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HomeMy WebLinkAboutE2022-0745 - Permits��EWPORT City of Newport Beach p d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u W's• S Inspection Requests Phone: (949) 644-3255 Cq//F00.N�P newportbeachca.gov/inspections Electrical Permit : E2022-0745 an Check No : Wlork Class : Other Issued Date: 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 : 112 PEARL AVE Description: ELEC OVERHEAD TO UNDERGROUND Owner: RACHELSTULL Address : 1850 STALLION DR SANTA YNEZ, CA 93460 Phone: Applicant: J P T CONSTRUCTION INC Address : 409 62ND ST NEWPORT BEACH, CA 92663 Phone : (714) 336-1966 Owner/Builder Address Phone : Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 30 Contractor : J P T CONSTRUCTION INC Address : 409 62ND ST NEWPORT BEACH, CA 92663 Phone : (714) 336-1966 Con State Lie : 879360 Lie Expire : 06/30/2024 Bus Lie: BT30014788 Bus Lie Expire: 01 /31/2023 Workers' Compensation Insurance Carrier : WESCO INS CO Policy No : WWC3579585 W. C. Expire: 4/7/2023 Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : U Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island • -. , PROCESSED BY: SPECIAL CONDITIONS: 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 Rerl (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 the 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 Professions 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 for a. permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property,. or my employees with wages as their sole compensation. will do U 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 property, 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). ❑ 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that. except for my personal residence in which I must haveresided for at least one year prior to completion of the improvements covered by this permit I cannel legallt sect a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contrectors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, isavailable upon request when this application is submitted or at the following Web site:http:l,' w .ieginfo.ca.govlcalaw.:html. Signature of Property Owner or Authorized Agent _ _ Dale LICENSED CONTRACTOR'S DECLARATION I w_ I hereby affirm. under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Q) II of the Business and r fessions d my I Cense is In full force and effect License Class License No Dat `'[ ` Contractor Signa WORKERS" COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE& HOUSAND DOLLARS 1S100.0001, IN ADDITION TO THE DST OF COMPENSATION, DAMA0E5 AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Reiations as provided for by Section 3700 of the Labor Code, for 'ormanco of the work for which this permit is issued. Policy No., fund 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' carrier and policy number are'. to of Agent _ certify that, in the . if I should bs,rxr mnatU, of Apl BCLARATION h^,reb•; affirm c anae, s Name y my signature Number Date Canoe of dhe nr� for permit is Issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre Ict to the wor rs co pensalion provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Date CONSTRU ION L 'NDING AGENCY of perjury t I there is a construction lending agency for the performance of the work for which this to Is issued (Section 3097, Civil Code). _...._. Lender's Adtlrass am .he property owner or authorized to not on the property oWner's half. I have read Cris application and the information I have pro d i I agree to co,r.ply with all applicable chy and cou ty ordinan s nd a la lating to building construction. I authorize representatives of this city orcou o enter the Identified prope r inspection purposes. [,Lii'j.Lur62fPrc)p2LOwnerorAutliorizedAoentI Print Property Owner's or Authorized Agent's Name b Oat j �2 ACTION ' DATE By LAAATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / RE'GiAATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION PERMITEXTENOED LI0.4MD PERMIT FINA! ❑ASSES 1`05 NOT] FICArION 15 NO APPLICABLE TO CERTIFICATE OF I I PROPOSED DEMOLITION OCCUPANCYISSUED _ A I -I b SIGNATURE;