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HomeMy WebLinkAboutE2022-0743 - PermitsCity of Newport Beach �EWPO�T C� ai @ Community Development Department- Building Division III IIIIIIII Electrical Permit IIII I III it > ' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No S Permit Counter Phone: (949) 644-3288 Work Class : Other cgc,.�eµN�P Inspection Requests Phone: (949) 644-3255 Issued Date newportbeachca.gov/inspections Inspection Area : 2 E2022-0743 Q 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 : 122 PEARL AVE Description : ELEC OVERHEAD TO UNDERGROUND Owner: DOUGLAS CITRO Address : 122 PEARL AVE 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: Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BILK 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: WESCOINS 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 al oin 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 item(s) 3eclion 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure,poor to its Issuance, also requires the applicant for ie 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 licensors and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant forapermit subjects the applicant to a coil penalty of o€ more than five hundred dollars (iii 1 1, 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, ',usiness and Professions Code' The. Contractors' Stale License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the nprovemenis 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 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7944, Business and Professions Code: The Contractors' State License Law does not ppl y 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 .__... _..... _... _. ........ ...___. __.__...._..._____._ ly 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 legally ell a structure the( t have built as an owner -builder 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:llwww.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent _ _ Deft .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 } of O ty' 3 of the Business and Pro Ions C y license is In full force rid effect. License Class License No Date 11 ) Z( Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORY.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED SAND DOLLARS ($100.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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 In. e formanDo of the work for which this permit is issued- Policy No. I 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 Isurance carrier and policy number III Policy Date re of Agent A Phone # certify that, in the performance of the work f r w f permit is issued, I shall not employ any person in any manner so as to become subject io the workers' compensation laws of California, and agre I, it I should becom ject to the worker p atic 1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 /) nature of Applican __ �.._. ..__.___ __.____._`__.__— D to `�( �3 /2Z t;LAEiRTfON Rtu r)ING C CTI N LE. AGENCY +reby affirm unde penalty of perjU that thee 1s a construction fending agency for the performance of the work for which this permit is issued (Section 3097, C vil Code). ,dnr's'dame _.� Lender's Address my signature below, 1, certify to each of the following: I arn'he property owrer or authorized to act on the property owner's behal I have read this application and the information I have provided is Corr I agree to comely wan all applicable city and urtty ordinances an s g to building construction. �y% I authorize representatives or this city or counto enter the abov Intried property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Oat l 's/t'I DATE BY 1 DEC AT OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( I RE IONS PART 51 OF TITLE. 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION PERMIT CAACEL(ED i ME —PA PERMIT EXTENDED I L1AnMn PERMIT FINAL / LJASB6ED DE OLITIO LION IS NOT APPLICABLE fU CEATIEfCRTE OF -t� ytL�r1�1- PROPOSr:O DEMOLITION OCCUPANCY ISSUED 1 �, �1 II�t SIGNATURE