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Home My WebLink AboutE2022-0486 - PermitsaEWPo�T City of Newport Beach IIII I II I II I II II III Community Development Department- Building Division Electrical Permit 100.—ivic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 07/29/2022 newportbeachca.gov/inspections Inspection Area : 2 E2022-0486 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 : 202 PEARL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 15 Description: OVERHEAD TO UNDERGROUND AND PANEL CHANGE Owner: TRAINOR H EDGAR TR THE TRAINOR FAMILY TR Address : 202 PEARL AVE NEWPORT BEACH, CA 92662 Phone: Applicant: JEAN-PIERRE TOBON 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: Contractor : JEAN-PIERRE TOBON Address : 409 62ND ST NEWPORT BEACH, CA 92663 Phone: Con State Lic : 879360 Lic Expire : 06/30/2024 Bus Lic: BT30014788 Bus Lic 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 afflmt under penalty of penury 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 ftem{s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, denial j s•h, or repair any structure, prior tilts issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors` State Lic(Chapter 9 (commencing with Section 7000) of Divrsio.. 3 of tna Business and Professions Code) or that he or she Is exempt from tleensure and the basis for the alleged exemption, Any violation c Seohar( 7031,5 by any applicant for e permit subjects the appfioant to a civil penalty of not more than five hundred dollars ($500). LJ I, as owner of the property, at my employees with wages as their sole compensation, will do U all of or U portions of tl Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through I improvements are not intended or offered for sale, if, however, the building or improvement is sold within one year of camp improved for the purpose of sale). LJ1, as owns; of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor 1 am exempt from lioonsure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y sell a structure that I have built as an owner buitdor if it has not been constructed in its entirety by licensed contractors. I on, Professions Code, Is available upon request when this application Is submitted Or at the fo€towing Web site: nttp:8WWW, login: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions or Chapter 9 (commencing with Section 70 and effect Licr+nse Class License No Date CONDENSATION DECLARATION Y PN'N3: FAILURE TC fF:URE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALI :DST 0.' COMAEtSkT10N, DAMAGES AS PROVIDED FOR IN SECTION 3708. of THE LABOR CODE, INTEREST. AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: I nave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of gEfmmanee ci the work for which this permit Is issued. Policy No. ',- have and Y. I' manntaln workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe isurarce carner ann policy number are: ;arner,!^ Policy Number Jima of Agent certify that, u the performance of the , If 1 should ;)eco re subject to the we )store of Applicant Z A work, and the structure Is not intended or offered far sale (Section 7044, pioyees' or personal effort, druids or improves the property, provided that the on, the Owner -Builder will have the burden of proving that It was not built or and. Professions Code: The Contractors' State License Law does not to the Contaactars' State License Law). to completion of the improvements covered by this. permit, I cannot that a ropy of the applicable law, Section 7044 of the Business and D to r rJJy�3 of the Business and PT Co �-an f license is in full force !( u� Contractor Signato AND CIVIL PINES UP TO ONE HUNDD DOLLARS tEt00,000I, IN As TO TIE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date Lied, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agre of Section 3700 of the Labor Cade, I shall forthwith mply with those provisions. I hereby affirm under penalty of 0rjilry thatthere is a construction lending agency for the performance of the work for which It is permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, i certify to cacti of lha following: — I am the property owner or authorized to art on the property owner's behalf. I have read this application and the Informe6on I have pro ed Ls I agree to comply with all applicable city and county ordina as d st I elating to building construction. I authorize representatives of this city or county t titer t I ntifiad prop y for inspectlon purposes. U Sirnature of Pro ert Owner or Authored A oni PFHtt Pro art Ownors ar Auth rued A ont's Name ACTION DATE EiY - LARATION OF COMPLIANCE WITH CODE OF FEDERAL FFOROFFICEL) EONLY REGULATIONS PART ST OFTITL€40ANDACIMD RUFF 1403 PERmn EXPIRED U i susivI ASBESTOS NOTIFICATION TO PERMIT CANCELLED IJEPA All required ofl Fees, latches gates and fences which serve as part of a pool/spa barrier, shall v€RMIYFXtE,va€a AQmo be in place prir to approval to fill peal/spa & shall remain in place & be maintained for the --------- PERA RMo`PI: 1 ASBESTOS NO r IFICATION 15 NOT APPLICABLE TO life Of the poo CERTIFICATE OF � ( PROPOSED DEMOLITION OCCUPANCY f55ULO I SIGNATURE: