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HomeMy WebLinkAboutE2023-0309 - Permits,EvuaoRr City of Newport Beach Community Development Department- Building Division r _ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 �q��FORN\P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections iiiiiiiiiii II Electrical Permit : E2023-0309 Plan Check No: Work Class : Other Issued Date : 04/07/2023 Inspection Area : 11 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: 2211 VISTA HOGAR Legal Desc : Description: ELEC - 200 AMP SERVICE UPGRADE Owner: BURTON DELORES A TR Address : 215 E BAY FRONT AVE NEWPORT BEACH, CA 92661 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 : 2022 Type of Construction Building Setbacks Flood Zone Use Zone : PROCESSED BY: 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:01/3112024 Workers' Compensation Insurance Carrier: WESCOINS CO Policy No : WWC3579585 W. C. Expire: 4/7/2D24 Fire Hazard Zone : NO Occupancy Groups : R3/U OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itemts) action 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 issuances also requires the applicant for a permit to file a signed statement that he or she is licensed pursuant to the provisionsof 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 Iicensure 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 )I more than five hundred dollars ($500). I I, as owner of the property, or my employees with wages as their sole compensation, w ll do (_) all of or (� portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the. property, provided that the iprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwiil have the burden of proving that it was not built or a roved for thepurpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly to an owner of property who builds or improve$ thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License law). 1 I am exempt from ticensure under the Contractors' Slate License Law for the following reason:._ y my signature below I. acknowledge that, exceptfor my personal residence in which I must haveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) ell a structure that I have built as an owner -builder If it has not boon constructed In its entirety I understand that a copy of the applicable law, Section 7044 of the Business and by licensed contractors, rofessions Code, is. available upon request when this application is submitted or at the following Web site:httpa/wwwaeginfo.ca:gov/calaw.html Date ;ignalure of Property Owner or Authorized Agent .iCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9.(Commencing with SeciD"raofa7000) a v) tContractor S and Professions. a y license I in full force nd effect. License Class License Not y Contractor Signature VORKERS' COMPENSATION DECLARATION. IN AoomoN To THE IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100,000), :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of thefollowing dectaratlons: sation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for t -11 have and Will maintain a certificate of consent to Belt-iosurs for workers' compenIN ierformance of the work for which this permit is issued. Policy No. -1I 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' compensatior Is (once carder and policy number are. ter Poli tuber Expiration Date Phone If Jame of Agent -1I certify that, in the performance Of the rk fo permit is issued, I shall not employ any person many manner so as to become subject to the workers' compensation laws of CRlifomia, and Rgre hat, if I should become subject to the we r ar ' mp ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p� >ignature of Applicant OECLARAT[ON REGAR C UC LENDING AGENCY hereby affirm under penalty ury that there is a construction tending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). _ender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's . I have read this: application and the Information I have pmvl ad' correct. I agree to comply with ail applicable city and county ortlin c an s relating to building construction. I authorize representatives of this city or county to enter e v -identified party for inspection purposes. C 'J Signature a Pro ert Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name l Date ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 44 REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXP/REO©ISUBMlTTEO ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITFINAL 7r/� i3 ( I OASBE}TOS NOTIFICATION 15NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: