HomeMy WebLinkAboutE2022-0491 - PermitsQ ��WPO�T City of Newport Beach
0
Community Development Department- Building Division
F y 100 Civic Center Due, Newport Beach, CA 92660
n Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
CqC/Fnµe��P newportbeachca.gov/inspections
Electrical Permit : E2022-0491
Plan Work 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 : 217 PEARL AVE Legal Desc
: A TR BALBOA ISLAND RESUB SEC 1 BILK 6 LOT 15
Description : OVERHEAD TO UNDERGROUND
TOBON
Owner: JORDAN LINDSEY
Contractor : JEAN-PIERRE
409 62ND ST NEWPORT BEACH, CA 92663
Address : 217 PEARL AVE NEWPORT BEACH, CA
Address :
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 : BT3001478B
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: J F'
OWNER -BUILDER DECLARATION
l hereby affirm under penalty of perjury that I am exempt from the Contractors' Stake License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable Items)
(Section 7031.5. Business and Professions Code: Any city or county that Tequires 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'300) of C:ivisicn 3 of the Business and
Professions Code) or that he or she is exempt from licansure 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided [fiat 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 exernpl from licensure under the Contractors' Slate License Law for the following reason „
By 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}
sell 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 a Business and
Professions Code, Is available upon request when this application Is submitted or at the following Web site:http:/Iwww,leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 �Aivis' of the Business and Profe ors C dfffl re icense is in full force
and effect. License Class License No Cat L ( Contractor Signature
WORKERS' CON?ENSATION DECLARATION
WARNING: FAILURL 'C ':ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED HOUSANO DOLLARS (S100,0001, IN ADDITION TO THE
eerT CF COMPENSATION, D.AMA0E3 AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
have and v,ill 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
Drmance of the work for which this permit Is issued. Policy No.
have and 411 mcintain 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' compensa
ranee car6v and policy number are: ,
Policy Nu bar Expiration Date
of Agent Phone fk_
11 cartify that, In lne performance of thefko
for whi this p It is tssued, hall not employ any person in any manner so as to become subject to the workers' compensation taws of Caltomia, and agre
.e<. q I shculo uec�,ne so act to the woa li ectlon 3700 of the Labor Code, I shall forthwith comply with those provisions.
1,gnalure ofApp lLE'lf, Date
DECLARATION REGARDING NS N L N DING AGENCY
hereby affirm under penalty ry thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name _ Lender's Address _
y my signature below, I certify to each of the fallowing:
I am the property owner or authorized to act on trio property owner's babel
I have read this application and the information I have provide is o
I agree to comply with all applicable city and county cminene s d state vs relatin to building construction,
I authorize representatives of this city or county XtOXIer th ab Idain-tified pro y for Inspection purposes. t\V
i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A cnt's Name 0 O a
1CTION I DATE I BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 51 OF TITLE 40 AND AQMD RULE
j 1403
PERMIT EXPINED i I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
D
PERMITFINAL
[]ASBESTOS
ASBU ESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
OCCUPANCYISSUEO
n U�� / PROPOSED DEMOLITION
/ j��'�/ E SIGNATURE:
ID�
All required alarms, latches gates and fences which serve as part of 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.