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Home My WebLink AboutE2022-0487 - PermitsCity of Newport Beach p c4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit CounteFPhonel(949) 644-3288 u S Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIII I II Electrical Permit Plan Check No : Wok Class: Other Issued Date : Inspection Area : 2 E2022-0487 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 HOL)DAYS IN ALL AREAS Job Address: 212 PEARL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BILK 6 LOT 15 Description: OVERHEAD TO UNDERGROUND' NEW SERVICE <n Owner: TRAINOR H EDGAR TR THE TRAINOR FAMILY TR y O Contractor ; JEAN-PIERRE TOBON Address : 202 PEARL AVE NEWPORT BEACH, CA 92662 Address : 409 62ND ST NEWPORT BEACH, CA 92663 Phone: Phone: J Con State Lic : 879360 Applicant: JEAN-PIERRE TOBON Lic Expire : 06/30/2024 ' Address : 409 62ND ST NEWPORT BEACH, CA 92663 Bus Lic : BT30014788 ; Phone: Bus Lic 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: S1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate below by the checkmark(s) I have placed next to the applicable Items) ;Section 7031.5. Business and Professions Code: Any city or county that m requires a permit to construct, alter, improve, deoli h, or repair any structure, prior to its issuance, also requires the applicant for are 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 'rofessicns Code) or that he or she is exempt from ficensure and the basis fer the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (._) portions of the rvjj��ork, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code The Contractors' Slate License Law does not apply to an owner of property who through erndlDyaas' or personal effort, builds or Improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement Is sod within one year of compietviIliY,,n, the Owner -Builder will have the burden of proving that it was not built. or Improved for the purpose of sale). 71 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pu tart to the Contractors'State License Law). 1 am exempt from licensure under the Contractors' Slate License Law for the foltovdng reason:__ _._ �� By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yea prior to completion of the improvements Covered by this permit, I cannot legally gall a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. I under itand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: htip:ttwww.leginto, a.gov/calaw.html. Signature of Property Owner or Authorized Agent _..._ �� Da€ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 700f the Business and Profesa'Pns Cl, and license i felt force and effect te License Class License No DaContractor Signaturt;S WORKERS' COfA'?ENSATION DECLARATION NARNING: FAILURE C ^ECURE WORR.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AND CIVtt FINE8 UP TO ONE HUNDRED THOUSAND DOLLARS L3100,000j. IN ADDITION TO THE .1'T en COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37080F THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, herehy affirm under penalty of perjury one of the following declarations: I have and i ,ill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Ifl uSidef Relations as provided for by Section 3700 of the Labor Code, for th, ppinninance or the work for which this permit is issued. Policy No. and ,Y.11 maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' i Carr:-:- one' policy number are: I Policy Number Date Name of Agent Phone # LJI sanity thsr In tnH pertorin e of the work for wh' ITsu it ed, I shall not employ any person: in any manner so to become subject to the workers' compensation laws of California, and agre 'its'.. It I shoulu deco T1e sail to tha workers p sation p visions of Secgan 3700 of the Labor Code, I shall forthwith cc Apply Willi those provisions. Signature of App iu tit Dot,-1 1 DECLARATION REGARDING CON RUCTION NDING Y AGENC hereby affirm under penalty of part ry tnat titer s a construatlon tending agency for ilia performance of the work for which IT Is permit Is issued (Section 3097, Civil Code). Lender's Name Lenders Address By my signature beas the following low, i carlify to g: I am the property owner or authorized to act on the property owner's be t . I have read this application and the information i have provided i a I agree to comply with all applicable city and county ordinance $ a lating to budding construction. I authorize representatives of this city or county t ent a a - ad property for inspection purposes. Y .�� Signature of Pro art Owner or Authorized A ant Print Property Owner's or Auiho izad Agent 8 Name Data ACTION DATE 6Y tARATION OF COMPLIANCE WITII CODE OF FEDERAL FOR OFFt U. E ONLY REGULATIONS PART M OF TITLE 40 AND ACMID RULE 1403 PERMIT L"XP(RhV I I U 1 SUBMITTED A,SaESTOS NOTI FICATi ON TO PERMfTG4NCELL€V OEPA All required PERMfTEXTENDED -- AOMD be in place I PFJfM7T FINAL �R5REMS NOTIFICATION is NOT APPLICABLE TO life of the pi CERTIFICATE OF y,/ [[[[[[ PROPOSED DEMOLITION OCCUPANCY155UED l(/ SIGNATUREt latches gates and fences which serve as part of a pool/spabarrier, shall approval to fill pool/spa & shall remain In place & he maintained for the