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Home My WebLink AboutE2022-0484 - PermitsD�aE Pokr City of Newport Beach Community Development Department- Building Division 100 Civic C2,,cer Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u a.� Inspection Requests Phone: (949) 644-3255 c9C/FppN��" newportbeachca.gov/inspections Electrical Permit : E2022-0484 Plan Check No : Work Class : Other Issued Date : Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIC2I? 6SUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND PtPP gggj IQAYS IN ALL AREAS Job Address: 213 PEARL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 ELK 6 LOT 15 i Description : OVERHEAD TO UNDERGROUND Owner: DENNERLINE ROBERT S TR Contractor : JEAN-PIERRE TOBON Address : 213 PEARL AVE NEWPORT BEACH, CA 92662 Address : 409 62ND ST NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lie : 879360 Applicant : JEAN-PIERRE TOBON Lie Expire : 06/30/2024 Address : 409 62ND ST NEWPORT BEACH, CA 92663 Bus Lie: BT30014788 ; Phone: Bus Lie Expire:01/31/2023 Workers' Compensation Insurance Owner/Builder : Carrier: Address: Policy No: Phone: W. C. Expire: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : N Occupancy Groups: " Building Setbacks: Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island S1/ PROCESSED BY: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that t am exempt from the Contractors' Slate License Law forthe reason(s) indicated below by the chackmark(s) I have placed next to the applicable Items) ;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 :he 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 arofessons Code) or that he or she is exempt from licensors and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business 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 properly, provided that the improvements 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 improved For the purpose of sale). I, 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 e�ply 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). LJ I am exempt from licensors under the Contractors' Stale License Low for the following reason. By 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 legall) sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Is available upon requestwhen this application is submitted or at the following Web site:httpafA w .leginfo.ca.govicalaw.html. Signature of Property Owner or Authorized Agent s Di to LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7of the Business and Professions Co a license is In full force 000 i and effect, License Class License No Date Contractor Signatures WORKERS' CCrVENSATION DECLARATION ' - NARNING: fAfLURL rC ^EOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000), IN ADDm0N TO THE ]IrT C- COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirri tinder penalty of perjury one of the following declarations: i,D 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 th performance of the vork for which this permit is Issued. Policy No. have and ,d:l maintain workers' compensation insurance, as required by $action 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensatioi Trance carrisr and policy number are: Tier Policy Number Expiration Date na of Agent Phone 11 csrtity [ITnt, in tn� perform nca of the work Wni tht s issued,. I shall not employ any person in any manner so as to become subject to the workers' compensation taws of California, and ogre If I shoulu sew me su eLt to the workers' tiion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, nature of APP IL^ n[. ,..,,., ., ..., . �., .,..... �.,.... Data_ areby affirm under penalty of per1%T1fTatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). )der s Name Lender's Address my signature below, l certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is car agree to comply with all applicably city and county ordi an es a slate toting to building construction, I authorize representatives of this city or county to e r the O e-- h ifled property for inspection purposes. �^ y lD. i-7 v mature of Prnnertv owner fir Authorized Anent Print Prooertv Owner's or Authorized Anent's Name i IU '1� ACTION DATE BY '' F�ARATMN OF COMPLIANCE WITH CODE OF FEDERAL I REGULATIONS PART SI OF TITLE 40 AND AQMD RULE PERMIT EXPIRED iJ' I SUBMITTFD ASBESTOS NOTIFICATION TO PERMLTCANCELL€D �_ EPA PERMlt fXTFfVDfD AQMD PERCER IWiCATE Or OCCUPANCY ISSUED ��77 3b ��DDD PPOSEDEMOLITIONLJASBESICSNOI[FICATION I5 NOr AVPLICABIE TO jt j SIGNATURE, �d FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.