'iERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CN1:L FINES UP TA ONE HUNDRED THOUSAND DOLLARS (V00,004), IN AourrIGN TO THE COST OP cOMP'ENSATION, VAkAGInS AS PROVIDED FOR IN $FCTION 3706 OF THE LASOR c00F, IRTEREST, AN,0 ATTORNEY°S FEEs-. 11 I hereby affirm under penalty of perjury one of the following declarations: I have and wvrTI rmair twin 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 th performance of the word€ for which this perrnit is issued. Policy No. QI have and will maintain ww:orkars' 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` compensatioi insurance carrier and policy number are: 7ofA.gent _ certify that, in if I should. tre of Ar�r�lioaEr[ ''j Policy Number Expiration Date Phone # Ice of the work for which this permit is isskpd., I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire to the provis!96w1a5f Section 370G of the Labor Code, I shall forthvrith comply VMh those provisions. Dote e. I ® 2 i Ect ttl ?ti Mr:kXARL)t4Nk3 sII-kU "Mat laiJt � Au. _JXcE I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name tenders Address By my signature below',, l certify to each of the following: I am the prl.)pe tv owner or authorized. to act on the property Owner's behalf. 4 have refit-tnrs'app`icatlon and. the information 1 have provided is correct. " II agree tc c(z.naply Whit all applicable city and county ordinances and state fa vs relating to building construction. I authoii e mnleserl#atives of this city or county to enter the bo e-ideAVed property for Inspection purposes. ; _ !N Sic-lature of PsoDery Owner or Authofed Atrent Print Property Owners o:Authorized AeNam ��4 ACTION I DATE Cc C t- < 'PERMIT CANCELLED 1 < � RrrR7h?IT Fh`TE VF3t"t7 DECLAXPATION OF CODA PLIANCE WITH CODE OF FEDERAL J FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 L_[ t SIJSrvtlTTixt7 ASSEST45 r�ipTt FiCATIO.� TtS FfR�l17T fA I UASBESTOS NOTIRCATION iS NOT APPLICABLE TO r ` CERTIFICAiiOF gg PROPOSED DEN10LITiON ' 6ccupAIc'CYf" it fJ 9 , SIGNATURE - All required. alarms, latches gates and fences which serve as part of a pool/spa barrier, shall. be in place priorto approval to fill pool/spa &. shall remain. in place & be maintained for the life of the pool.