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HomeMy WebLinkAboutE2022-0488 - PermitsagWPO�r City of Newport Beach I II I I II Electrical Permit I II I II II III II I II Community Development Department- Building Division 100 Civic Center onve, Tvewport Beach, CA 92660 Plan Check No S Permit Counter Phone: (949) 644-3288 Work Class : Other a.. o9crFoaN`P Inspection Requests Phone: (949) 644-3255 Issued Date newportbeachca.gov/inspections Inspection Area :2 E2022-0488 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 : 126 PEARL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 15 Description: OVERHEAD TO UNDERGROUND d Owner: WILLIAMS CRAIG T TR C T Address : 126 PEARL AVE NEWPORT BEACH, CA 92662 Phone: Applicant: JEAN-PIERRETOBON Address: 409 62ND ST NEWPORT BEACH, CA 92663 Phone: Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction Occupancy Groups: 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. �L ,ontractor: JEAN-PIERRETOBON Address : 409 62ND ST NEWPORT BEACH, CA 92663 CA,^� Phone : Con State Lie : 879360 Lie Expire : 06/30/2024 Bus Lie: BT30014788 Bus Lie Expire: 01 /31/2023 Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone: N OWNER -BUILDER DECLARATION I hereby afllun under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (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' Slate License Lacy (Chapter 9 (commencing with Section 7000)of Division 3off 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 fora 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 (_) all of or (_) portions of the work, and the structure Is not intendedor 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 bolt or improved for the purpose of sale). ❑ I, 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). J I am exernpt from licensure under the Contractors' Stele License Law for the following reason: ,y 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 impro ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by ficensed contractors. I Understand that a copy of the applicat 'rofesslons Code, is available upon request when this application Is submitted or at the following web site: httpafAww.leginfo.ce.gov/calaw.html. Ignature, 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 Section 7000 r¢Iep f the Business and Prc nd effect. License Class License No Date L r Contractor Signature VORKERS' COMPENSATION DECLARATION law, Section 70 of the Business and D t ;sierra e, d my licen a is in full force 'ARNING: FAILUR_'(' 'ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS i6100,000f, Y4 ADDITION TO THE IrT Cc COMPFNSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: , and rill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 orthe Labor Code, for :e of the work for which this permit is issued. Policy No. and ,dJl 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' carri2- and policy number are: Policy of Agent cartify the[, it in, performance of the work for If I shoulu jeer, fire sublet to the workers' 4 or App!c;eal Date issued, I shall not employ any person in any manner so asto become subject to the workers' compensation laws of California, and agre is of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Dale hereby affirm under penalty of per' If", that. th re Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Duper's Name _ _ Lender's Address - 3y my signature below, 3 certify to eaci or the following: I am the property owner or authorized to act on the properly owner's elf. I have read this application and the information I have provided is co rec I agree to comply with all applicable city and county ordinances building construction. I authorize representatives of this city or county enter th cv I e red property for inspection purposes. 3i nature or Property Owner or Authorized Agent Print Property Owner's or Authorized A ACTION DATE By ATIONOF COMPLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE PERMIT CANCELLED FERMW EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED FICATION TO Name ❑EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall LJAQmo be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool. PROPOSED DEMOLITION