HomeMy WebLinkAboutE2022-0611 - PermitsaE•✓PORT City of Newport Beach
p� n _' ' d Community Development Department- Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
,_ z Inspection Requests Phone: (949) 644-3255
cgc�Fon"`P newportbeachca.gov/inspections
Electrical Permit
Plan Check No :
Work Class : Other
Issued Date :
Inspection Area : 2
E2022-0611
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 : 216 PEARL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 8 LOT 32
Description: ELEC -OVERHEAD TO UNDERGROUND. 200 AMP SERVICE UPGRADE
Owner: SPRAGINS GEORGE S TR
Address : 3429 SEABREEZE LN CORONA DEL MAR, CA 92625
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: 2019
Type of Construction :
Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5
Flood Zone : AO 1
Use Zone : R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY:
Contractor : J P T CONSTRUCTION INC
Address :
409 62ND ST NEWPORT BEACH, CA 92663
Phone :
(714) 336-1966
Con State Lie :
879360
Lie Expire :
06/30/2024
Bus Lie:
BT30014788
Bus Lic Expire:01/31/2023
Workers' Compensation Insurance
Carrier:
WESCOINS Co
Policy No :
WWC3579585
W. C. Expire:
4/7/2023
Fire Hazard Zone: N
Occupancy Groups : R3/U
OWNER -BUILDER DECLARATION
I hereby Short order penalty of perjury that I am exempt from the Contractors` State License Law for the reasonts). indicated below by the checkmark(s) I have placed next to the applicable item(s)
efoh 7031.5. Business and Professions Code: Any city or county that requires a permit o construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
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 of the Business and
.fe"ions Code) or that he or she is exempt from ficettsure, and the basis for the alleged exemption. Any violation of Section 7p31,5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five Hundred dollars ($500).
D 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the v
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compleff<
mproved for the purpose of sala).
1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bur
sooty to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor Our
L1 1 am exempt from hoensure 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 year
soil a structure that I have built as an owner -builder if it has not been constructed in Its entirety by licensed contractors. I under.
Professions Code, is available upon request when this application is submitted or at the fallowing Web SfO:htip:#www.le9mfo.c
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0
and effect. License Class License No Da
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
II nhereby affirm under penalty of perjury one of the following declarations:
l
u I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of lin
performance of Ilia work for which this permit Is issued. Policy Nci
0) h e and wilt maintain workers compensation insurance, as required by Section 3700 of the Labor Code, for the peffol
tinsurarke carrier and policy number are:
Carrl Policy Number
k, and the structure is not intended or offered for sale (Section 7044,
Sea' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that It was not built or
>ss and Professions Code: The Contractors' State License Law does not
ant to the Contractors' State License Law).
for to completion of the improvements Covered by this permit, I cannot le{
no that a copy of the applicable law, Section 7044 of the Business and
iovrcalaw.iitmt.
Date
Business and Pfgfegsions Codip/aP&mylicens , is in I force
CNIL FINE$ UP TO ONE HUNDRED THOUSANO DOLLARS nu UDAI), IN ADDITION To THE
tat Relations as provided for by Section 3700 of the Labor Code, for In
of the work for which this permit is issued. My workers'
Date
rat'na of Agent npnd rr
31 certify that, m the performance of the work for which his permit S i ed, l shall no roploy any person in any mannerTatil)yboct�ome subject to the workers' compensate n laws of California, and agre
tat, if I should become subject to the workers compy+. ' ' pro '�` ns of Section 370 of the Labor Code:, I shall forthwith those provisions. /
'dgnature of Applicant„
IECLARATIGN 'air
UIJ{R NG GSiWfR LENDING GENCY
hereby affirm under penalty of perJ..ury there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
ly 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 come .
I agree to comply with all applicable city and county ordinances rid stot la relati?Iomuilding construction i authorize representatives of this city or county toe tarthe ab e-Iden' d propertyspection purposes. _.
3i nature of Property Owner or Authorized Agent Print Propertyy Owners or Author ed Agent's Nam
ACTION DATE BY € C ATrCN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE US :ONLY
? GULATIONS PART 61 OF TITLE 40 AND AOMD RULE
TO
PERMIT EXTENDED ! 't-t���I tHkMD
F£RMti HNAC ��ti ti3 ( 0A5ii ttr NOriF'ICATfON IS NOT APPLiCARI.E TO
CERTIFhOITEOF V V ) PROPOSED DEMOLITION
OCCOPANCYISSUEO I SIGNATURE: