HomeMy WebLinkAboutE2025-0002 - PermitsaEW,Pok , City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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-N newportbeachca.gov/civic
Electrical Permit : E2025-0002
E 2 0 2 5 0 0 0 2 Plan Check No
Work Class : Other
Issued Date : 01/0212025
Final Date:
Permit Status: Issued
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 : 222 PEARL AVE
Description : ELEC - AC DISCONNECT (H2O25-0001)
Owner: TRACEY RUDD
Address : 54 S MAIN ST ESSEX, CT 6426
Phone:
Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 8 LOT 35
Applicant: BEN MEDINA
Address: 31225 LA BAYA DR, 213 WESTLAKE VILLAGE, CA 91362
Phone: (818)735-7876
Owner/Builder :
Address
Phone:
Code Edition : - 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Front: 6, Side: 3, Side: 3, Rear: 5
AO 1
R-BI - Tw -Unit Residential, Balboa Island
Contractor : JUST RIGHT SERVICES PLUMBING HEATING & & A/C
Address : 23482 PERALTA DR LAGUNA HILLS, CA 92653
Phone :
(949) 228-2108
Con State Lic :
970383
Lic Expire :
04/30/2026
Bus Lic:
BT30066798
Bus Lic Expire:04/30/2025
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL
Policy No : EIG56592500
W. C. Expire: 7/15/2025
_ Fire Hazard Zone : NO -
Occupancy Groups:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(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 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
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 ContractorsState 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).
❑ 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 property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensum 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 Iegalll
sell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:httpJ/www.leginfo.ca.gov/calaw.html.
Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70e) f aron 3 of the Business and ure
rofessi ode, and i nse is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO O NDRED SAND DOLLARS IS100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
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
i
ance of the work for which this permit is issued- PolicyNo.
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' compensatio
e carrier and policy number are:
of Agent
certify that, in the performance of the work for
if I should become subject to the work
Policy Number
rt is issued, I shall not employ any person in any manner so as to become subject to the workers' co7,�
atio laws of California, and agre
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
_ of Applicant _Dale, J _ -
CLARATION REGARDING CO. UCTION DING AGENCY
;reby affirm under penaltyu re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder s Name Lender s Address - --
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinanc and stale la
I authorize representatives of this city or county to enter above= 1 1e(
Owner or
PERMIT EXPIRED i
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
tsretgiffrig to building construction.
property for inspection purposes.
Print Property Owner's or Authorized
BY eLA ON OF COMPLIANCE WITH CODE OF FEDEI
ULATIONS PART 61 OF TITLE 40 AND AOMD RULE
NOTIFICATION TO
❑ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Date