HomeMy WebLinkAboutE2023-0558 - Permits�aEWPpRT City of Newport Beach
0 6 Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
�r =' Permit Counter Phone: (949) 718-1888
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Cq� Fe0.N�P newportbeachca.gov/civic
iiiiiiiiiii II Electrical Permit : E2023-0558
Plan Check No : 1469-2021
Work Class : Other
Issued Date : 06/22/2023
Inspection Area : 2
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 : 13 BEACON BAY
Description: ELEC INSTALL PIGGY BACK SYSTEM
Owner: CHAD PEETS
Address : 13 BEACON BAY NEWPORT BEACH, CA 92660
Phone:
Legal Desc : R BK 9 PG 42 PAR 13
Applicant : Jeff Robert Longman
Address : 833 Dover Suite #5, 833 Dover Suite #5 Newport Beach, CA 92660
Phone: (949)722-7711
Owner/Builder
Address
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 15, Front: 3, Side: 3, Side: 3
Flood Zone:
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY: B�
SPECIAL CONDITIONS:
Contractor : LONGMAN CONSTRUCTION CO INC
Address :
2782 CIRCLE DR NEWPORT BEACH, CA 92663
Phone :
(949) 722-7711
Con State Lic
: 393881
Lic Expire :
08/31/2023
Bus Lic:
BT00001921
Bus Lic Expire:03/31/2024
Workers' Compensation
Insurance
Carrier :
STATE FUND
Policy No:
9062475
W. C. Expire:
7/l/2023
Fire Hazard Zone : NO
Occupancy Groups: U
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 checkmark(s) I have placed next to the applicable item(s)
Section 7031.5. Business and Professions Code: 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
is permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant io a civil penalty of
of more than five hundred dollars ($500).
11, 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,
iusiness and Professions Code: The Contractors' 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
n roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
only to an owner of property who builds or improves thereon, and who contracts far the projects with a licensed Contractor pursuant to the Contractors' State License Law).
A I am exempt from Ilcensure under the Contractors' Stale License Law for the following reason:.____
:y my signature below I acknowledge that, exceptfor 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 legal
oil a structure that I have built asan owner -builder if it has not been constructed in itsentirety by licensed contractors, j understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http•.Uwww.leginto.w.gov/calaw.html.
signature of Property Owner or Authorized Agent._ Dale
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Saction`700 n o1 fhe Business end Profession ode nt�y IC se is in full fordo
nd effect. License Class License No Date Z Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS [$109,0e0), IN ABORTION TO TH
03T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3734 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 11
Lyformance of the work for which this permit is Issued. Policy No.
have 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'
Fence carrier and policy number ere:
is of Agent _
certify that, in the pi
if I should become
lature of Applicant _
Policy Number Expiration Dale
Phone #
Hof t ork to hick this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens Lion laws of California., and agre
to th rker ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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vaby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lenders Address
my Signature below, I certify la each of the following:
I am the property owner or authorized to act on the property Owner's behalf.
I have read it's application and the information I have prow i- c reef
I agree to comply with all applicable city and couhty ordi cla[e s relating to building construction.
I authorize re,re-entrfves of this city or, county toe r the o4 i led property for inspectianpurposes. �z
ANION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE Of FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AC1MD RULE
1403
PfPMr 'XPIRED
19usmiTTED ASBESTOS NOTIFICATION TO
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TfAsums NOTIFICATION IS NOT APPLICABLE TO
C-f,T.F.CATE OF
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PROPOSED DEMOLITION
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SIGNATURE: