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HomeMy WebLinkAboutE2022-0750 - Permits�agWPORr City of Newport Beach p Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 6 > S Inspection Requests Phone: (949) 644-3255 °a4 roaN�P newportbeachca.gov/inspections Electrical Permit Plan Check No : Work Class : Other Issued Date: Inspection Area : 2 E2022-0750 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 : 210 PEARL AVE Legal Desc : A TR. BALBOA ISLAND RESUB SEC 1 BLK 8 LOT 29 Description: ELEC - OH TO UG; 200A MAIN PNL UPGRADE Owner: OHLS TAMARA C TR T C Address: 4790 IRVINE BLVD #105-43 IRVINE, CA 92620 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 : Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 14, 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 Fire Hazard Zone : NO Occupancy Groups: iNI%�:� I [0=40 I hereby affirm Linder penalty of perjury that I am exempt from the Contractors' State License- Law for the reason(s) indicated ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to consinrot, alter, improve, demolist :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law ( Professions Code) or that heor she is exempt from licarksure and the basis for the alleged exemption. Any violation of Section 7 not more than five hundred dollars ($500). ❑ I; as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the w Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empl Improvements are not intended at offered for sale, If, however, the building or improvement is sold within one year of comptello Eroved for the purpose of saioi. I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project tSoclion 7044, Busl aply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor put, I am exempt from ieaensure under the Contractors' State License Law for the following reason: --- __----- Sy my signature below I acknawiecigo that, except for my personal residence in Which I must have resided for at least one year soil a structure that I have built as an owner -builder if It lies not been constructod in its entirety by licensed contractors_ I Lesions Professions Code, is available upon request when this application is submitted or at the following Web Stte:htip:/JV vrw.leginfo.cE Signature Of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm kinder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) t and effect. License Class License No Date oSv COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 Or THE LABOR CODE, INTEREST, "a ATTORNEYS FEES. hereby affirm under penalty of perjury one of the fcllowing declarations: have an l maintain a Cerhfrcate of consent to aef-insure for workers` compensation, issued by the Director of rm of Ilia work for which this permit Is issued. Policy No, vo an" N t ,oamtaln workers compensation Insurance as required by Section 3700 of the Labor Cade, for the pe trance Carrter and policy number are: Policy of Agent .1 certify that, in the ierformance of the work for Ich t Is issued, I Shell not employ any person in any manner SO as hat, if I should LLLj no subject to the, workers' co. ; per, a Labor Cade, I shall forthwith eon )iyr aiure of Af'F`i�..nt .%��,____ _ ?PCL.NRAT€ON RF^_ARp1NG CDNSTR I LE G AGENCY her0y affirm under penalty of perju at are Is a construction lending �agenoyfor the performance of the work for which this ..tinder's Name Lender's Andress +y ^tY s:ynaturo balaw, I certify D t of the follow I am the property Owner or authorized to act on the property Owner's behalf. I he,a read this Ipp;cation and the information I have provided i_ cerroct- I agree to comply with all applicable city and county ordinances rid Stab a r /n o building construction. I authorize representatives of this city or county to enter the ab v to Fogerty for I spection purposes. 31 nature of Property Owner or Authorized A- ant Print Property Owner's or Authoriz ACTION DATE By i DE R ION OF C(TMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE 1 D. rIoNS PART rl 06 TITLE AO AND AQNID RULE P€RM1 r EXPIRED PERMIT CAArCEt,t Eft PERMITEXTENDED NOTIFICATION TO CER71FICATF OF O\,1At �y 11 t/ I PROPOSED EMOLITAL t N!O SXfd AN—P�1DAal£ TO OCCUPANCYISSUED (� 11 1 11hUUU :tw by the cheokmark(s) I have placed next to the applicable tenets) repair any structure, prior to its Issuance; also requires the applicant for Ipter 9 (commencing with Section 7000) of Division 3 of the Business and S by any applicant for a permit subjects the applicant to a civil penalty of it, and the structure is not: intended or offered for sale (Section 7044, ,ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the Improvements Covered by this permit, I cannot legally I that a copy of the applicable law. Section 7044 of the Business and dcalaw.hunL Onto of the Business and Professions Code, a my� full force Contractor Signature JI CIVIL FNIE8 UP TO ONE HUNDRED THOUiAND DOLLARS J$100.0001, IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor CODE, for of the weer for which this permit is Issued. Rey workers' Date become subject to the workers' compensation laws of California, and agre with those provisions. Data CS 1 k f ZZ Is issued (Section 3097, Civil Code),