HomeMy WebLinkAboutE2022-0516 - Permits�EvvPoRT City of Newport Beach
D4 a " @ Community Development Department- Building Division
1[ > 'r. 100 Civic Center Drive, Newport Beach, CA 92660
,= Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
ogq,00N newportbeachca.gov/inspections
Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 08/04/2022
Inspection Area : 2
E2022-0516
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DA`
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREA
Job Address: 215 PEARL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 14
Description: ELEC OVERHEAD TO UNDERGROUND/UPGRADE SERVICE
Owner: SMITH HELEN TR
Contractor : J P T CONSTRUCTION INC
Address : 215 PEARL AVE NEWPORT BEACH, CA 92662
Address : 409 62ND ST NEWPORT BEACH, CA 92663
Phone :
Phone: (714) 336-1966
Con State Lic : 879360 ;
Applicant: J P T CONSTRUCTION INC
Lic Expire : 06/30/2022 '
Address : 409 62ND ST NEWPORT BEACH, CA 92663
Bus Lic : BT30014788 ;
Phone: (714) 336-1966
Bus Lic Expire: 01/31/2023 ,
Workers' Compensation Insurance
Owner/Builder :
Carrier : WESCO INSURANCE COMPANY
Address :
Policy No : WWC3579585
Phone:
W. C. Expire: 4/7/2023 .. .
Code Edition : 2019
Fire Hazard Zone : N
Type of Construction :
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 penally of perjury that I am exempt from the Contractors' State License Law forthe resson(s) indicated below by the checkmark(s) I have placed next to the applicable tteri
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
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Coder 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
oproventents arenot 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
uproved for the purpose of sale).
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
ply 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 Lew).
I am exempt from licensure under the Contractors' Slate License Law for the following reason
ly my signature below I acknowledge Vial, 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 legalh
ell a structure that I have built as an owner-butdar if it has not been constructed in its entirely 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:IAvwAM.leginfo.ca.gov/calaw.mri
lignahtre 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 700 at the Business and Professions C e d y license is in II force
nd effect. License Class License No Date (( Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNINS. FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED SAND DOLLARS l$100.000I. IN ADDITION TO THE
Jf'ET ]. COMPEN-AT LA. DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm Lnda, 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 Relations as provided for by Section 3700 of the Labor Code, for lh
Willy mancs of iho work for which this permit is issued. Policy No.
eve 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
nsurance carrier and policy number are:
CariPr Policy Number Expiration Date
\IPrrC ^f Agent Phone If
:1I cewfy that, in the performa a of the work for Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
fiL t I' . should become sub' t to the workers' pan ton visions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ��
Signalureof Appluant „„ ., ___.,.-_ Date
DECLARATION REGARDING CON U N LENDING AGENCY
hereby affirm under penalty of perjury hatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Landers Name _ Lenders Address
By 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 provide correct.
I agree to comply with all applicable city and coun ordinane and t aws relating to building construction.
I authorize representatives of this city or coun D enter the -I Ified property for inspection purposes.
Signature of Property Owner or Authorbo A Print Property Owner's or Authorized Agent s Name 1 oata w
ACTION DATE i BY RATION OF COM PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
}I REGULATIONS PART61 OF TITLE 40 AND AQMD RULE
1403
PEBMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO
PEAMITCANCELL ED € EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PFRMIT EXTENDED
—I QMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool,
CERTIFICATE OF EDE-MOLIT ON
DION IS NOT APPLICABLE 70
OCCUPANCY' ISSUED V 7 SIGNATURE: