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HomeMy WebLinkAboutE2023-0424 - Permits�6WPORT City of Newport Beach Coiiiiiiiiiiii4 II Electrical Permit : E2023-0424 0� Fl;ecn Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Work Class : Other Cq��FORN`P newportbeachca.gov/civic Issued Date: 05/10/2023 Inspection Area:4 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 : 2332 VISTA HUERTA Legal Desc : N TR 5798 BLK LOT 99 TR 5798 (L.L.84-245722) PAR 99 Description: ELEC UPGRADE ELECTRICAL SERVICE METER TO 200A Owner: SIR] HERZOG Address : 2332 VISTA HUERTA NEWPORT BEACH, CA 92660 Phone: Applicant: J P T CONSTRUCTION INC Address : 409 62ND ST NEWPORT BEACH, CA 92663 Phone : (714) 336-1966 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks: Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 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: 01/31/2024 Workers' Compensation Insurance Carrier: WESCOINS CO Policy No: WWC3579585 W. C. Expire: 4/7/2024 - Fire Hazard Zone : NO Occupancy Groups : R3/U iY3y° sya:Br' OWNER -BUILDER DECLARAI IUN hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark{s) I have placed nett to the applicable items) 'Section 7031.5, Business and Professions Cade: Any city or county that requires a. permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires 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 t the Business and }rofessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any vieiatio❑ of Section 7031,5 by any applicant fora. permit subjects the applicant to a civil penalty of Tot more than five hundred dollars ($500). ❑ 1, 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 Olh4,t the 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 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). I, as owner of the properly, am exclusively contracting with licensed Contractors to constroct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a ilcensed Contractor pursuant to the Contractors' State License Law), am exempt from tisensure under the Contractors' Stale License Low for the fallowing reason: _.�. By my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year pnor to completion of the improvements covered by this permit, I cannot legally soli a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Is available upon request when this application is submitted or at the following Web site:httpalwww.leginfo.ca.govlcelaw,html. Date_ — Signature of Property Owner or Authorized Agent LICENSED CON 'TRACTOR'S DECLARATION I hereby affirm und�i penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 s#'IJn f the Business and Professions Code yz icense, is in full force aril a`l Llcer : —o Izss License No I Contractor Signature v WORKERS' CCMIP";ISATION DECLARATION WA'NrIG. F'+1LURE TO 51CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS N;I00p00), IN ADDITION TO THE COST O{ LOM PENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. 11 hereby affirm unuw pe,hlty of perjury one of the following declarations: . ompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tb ❑ 1 have and will-t^, irlon a certificate of consent to self -insure far workers' c p rfNanne of the w,k for which this permit Is Issued. Policy No.. h a and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code.., for the performance of theworkfor which this permit is issued. My workers' compensatio ms once-Arrter art policy number are: nee ante of Agent 11 certify that, in the performance of the wor for, hick rmil ' ad, I shall not employ any person in any manner so as to become subject to the workers' compensation I s of California, and ogre ,at, if I should become subject to the work •anon provisions of 3700 of the Labor Code,. I shall forthwith Comply with those provisions. Ignature of Applicant ECLARATION REGARC TRUC710 ENDI. AGENCY hereby affirm under p alt perjury that there is a construction lending agency Tor the performance of the work for which this permit is issued. (Section 3097, Civil Code). enders Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is corn I agree to comply Aith. all applicable city and county ordinances an to law lating to b ding. construction. I authorize representatives of this city or county to on r the abov de Ied property inspection purposes. ii nature of Property Owner or Authorzed Agent Print Pro e Owner's or Authorized A ACTION DATE BY ATtON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY �! REGULATIONS PART 61 OF TITLE 40 AND AO,MD RULE i 1403 icuP.,TTFn ASBESTOS NOTIFICATION TO PERMIT EXTENUEU -j-- PERMITFfNAL '7((jr3 9 ASELSIOS NOTI FI£ATtON 15 NOT APPIiCABtE TO CERTiFtCATE OF f iij PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: