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Home My WebLink AboutE2022-0749 - Permits�gWPpRT City of Newport Beach IIII I II I II I II III I II 0� Community Development Department- Building Division EIBCtCICBI P@Illllt: E2U22-0749 > - y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : p Permit Counter Phone: (949) 644-3288 Work Class : Other `P Inspection Requests Phone: (949) 644-3255 o ou 1..� 7((pnpN rewportbeachca.gov/inspections Inspect 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 Job Address : 110 GARNET AVE Description: ELEC OVERHEAD TO UNDERGROUND Owner: JANE DAVIS Address : 110 GARNET AVE NEWPORT BEACH, CA 92662 Phone : Applicant: J P T CONSTRUCTION INC Address : 409 62ND ST NEWPORT BEACH, CA 92663 Phone : (714) 336-1966 Owner/Builder : Address Phone: Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 30 Contractor : J P T CONSTRUCTION INC Address : 409 62ND ST NEWPORT BEACH, CA 92663 Phone : (714) 336-1966 Con State Lic : 879360 Lic Expire : 06/30/2024 Bus Lic: BT30014788 Bus Lic Expire: 01 /31/2023 Workers' Compensation Insurance Carrier: WESCO INS CO Policy No : WWC3579585 W. C. Expire: 4/7/2023 Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : U ; Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 , Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island .. PROCESSED BY: ... . SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicaled below by the checkmark(s) I have placed next to the applicable items) 3ecl on 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for 1e permit to Pie 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 Yofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a clvil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' Slats License Law does not apply to an owner of property who, through employeesor personal effort, builds or Improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or nproved for the purpose of sale). 7 1, 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 poly 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), 1 1 am exempt from licensure 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 year prior to completion of the Improvements covered by this permit, I cannot legall, oil a structure that I have built as an owner -builder If it has not been constrvctod in its entirety, by licensed contractors. I understand 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:http://www.leginfo.ce.govlcalaw.html, .ignRture 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 Section 7 O)pf Rsiy 3 of the Business and Prof s ' he Code, y tic nse is in full force rid effect License Class License No Date ` -< l— Contractor Signature yid, COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS (5100,000), IN ADDITION TO THE DST OF COMPENSATION, OAMADES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will 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 grformance of the work for which this permit is. issued. Policy No. .b, v_e and will 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' compensatiol .Trance carrier and policy number are: Tier Policy Number Expiration Date re of Agent I Phone 9 certify that, in the rformanoe of the This permit is issued, I shall not employ any person in any manner so as to become subject to the work rs' compensation laws of California, and agre I, if I should beco ubjecL to th s compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I 7 f nature of Apo licari6 ,,,,. __.._ ._� _ Dat Q( �7 (?Z Cl_ARATION Ell " RDING UC ION LENDING AGENCY i iereby: fflrm ul,der 7iel haRy of perjury that there is a constn CIMnl lending agency for the performance of the work for which this permit Is issued (Section 3097, Clbil Cade) _order'- Name _______ Lender's Address 3, my Fignature Ill certify to each of the following: I at,, the properly cwger or authorized to act on the propert4an Owner's alf. I have read this application and the information I have provct. I acre- to comply with all applicable city ar my ordinaa laws relating I building construction.I authorize rep esa dalives of this city or co to enter thtified prope or inspection purposes. signature of PropertOwner or Authorized A en Print Property Owner's or Authorized A anC5 Name _ ACTION ! DATE By :.L ATION OF COMPLIAN ITH CODE OF FEDERAL FOR OFFICE USE ONLY i ,UtATIONS PART 61 OF TITLE 40 AND AQMD RULE. i 1403 PERMIT EXPRED LJ I SORMITTFD ASBESTOS NOTIFICATION TO ...... ..__ _ .... .. _._ __..._ y`y PER�'✓1TCANCELLED L..1CPA ED PERMIT EXPEND❑AOMD PERTiF FCA LAL �I I PROPOSED DI NOTILITIO'i[ON IS NUT APPLICABLE TO CERTIFlC4TE OF PROPOSED D6b1OLITION OCCUPANCYiSSUED 1 Q��A SIGNATURE: