The URL can be used to link to this page

Home My WebLink AboutE2023-0626 - Permits(Us". PoCity of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 718-1888 0.Nnewportbeachca.gov/civic iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii II Electrical Permit Plan Check No : PC2023.1709 Work Class : Other Issued Date Final Date: Permit Status: Applied Inspection Area : 4 E2023-0626 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 : 2668 BASSWOOD ST Legal Desc : N TR 4892 BLK LOT 6 Description : ELEC PANEL UPGRADE 200 AMPS Owner: GAUTREAU CHRIS ANTHONY TR Address: 2668 BASSWOOD ST NEWPORT BEACH, CA 92660 Phone: (714)920-0287 Applicant: JOJO COLLINS Address: 20104 STATE RD CERRITOS, CA 90703 Phone : (310) 795-6453 Owner/Builder Address: Phone : Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: Front: 6, Side: 6, Side: 6, Rear: 6 X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) Contractor : URBAN ENERGY SOLAR INC Address : 10192 CONSTITUTION DR HUNTINGTON BEACH, CA 92646 Phone: (310)795-6453 Con State Lic : 944115 Lic Expire : 12/31/2023 Bus Lic: BT30064588 Bus Lic Expire:09/30/2023 Workers' Compensation Insurance Carrier : STATE FUND Policy No: 9021421 W. C. Expire: 6/1/2024 ... Fire Hazard Zone : NO Occupancy Groups: 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 item(sl Section 7031.5,. Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, poor to Its issuance, also requires the applicant for ee 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 Idensure and the basis for the alleged exemption.. Any violation of Section 7031.5 by any applicant forapermit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 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 structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contraclors' 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 reproved for the purpose of sale). J 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not pply 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' Slate License Law for the following reason y 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 legally all a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofess ons Code, is available upon request when this application is submitted or at the following Web site:tedp:/lwww.leginfo.ca.gov/talaw.html. 'ignature of Property Owner or Authorized Agent Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Ch pter 9 (commencing with Sectio 7 00) of Division 3 of the Business and Prof sions ode hd mmy,liclose is in full force no effect. License Class License No �i 4` Ij S Oat - 0 ^ a3 Contractor Signatu � WORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1510g000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES A5 PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IN7ERE5T, AND ATTORNEY'S 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for Im eyyr'�fo� rrnance of the work for which this permit is issued. Policy No. al.tia�e 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 Isurance carrier rand policy number are: ) arrier S4`A Cn'M, TVI Sv11 Policy Number Expiration Date 3//2, 'ante of Agent Phone It certify the(, in the performance of the work for 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 agree eat, if I should becon1s.ubje N /t�hee�wo�rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tgnalure of Applice UrEF-f7�tyDateIECI_ARATION F�NG ONSTRUCTION LENDING AGENCY ... _._...._._..._.__....,__...e_.__.......�___..._.._�..._.._. 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 IS 3057, iv I CGde). enders Name Lender's Address y my signature below. I certify to each of the following: I am the prODerty owner or authorized to act on the property owner's behalf. I hava read t:Tis application and the information I have provided is correct. i agree to comply Withall applicable city and county rdinances and state laws relating to building construction. I ,:Lthcrize representatives of this city or county o inter b ve-identified property for inspection purposes. \/ _ /^�/ ianatLre Of Proacr'e 0, mer or Aulhorized Agan1 wvz '� Print Property Owner's or AiAgent's Name /� SOJ b �i I` In j (/date N,7-a 5 r�CTtUN I DATE ( BY V',. DELtARATION OF COMPLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY REGULATIONS PART 61. OF TITLE 40 AND AQMD RULE CRYt XPIREO I IJ rI �SUBMITTED ASBESTOS NOTIFICATION TO 'ER,'v11T AACELLYD i l_IfPA PLAMI, FINAL q hj (��✓✓ IJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF `^ PROPOSED DEMOLITION GCCUPANCYISSU£0 SIGNATURE