HomeMy WebLinkAboutE2022-0744 - Permits�gWpoR City of Newport Beach IIII I I II I I I II II II II Electrical Permit : E2022-0744
p4 S Community Development Department - Building Division g
> 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
N'� S Permit Counter Phone: (949) 644-3288 Work Class : Other
a.Inspection Requests Phone: (949) 644-3255
c9(iFOpN`� newportbeachca.gov/inspections Issued Date :
Inspection Area : 2 � 6
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 : 119 PEARL AVE
Description
: ELEC OVERHEAD TO UNDERGROUND
Owner:
WENDY BARTON
Address :
10 GOLDENBUSH IRVINE, CA 92604
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 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
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 of lion under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ite rl
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
'rofassons 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
lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044.
Susiness and Professions CedeThe 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
mprovements 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
mproved 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
Ipply to an owner of property who builds or improves (hereon, and who contracts for the projects with a. licensed Contractor pursuantto the Contractors' State License Levi).
I am exempt from licensors under the Contractors' State License Law for the following reason
Sy 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,
OR a structure that I have built asan owner -builder if it has not been 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:/?www.leginto.co.gov/calaw,htmi..
Signature of Property Owner or Authorized Agent Date
_ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of visio 3 of the Business and Pr f sions Code r r license is In full force
Ind effect License Class License No Date `f Contractor Signatu
VORKERS' 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 HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
IOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 1 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
pLformance of the work for which this permit is issued, Policy No..,
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'
carrier and policy number are;
Policy
Dale
Name of Agent a Phone #
01 Certify that, in t'h2 aor'ormance of the work tar which t is pe. it is sued, I she employ any person in any manner so as to become subject to the we r compensation laws of California, and agre
that, it I should become s%GC'o
e workers compens lion is s of O of the Labor Code, I shall forthwith comply with those provisions. )
Slgnature of Apple i,_.,eDECIAitAT6GN REGA UCTI LE !NG GENCY a
I r.erety affirm under penalty of perjury that er a construction lending ageneyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lerder'r Name L Lender's Address, _
Bw my signature below, ('certify to each of the following:
I ern the property Owner or authorized to act on the property owner's behalf.
I have read t ii application and the information I have provided is corr t.
I agree to comp r with all applicable city and county ordinances ands to { relating wilding construction. 'ly`
autf onze rep ese h olives of this city or county pp )enter the abpve-i "ed propert mspectlon purposes. /1
Signature of Propcd.� Ov:ner or Authorized ADent � Print Procerty Owner's or Authorized Anent s Name \ c \I n a
ACTION DATE BY C ATi OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RTZ9WITIONS PART 61. OF TITLE. 40 AND AQMD RULE
1403
PERMIT'EXPIR€D )LJpI SqUBMITTED ASBESTOS NOTIFICATION TO
PEAMIT CANCELt£D t LIPA
PEAMIT £X7ENOE0 l......_. LJAQMD _. ... ._.__ .. .__._. ..__.
PERdRIT FINAL ❑AStlB105 NOTIFICATION 15 NOT APPLICABLE TO
CERTiFICATF OF �I,rl/ PROPOSED DEMOLITION
OCCIJPANCYfSSUED ` h SIGNATURE;