The URL can be used to link to this page

Home My WebLink AboutE2022-0928 - PermitsPO City of Newport Beach p� Community Development Department- Building Division y 1�aO Civic Center Drive, Newport Beach, CA 92660 U } Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIII�E�I12lll1�IIIIII2�III�III�I�IIIII�IIIII Electrical Permit : E2022-0928 Plan Check No: PC2022-3112 Work Class: Other Issued Date: 01/24/2023 Inspection Area : 3 �l1 •1 •' '• l • •', + .fit �` �+ +► a a',y • �. •, )_YAV Ifffill Job Address: 1521 KATHLEEN LN Description : ELEC /BBQ Owner: JERRY/CARA WEICHMAN Address : 1521 KATHLEEN NEWPORT BEACH, CA Phone : Applicant: DREAMSCAPES BY M G R INC Address : 1901 NEWPORT BLVD #350 COSTA MEE Phone : (949) 480-3420 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : PROCESSED BY.: SPECIAL CONDITIONS: -egal Desc .N TR':1806 BLK LOT Contractor : DREAD. _ Address: 1901 NEIA ESBYMGRINC RT BLVD #350 COSTA MESA, CA 92627 URANCE COMPANY INC m ®0®aa o 0 0 o s: on�mo0 m o a 0 0 m 0 0 o 0 0 � � •� � i � � ©F ooaa 0000� om000 0 Go O O 0 0 0 0 0 0 © a 00 1, as s€tees! I am am exclusively co srr builds err irrfprta Est when ipt"from the Contractors"State License wxfbr1he sason(s):"Indicated below bythe checkmark(s) I hmm.piaced.next to the-appl cable. items) y+'Or county that requires a permit try construct, alter, improve damolish, or repair any`Structure, prior its issuance also F uiret!! a�rpllaarn for iced pursuant to the provisions of the Contractors4 Sate Llcans e Law (Chapter'g (commencing with Section ibop) c# rvision u of € e Susih'�ess and. Uro and the bAsis for the allecged,e rnptlon.: Any viol�aflon, of Section 7031, by any appltcent foe � ertnit saab�ects th appCicarit tc rival ?ate af. iaa as their sole compensation, will dd U ail a or U p*ortions: of the works aiad'.tha structure is root interided or p fered fcrr sale (Sbetion 7044, . tense Lave doesra"ot apply, to are of property, who, through eenpl ayees gar personal effort,-buifds or impro s ties property, provided that the never, the building or improvement send within arse 3 r' of completion,' the Owner -Builder will have burden of prauin+g that it was not built or i b utlt li rsecf Contractors to crs iStrua t the pro eci ($action 7 #4, Pvslnl-ss and Prrrfassiar Code, 71 e ontrsclors" State License Law dales not on, and who coritr is for ;the prof cks With I licensed -Contractor pursusrrt tb the Corr%clois' State License lea). ate License Law for the followwfng reason: personal residerro irl which I must have redder£ lar`st ieast one y r.prirar to completion of the. 'rrnprtiveritents covered by this permit, I cannot l ll is not bean constructed ire itsentirety by tic. ens �d contractors.* I understand that a copy of the ap licable :law, Sort 7044'of sae Business and f penury.ttrat i ern licensed under provisrcrns=of € rapta r {oo rrerrcirsg wvath Sebtatsrr 70€l0 6# t av rCael 3 of alas 13u License_Na 17ate `s` 2,7 Cotair ION DECLARATION *RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SKALL.SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FPX3 UP Date e asio/ icenso is in full forc hereby aff€rm .under penalty of perjury arse ofthe'ftrllm ing declarations;; �. i haafe ark. Will rrlaliatp`Ira ,aloea-titite of consent to solf-Insure, for workers' compensation, fisstted by tie Directorof Iradustrlal Relations :as p0fided for by Sec, iio 3700 Of the, Labor Code, for ih rmaance of the work f6rjWhith this permR. is issued. policy No, 0 11 have and will maintakI �voikers' co perwsation insurance, as r6qpirod by Soclion 3700 of the Labor Cope, for the performance of tale work for Wh. feh this Perm it is inueda My w oritere cot ponse igg "t rt�e carcrerarrrf pclfloyrlurnbeC are: a r policy Number ExpfrationBate lame rgenfi, phone :11 certify feat; in he= e an e ti a i for which this'permit is issued, I shall west employ any person in any manner so as to become subject to the workers' cram sefron laws Of, California„ and a rs hat, if [,.Should snare Mesta e4o rs' rrrpensation proviwaris of section $700 of the Labor Code, I shall forthwith reapply with those provisions. >ignattlre of App6F Date— ) LARATI10N l £ CONS Ti IO LENDING AGEMY hereby affirm under enaii of p>xrltlry that there is wa coraatrcrcdon fending agentyfor the performance of tray r€ for vrtrach tYris permit is €ssued {Section:3097, Crvrl, ra ?}.. tinder's Name Lender"a Address 3y My igoature elawtr, € r€�rlify to each of the follovon : l: Irr the property o Arrler orja6ttloriz to act on the pr s aerty dwhee$ Inhalf. I have read this applidat 6nand the information t ft provided is i agree to comply wait alt ajiplr bla city and c rriy o .n c a to laws. rWating to buifding construction. C �uthodze representatNesia i ' or au t+ ter br rdr r b reel pr€iperty for irrspeotion purposes, J �a�/�i/ signature F ropert p us e= or AWborfzed Ag print Properly.. ners or� Authcrdzed Agent's NameLaZ2��Da / 2 <.- ACTION DATA r BY a?ECLAW.,t'CN CaF C i PLIAN WI.TH.00 6E DF FELL AL FOR OFPICE,USE ONLY r�F REWLtiTIS. PART f 1. OF TMLf 40 ANii,AqG4 D RUtE r _ r 1403 . PERMIT ;EXPIPEt = r — { 5I.16rv1M0 ASRMOS NbVICX116N ` o PRiIT�!qitLk `rr r c F PERMIT EXT IV19f ? A100 PERMIT FINAL r I ;�1 ��( ASBEST CaTiFI ' iir�N l5 tit} Ai�.�LdCABtE T�1 CERV ICArror r r If �� PR(1Pt)5 t3ErMOLI N tCfi*tii�dCY15ISl ^ _ SICaiA RE'. �y