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Home My WebLink AboutE2022-0755 - PermitsCity of Newport Beach O��zwPoRT e Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 s Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cqG/Fp RN\P newportbeachca.gov/inspections Electrical Permit Plan Check No : Work Class : Other Issued Date : Inspection Area :2 E2022-0755 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 : 106 BAY FRONT S Description: ELEC - OH TO UG Owner: HACKLEY BART M JR TR Address : 106 S BAY FRONT NEWPORT BEACH, CA 92662 Phone : Applicant: J P T CONSTRUCTION INC Address: 409 62ND ST NEWPORT BEACH, CA 92663 Phone: (714) 336-1966 Owner/Builder: Address Phone: Code Edition : 2019 Type of Construction : Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 1 LOT 2 BALBOA ISLAND RES UB SEC 1 LOT 2 BILK 1(AND NWLY1/2 Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: rC SPECIAL CONDITIONS: Contractor : J P T CONSTRUCTION INC Address : 409 62ND ST NEWPORT BEACH, CA 92663 Phone: (714)336-1966 Con State Lic : 879360 Lic Expire : 06/30/2024 Bus Lic : BT30014788 Bus Lic Expire: 01/31/2023 Workers' Compensation Insurance Carrier: WESCO INS CO Policy No: WWC3579585 W. C. Expire: 4/7/2023 i Fire Hazard Zone : NO Occupancy Groups: ECT I hereby affirm under penally 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 items) 3eation 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 Io 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars (S500). 7 I, as owner Of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, .usiness 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 nproved for the purpose of sale). 1 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 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). J I am exempt from licensure under the Contractors' State 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 legall, pit a structure that I have built as an owner-huildor 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 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http://w .leginto.oa.gov/calaw hurt. .ignature of Property Owner or Authorized Agent „v Date LICENSED CONTRACTOR'S DECLARATION 'tI� hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7Q00) Nisio 3 of the Business and Professions Cod / d-rr y teen a is in full force nd effect. License Class License No Dot I 7 A Contractor Signature PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADD71ON TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, ANO ATTORNEY'$ FEEs.. hereby affirm under penalty of perjury one of the following declarations: I have and will ioeinle�n 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 to vr. arDcf the work for which this permit is issued. Policy No. and will msin+aln 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' Carrier and Policy number are: is of Arent certify that., in tl rt, performance of the if I should becom? subject to the wo of Applicantl- t i ON REfiARiJi I Number Date Permit is issuFe3>1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre t pro Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. J Date_. t J1 hereby affirm under u5 l i:y of PeADry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -en ier'a Nnme Lender's Address Sy my signature baw, Ify to each of the following: I all the property owner or authorized to act on the property oWaI!n 'bhlf I have read INS application and the Information I have provid I agree to comply with all applicable city and county ordinancto building construction. I authorize representatives cf this city or countyao enter theror inspection purposes. { ( rC Signature of Property Owner or Authorzed A ant Print Property Owner's or Authorized Agent's Name t I6 `%CY ACTION DATE BY RATION OF COMPLIANCE VJii'H CODE OF FEDERAL I FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AQMD RULE. PERMIT PERMIT EXTENDED ___.... PERMIT MAIL CERTIFICATE OF OCCUPANCYISSUED UIhSBES1OS NOTIFICATION 15 PROPOSED DEMOLITION .t TO