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Home My WebLink AboutE2022-0490 - Permits�aeWPoRT City of Newport Beach A Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r1 Permit Counter Phom ici49) 644-3288 Inspection Requests Phone: (949) 644-3255 °bcrconN`P newportbeachca.gov/inspections Electrical Permit : E2022-0490 Plan Check No : 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 A�✓ Job Address: 222 PEARL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 15 Description: OVERHEAD TO UNDERGROUND* NEW SERVICE PANEL - Owner: TRACY RUDD Contractor ; JEAN-PIERRE TOBON Address : 222 PEARL AVE NEWPORT BEACH, CA 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: OWNER -BUILDER DECLARATION I 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 placednext to the applicable items) 'action 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, dennoliv h, or repair any structure, prior to Its Issuance, also requires the applicant for to permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License La (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and 'rofesslons Code) or that he or she is exempt from tieensura 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 mare than five hundred dollars ($500j. I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the York, 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 Foil loyroes' or personal effort, builds or improves the property. provided that the nprovements are.. not Intended or offered for sale. if, however, the building Of Improvement is sold within one year of completi in. the Owner -Builder will have the burden of proving that it was not bulll. or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project QSection 7044. On mass and Professions Code: The Contractors' State License Law does not ply 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), I am exempt from censure 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 must have resided for at least one yea pror to completion of the improvements covered by this permit, I cannot legally all a structure that I have built as an owner -builder it it has not boon constructed in its entirety by licensed contractors. I under stand that a copy of the applicable law. Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:littioWwww.legir a.gov/calaw.html. signature of Property Owner or Authorized Agent Date iCENSED CONTRACTOR'S DECLARATION ; hereby affirm under penalty of pefjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 diD , f the Business and Professions se i Go e isfull force rid effect. License Class License No Date [ Contractor Signature VORKERS' CONDENSATION DECLARATION ' 'ARNMG: FAILUAr -(' ^ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL' AFT OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm order penalty of perjury one of the following declarations: I I Lave and v'ill maintain a certificate of consent to self -insure for workers compensation, issued by the Director of errcfifnance of the work for which this permit is issued. Policy No. r AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for and _r:l maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit m issued. My workers` earn-, and policy number are: I Policy Number of Agent canify that. in tiiv performance of the work for If I shoult; 'uecc-no subiecKo the workers` co of App5Cent ved, i shall not employ any person in any manner so of Section 3700 of ilia tabor Code, I shall forthwith c rECLARATION RE3A51l CONSTR ON L NO MG AGENCY hereby affirm under penalty of parju that ther a construction lending agency for the performance of the work for which it antler's Name Lender's Address 'y my signature below, I certify to each of the following; I ant 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 cc Bet. I agree to comply with all applicablo city and county ordinances and late la I authorize representatives of this city or county outer the above I I of Prooertv Owner or At ACTION 1 DATE BY 1403 to building construction. m Inspection purposes. Print Property Owner PART 91 OF TITLE 40 AND AOMD RU LE NOTIFICATION TO PEHMJT EXTENDED I LJAQMD PERMiTFINAI I — A NOTIFiCATIONISNOT'APPLICA8LE TO C'ER7(FICA)rk OF tI�II-- rf l PROPOSED DEMOLITION OCCUPANCY I55UED nlLl (/J SIGNATURE: FOR OFFICE All required be in place I life of the or Date to become subject to the workers' compensation laws of California, and agre oly with those provisions. Date permit is issued (Section 3097, Civil Code). latches gates and fences which serve as part of pool/spabarrier, shalt approval to fill pool/spa & shall remain in place & be maintained for the