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Home My WebLink AboutE2023-0104 - Permits�EWPO�r City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 cq<acoa"�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections E 2 0 2 3 0 1 0 4�� II Electrical Permit : E2023-0104 Plan Check No: Work Class : Other Issued Date : D111012023 Inspection Area : 1 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 : 1116 BALBOA BLVD W Legal Desc : N TR 234 BLK 111 LOT 5 Description: ELEC (UNITS A-D) CHANGE OUT AND RELOCATE 4 SUB PANELS Owner: 1116 BALBOA LLC Address : 1116 W BALBOA BLVD NEWPORT BEACH, CA 92661 Phone: Applicant: NIPA INC Address: 1822 CARNEGIE AVENUE SANTA ANA, CA 92705 Phone: (714)925-5678 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 0 Flood Zone : AO 1; X Use Zone: R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITIONS: Contractor : NIPA INC Address : 1822 CARNEGIE AVENUE SANTA ANA, CA 92705 Phone: (714)925-5678 Con State Lie : 556240 Lie Expire: 02/28/2023 Bus Lie: BT30080403 Bus Lie Expire:01/3112024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9314445 W. C. Expire: 3/15/2023 Fire Hazard Zone : NO Occupancy Groups : R2 I hereby alfirrn 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 items) 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 re permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State 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 licensure and the basis for the alleged: exemption. Any violation of Section 703t5 by any applicant for a. permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 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 [hat it was not built or oproved for the: purpose of sale). 11, 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 pply 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). 7 I 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 legally all a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:lfwww.leginfo.ca.gov/calavr,htmi.. ignature 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 0 of Division 3 of the Business and JPrssioes C de, and my license is in full force nd effect. License Class License No Date Contractor Signa COMPENSATION DECLARATION : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A14D CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADORION TO THE CC MPEN SATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LAeOR COOS, INTEREST, AND ATTORNEYS f Fea, 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 ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: lamier Policy Number Expiration Date lame of Agent Phone# "1I certify that, in the pedor 'ante of the rvork for which this permit. is Issued., I shall not employ any person in any manner so as to become subject to the wor rs' compensation laws of California, and agre( tat, if I should becom u ect to the' rkers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �l�s�zz 'ignature of Applicant `, _ i to IECLARATION REGAR I TOCTION LENDING AGENCY hereby affirm under pe ally of p ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30.7, Civi) Cede), ender's Name Lenders Address ly 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 Vave provided is correct. I agree to comply withall applicable city and a ty ordinances R nd state laws relating to building construction. I authorize representatives of this city orcoun o enter the e-Identified property for inspection purposes. 'tip nature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Na � Q D e 1CTION DATE I BY bf-CLARATIorillop COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 81 OF TITLE AB Al AQMD RII LE I SVBMITTFO ASBESTOS NOTIFICATION TO PERMIT EXTENDED L_IAnMn PERMIT FINAL 7� .'J A5 ES FOS NCOFWF PON ISN)E APELICABLE TO CERTIFICATE OF �� 1 J� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: