HomeMy WebLinkAboutE2022-0731 - Permits��gWPORT City of Newport Beach
D F Community Development Department- Building Division
y qp 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
U S Inspection Requests Phone: (949) 644-3255
+gcoaN`P newportbeachca.gowinspections
Electrical Permit : E2O22-0731
Plan Check No:
Work 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 : 136 BAY FRONT S Legal Case:
A TR BALBOA ISLAND RESUB SEC 1 ELK 1 LOT 9 BALBOA ISLAND RES UB SEC 1 LOT 9 BILK 1
POR OF
Description : ELEC OVERHEAD TO UNDERGROUND
Owner: BEST DEBORA ANN TR
Contractor : J P T CONSTRUCTION INC
p^ -
Address : 1376 CALLE CABALLERO SAN DIMAS, CA 91773
Address : 409 62ND ST NEWPORT BEACH, CA 92663
Q
Phone :
Phone : (714) 336-1966
Con State Lie : 879360
Applicant : J P T CONSTRUCTION INC
Lie Expire : 06/30/2024
Address : 409 62ND ST NEWPORT BEACH, CA 92663
Bus Lie: BT30014788
Phone: (714) 336-1966
Bus Lie Expire:01/31/2023
Workers' Compensation Insurance
Owner/Builder:
Carrier: WESCOINS CO'�
Address :
Policy No: WWC3579585
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Phone:
W. C. Expire: 4/7/2023
Code Edition : 2019
Fire Hazard Zone : NO
Type of Construction :
Occupancy Groups : U
Building Setbacks : Front: 5, 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 affi❑n under penalty of perury that I am exempt from the Contractors' State License Law for the reascri indicated below by the checkmark(s) I have placed next to the applicable item(s)
clior, 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 ipplicant for
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
fesstolTs Code) or that he or she is exempt from licensure 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
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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iiness 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
rovements 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
roved 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
dy 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),
IJ I am exempt from wensure under the Contractors' Stale License Law for the following reason:. _
By 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 legally
sell a structure [hat 1 have builtas an owner-buildor if it has not been constructed in its entirety by liconsed contractors. I understand 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:http:/lwww'.leginfo.ca.govfcalaw.html.
Signature of Property Owner or Authorized Agent Date _ _
LICENSED CONTRACTOR'S DECLARATION w
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sactio 009) )fvi n 3 of the Business and Professions d y tic BE is In full force
and effect. License Class License No 0 it If 7 Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUN HOUSAND DOLLARS (5100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 Relations as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. Policy No..
have 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' Compensation
msi ce carrier and policy number are:
Carrier Policy Nu er Expiration Dale
Name of Agent I Phone Sf
❑I certify that., in the performance of the work for rich his it is issue shall not employ any person in any manner so as to beco ne subject to the workers' compensation laws of California, and agree
that, it I should becD a blest to the workers•' co it provisio. f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. %
Signature of Applicant _ _ Date rS( I7 ZN
DECLARATION REG. RBI CONST CTI LENDING AGENCY
I hereby affirm under penalty of parj th are Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, civil de).
Lender's Name _ Lender's Address _
By my signature below', certify to each of the following:
I am the propurty owner or authorized to act on the property ownter's P%f.
I have read (hIS app :cation and the information have provid is rre
I it r<te to co¢ p l �Yith all applicable city and county ordinan as ate laws rel ing to budding construction.
I autnorize Opr mrentatives of this city or cc t to Fri e en lied perty for inspection purposes. - J
S goaturP of Proper' Owner or Authorized .Agent Print Property Owner's or Authorized A ent's Name
ACTIGN DATE BY J D ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART BI. OF TITLE 40 AND AQMD RULE
1403
PE.ilvl f E,KPfR£D El I sUBMITTEO ASRESTOS NOTIFICATION TO
PENNAT CAACELt EfJ ®[PA
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C RTIFIC,TE OF PROPOSED DEMOLITION
............
OCCUPANCY 1551,1ED i SIGNATURE: