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HomeMy WebLinkAboutE2022-0493 - Permits�ewaoRT City of Newport Beach IIII I I II I II I II II IIIIII II Electrical Permit : E2022-0493 o� d Community De. elopm :.i: Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: H', S Permit Counter Phone: (949) 644-3288 Work Class : Other .� Inspection Requests Phone: (949) 644-3255 Issued Date : °rc,roaN`P newportbeachca.gov/inspections 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 4 W gu R Job Address : 206 PEARL AVE Legal Desc : A TR BALBOA.ISLAND RESUB SEC 1 BLK 6 LOT 15 Description: OVERHEAD TO UNDERGROUND Owner: TRACEE LAROCCA Contractor ; JEAN-PIERRE TOBON°:,,4 Address : 206 PEARL AVE NEWPORT BEACH, CA 92662 Address : 409 62ND ST NEWPORT BEACH, CA 92663 0 , 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.. ✓ 'L f hereby affirm under penally of perjury that I am exempt from the Contractors State License Law for the reason(*) $note 3e(lion 7031.5, 13uslness and Professions Code: Any city or county that requires a permit to construct, alter, improve, der to permit to file a signed statement that he or she islicensed pursuant to the provisions of the Contractors` State License L rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption, Any violation of Secti at more than five hundred dollars ($5001. 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of 6 ,usiness and Professions Coda: The Contractors' State License Law does not apply to an owner of property who, through I nprovements are not intended or offered for sale. If, however, the budding or improvement is sold within one year of comp �ntBroved for the purpose of sale). J I, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor i am exempt from licensore under the Contractors' State License Law for the following reason, y my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one y ell a structure that I have built as an owner -builder if It has not boon constructed in its entirety by licensed contractors. I on 'rotesslons Code, Is available upon request when this application Is submitted or at the fallowing Web site:http:Uwww,legini .ignalum of Property Owner or Authorized Agent JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70617 6 nd effect. License Class License No Date Z d below by the checkmark(s) I have placed next to the applicable ftem(s) III, or repair any structure, prior to Its issuance, also requires the applicant for (Chapter 9 (commencing with Section 71 of Division 3 of the Business and 7031.S by any applicant for a permit subjects the applicant to a civil penalty of k, and the structure is not intended or offered for sale (Section 7044, Des' or personal effort, builds or Improves the property, provided that the the Owner-Bultder will have the burden of proving that it was not built or prior and. Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). that copy of the the Business and Pro Contractor Signature law, Section cannot my)icense is in full VORKERS' COMPENSATION DECLARATION EARNING: FAILUR `r IECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDITION TO THE :'IFT (IF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LAEOR CODE, INTEREST. AND ATTORNEY'S FEES. heresy iffirn+ Lroler penalty of perjury one of the fallowing declarations: JI Dave and +'±ill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of urinal Relations as provided for by Section 3700 of the Labor Code, for IN ;rkrmance or fire work for which this permit is issued. Policy No. ave and .cal maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the per�Ormance of the work for which this permit is issued. My workers' once carve, and policy number are: II to of Agent certify than, in inv performance of the wor for if I should i Iaccri as uIs to the worke ' lature of App'IU4 nt " Date efM L lc-tcs�ed, I shall not employ any person in any manner s4 as to become subject to the workers' compensation laws of California, and agre provisions of Section 3700 of the Labor Code, I shall forthwith omply with those provisions. --- Date[/ CLARATION REGAFIDING INSTR TION LENDING AGENCY Ireby affirm under penalty cQ peC' at there is a construction lending agency for the performance of the work for which Ida `s Name Lenders Address My Signature below, l certify to each of tthe 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 I prrpci I agree to comply with all applicable city and county ordinances rid st m relating to building construction, I authorize representatives of this city or county enter the a filed property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or ALL permit is issued (Section 3097, Civil Code), ACTION DATE By I RATtONOF COMPLIANCE WIT}$COp[OFpF9ERAL . REGULATIONS PART&1 OF TITLE 40 AND Ai RULE 1403 FOROFFICE SEONLY r'E'RMr!'kXAIXFp10 I SURMITTED ASBESTOS NOTIFICATION TO All required al irms, latches gates and fences which serve as part ofa pool/spa barrier, shall PERM/TCANCULED DEPA _ vExnntTExfFnpEDgEgp be in place pri. r to approval to fill pool/spa & shall remain in place Q be maintained for the —+I-�.,- PFRhAfT RNAI € LJASBESTOS NOTIFICATION IS NOT APPLICABtfl TO life of the Poo CERTIFICATE OF � i E PROPOSED DEMOLITION OCCUPAfJ4'V 15SUED l ' sMNATIFRF-