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Home My WebLink AboutE2022-0492 - PermitsCity of Newport Beach IIII I I II I II I II II IIII I I II Electrical Permit : E2022-0492 ) Community Deve;opment Department- Building Division I00 Civic CeNrr Drive, Beach, CA 92660 Plan Check No: i. > Permit Counter Phone (949) 644-3288 Phone: 644-3256 Work Class : Other Inspection Requests (949) issued Date newporibeachca.gov/inspections inspection Area : 2 s +..,- P., 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: 214 PEARL AVE Legal Desc : A TR.BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 15 Description: OVERHEAD TO UNDERGROUND Contractor : JEAN-PIERRE TOBON Owner: Address : 409 62ND ST NEWPORT BEACH, CA 92663 Address : Phone: Phone: Con State Lic : 879360 Applicant: JEAN-PIERRE TOBON Lic Expire : 06/30/2024 Address: 409 62ND ST NEWPORT BEACH, CA 92663 Bus Lic : BT30014788 , Bus Lic Expire: 01/31/2023 Phone: Workers' Compensation Insurance „ OwnerlBuilder : Carrier : Address : Policy No W. C. Expire: Phone: ; 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) indic3tad below by the checkmark(s) I have placed next to the applicable Reads) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, care Ash, or repair any structure, poor to its issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L aw (Chapter 9 (commencing with Sectic^ 7000j e' Division 3 of the Business and 'rofessions Code) or that he or She is exempt from lloensure and the basis for the alleged exemption. Any violation of $act n 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of ,ot 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 t IN work, and the structure is not. Intended or offered for sale (Section 7044, 3usmess and Professions Code, The Contractors' State License Law does not apply to an owner of properly who, through I mployaes" or personal effort, builds or improves the property, provided that the rnprovements arenot intended or offered for sale. It, however. the building or improvement is sold within one year of Comp efion, the Owner -Builder will have the burden of proving that it was not built. or mproved for the purpose of sale). 1 I, as owner of the property. am exclusively contracting with. licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not 1pply to an owner of properly 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 licensure under the Contractors' Stale License Law for the following reason' ..... 3y my signature below I acknowledge that, except for my personal residence in which I must have rosined for at least one y ear prior to completion of the improvements covered by this permit, I.cannot legally tell a structure that I have built as an owner builder if it has not been constructed in its entirety by licensed contractors. I on. arstand that a copy of the applicable law. Section 7044 of the stress and Irofesslons Code, is available upon request when this application Is submitted prat the following Web sitOhttp:IAWVw,leglp _ca.gov/calew.htmt. 3lgnaturo of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiony'��r ,n�,��."" ))J)) ynl+ep 6 the Business and Profe�Ions C; AS Icensa i?i't'llfe ind effect. License Class License No Da Contractor Signature/ VORKERS' COtAOENSATION DECLARATION JARNINO: FAILUa."- ` WORKERS' COVERAGE IS UNLAWFUL, O SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIv3L PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100DOC). IN ADDITION TO THE ION, D MI /1fT Pr CQMPENSATION, DAMAGE$ AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, ANO ATTORNEY'$ FEES, PROVIDEDFOR IN S C horsey affirm under penalty of perjury one of the following declarations: I I have and Y411 maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, r6rNmance of the work for which [his permit Is issued. Policy No. "! Ave and .,I![ mrirnain workers' compensation insuran as required by Section 3700 of the Labor Code,. for the p ormance of the work for which this permit is issued. My workers' compensatior arice came° and policy number are: larrIcr P cy Nr Expirafion Date Jame of Agent Phone o as to become subject to the workers' compensation laws of California and agree 31 certify thee, In 6te performance of the work Ich s permit is iss shall not employ any person in any manner r91d I shOU16 aeCUT)e sub ' Lt to the war s Co ens Ion prov ' s of Section 3700 of the Labor Code, I shalt forthwithcomply 4gnaiura Appit.&n9�__, with those provisions. of D e ireby affirm under penalty of p'erju at there Is a consinrction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code), ider's Name i— Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act an the property owner's beha . I have read this y owner or and the information I have previtlJisorre _I agree to comply with ail applicable city and con 1ty ordinanc-7a g to building Construction.I authorize representatives of this city or coun. wenterthe f led property for inspection purposes, nature of Property Owner or Authorized A of Pent Property Owner's or Authorized Agent's Name TION DATE End DE ION OF COMPLIANCE WITH CODE OF FEDERAL. FOR OFFICE SE ONLY E .ATIONS PART 61 OF TITi.E 40 AND ARM(7 RULF PERiwlI WIRPD j U [ SURNt17TFh ASPIWOS NOTIFICATION TO PERAAT CANCELLED _ EPA All required arms, latches gates and fences which serve as part of a pool/spa barrier,. shah v€aMrTExrEtvpE� �p be in place p iarto approval to fill pool/spa & shall remain in place &be maintained for the PERMIT FINAL. life of the O I. I AS6EEDD NOTIFICATION IS NOT APPLICABLE t0 p fER71FlCf1TE Or =PROPOSED DEMOLITION OCCUPANCY 155UEP ? SIGNATURE: