HomeMy WebLinkAboutE2022-0745 - Permits��EWPORT City of Newport Beach
p d Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u W's• S Inspection Requests Phone: (949) 644-3255
Cq//F00.N�P newportbeachca.gov/inspections
Electrical Permit : E2022-0745
an Check No :
Wlork 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
Job Address : 112 PEARL AVE
Description:
ELEC OVERHEAD TO UNDERGROUND
Owner:
RACHELSTULL
Address :
1850 STALLION DR SANTA YNEZ, CA 93460
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 Lie
: 879360
Lie Expire :
06/30/2024
Bus Lie:
BT30014788
Bus Lie 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:
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 placed next to the applicable Rerl
(Section 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
the 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
Professions 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 civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property,. or my employees with wages as their sole compensation. will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code, The. Contractors' State License Law does not apply to an owner of property who, through employees' 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 sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Improved for the purpose of sale).
❑ 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
apply 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 am exempt from licensure 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 haveresided for at least one year prior to completion of the improvements covered by this permit I cannel legallt
sect a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contrectors. I understand that a copy of the applicable law. Section 7044 of the Business and
Professions Code, isavailable upon request when this application is submitted or at the following Web site:http:l,' w .ieginfo.ca.govlcalaw.:html.
Signature of Property Owner or Authorized Agent _ _ Dale
LICENSED CONTRACTOR'S DECLARATION I w_
I hereby affirm. under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Q) II of the Business and r fessions d my I Cense is In full force
and effect License Class License No Dat `'[ ` Contractor Signa
WORKERS" COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE& HOUSAND DOLLARS 1S100.0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMA0E5 AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Reiations as provided for by Section 3700 of the Labor Code, for
'ormanco of the work for which this permit is issued. Policy No.,
fund 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'
carrier and policy number are'.
to of Agent _
certify that, in the
. if I should bs,rxr
mnatU, of Apl
BCLARATION
h^,reb•; affirm c
anae, s Name
y my signature
Number
Date
Canoe of dhe nr� for permit is Issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
Ict to the wor rs co pensalion provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
Date
CONSTRU ION L 'NDING AGENCY
of perjury t I there is a construction lending agency for the performance of the work for which this to
Is issued (Section 3097, Civil Code).
_...._. Lender's Adtlrass
am .he property owner or authorized to not on the property oWner's half.
I have read Cris application and the information I have pro d i
I agree to co,r.ply with all applicable chy and cou ty ordinan s nd a la lating to building construction.
I authorize representatives of this city orcou o enter the Identified prope r inspection purposes.
[,Lii'j.Lur62fPrc)p2LOwnerorAutliorizedAoentI Print Property Owner's or Authorized Agent's Name b Oat j �2
ACTION ' DATE By LAAATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY /
RE'GiAATIONS PART 61 OF TITLE. 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION
PERMITEXTENOED LI0.4MD
PERMIT FINA! ❑ASSES 1`05 NOT] FICArION 15 NO APPLICABLE TO
CERTIFICATE OF I I PROPOSED DEMOLITION
OCCUPANCYISSUED _ A I -I b SIGNATURE;