HomeMy WebLinkAboutE2022-0489 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic CentdDrive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Electrical Permit
Plan Check No:
Work Class : Other
Issued Date : 07/29/2022
Inspection Area : 2
E2022-0489
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL SSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HO O%1` P IN ALL AREAS
Job Address: 221 PEARL AVE Legal Case:
A TR BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 15
Description : OVERHEAD TO UNDERGROUND
Owner: JONES CRAIG ALLEN TR C & K JONES FAMILY TR
Contractor : JEAN-PIERRE TOBON
Address : 30402 MIRADOR CT LAGUNA NIGUEL, CA 92677
Address : 409 62ND ST NEWPORT BEACH, CA 92663 ,,,,
Phone:
Phone:
Con State Lie : 879360
Applicant : JEAN-PIERRE TOBON
Lie Expire : 06/30/2024
Address : 409 62ND ST NEWPORT BEACH, CA 92663
Bus Lie: BT30014788
Phone:
Bus Lie Expire: 01/31/2023 ,
Workers' Compensation Insurance
Owner/Builder :
Carrier:
Address :
Policy No
Phone:
W. C. Expire
Code Edition : 2019
Fire Sprinklers : NO
Type of Construction :
Fire Hazard Zone: N
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: St,�-
OWNER -BUILDER DECLARATION
1 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 iterri(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altar, improve, demolish, or repair any structure, prior to Its IssuPnCe, also requires the applicant for
is permit to fife 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 llcensure 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
'usiness 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 properly, provided that the
nprovements arenot 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).
I, as owner of the properly. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
pply 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 licensors under the Contractors' Stale 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, 1 cannot legalll
ell a structure that I have built as an 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, B 6fl3ess and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html.
lignatura 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 lr 1 f the Business and Profs ssl s Cod a license is in full for,,
nd effect. License Class License No DeI Contractor Signature
VORKERS' COMPENSATION DECLARATION
,ARNING: FA[LUR'?'n SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7 D DOLLARS t$100.000), IN ADDITION TO THE
n�.T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereuy affirm ul,der penalty of perjury one of the following declarations:
I Dave 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
'ormance of the work for which this permit is issued. Policy No.
I have and..vill mnintain 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' compenss
rrance earns• and policy number are:
Number
1e of Agent
certify that. In Too performance of the
If I should ueccma sujiffect to the we
Date
d, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of G.alifomia, and agre
Section 3700 of the Labor Code, I shelf forthwith comply with those provisions.
Dale - ///J l/, L
ereby affirm under penally of flSidupi fliiat. the re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ider's Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner of authorized to act on the properly Owner's bah
1 have read this application and the information I have provide Is c ..
I agree to comply with all applicable city and county ordinan s sl aws Tel ling to building construction. /,(\
I authorize representatives of this illy or count to enleri ve ntifted pro arty for Inspection purposes
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ACTION DATE BY IOrRATION Of COMPLIANCE WITH CODE OF FEDERAL
f �GtjI ATI0N5 PART 61 OF TITLE 40 AND ARMD RULE
1403
PERMIT EXPIRED LJ 15UBrdlTTEb ASBESTOS NOTIFICATION TO
CERPERMIT FINAL U ASBESTOS
NOTIFICATION IS NOT APPLICABLE fU
FICATE OF I�IML1 � SIGNATURE:
DEMOLITION
'
OCCUPANCY ISSUED /4 jU/77
FOR OFFICE USE ONLY
Civil Code).
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All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.