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Home My WebLink AboutE2023-0018 - Permits2E`WPO/7T City of Newport Beach Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 N7 ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 11lIll111111111111111111��111JillElectrical Permit Plan Check No : Work Class : Other Issued Date : 01/10/2023 Inspection Area : 1 E2023-0018 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 - MFR MAIN PANEL SERVICE UPGRADE TO 400A 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: 'Y 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:01/31/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9314445 W. C. Expire: 3/15/2023 Fire Hazard Zone : NO ` Occupancy Groups: R2 00 j is NO CONSTRUCTION INIOISE ON THE WEEKkN, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt tram the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) 3eclion 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 raqut es the applicant for is permit to file signed statement that he or sheds licensed pursuant to the provisions of the Contractors' Stato 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 Ilcensure 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)- 3 1, as owner of the property, or my employees with wages as their sole compensation, will do f_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, justness 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 that it was not built or nproved for the purpose of sale). 3 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 noL poly 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 lioensure under the Contractors' State License Law for the following reason: ly 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 ell a structure that I have built as an owner -builder if it has not boon 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:lJww'w.leginfo.ca.gov/calaw.html.. signature of Property Owner or Authorized Agent Pate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty Of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 700 ) of,Division 3 of the Business and Professions de, and my license is in full force no effect. License Class License No Dale L Contractor Signature ,T47 PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (11100A00), IN ADDITION TO THE DST OF COMPENS-TDN. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm urde,;ienalty of perjury one of the following declamllons: I 1 J.a and w it mamlain 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 IN erformanceof the wort: for which this permit Is issusd. 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' rance carder and policy number are: Policy Number Expiration Date no of Agent Phone # rprfty that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , it I should become subject to thepvorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of Itl*� I Z3 ,r4h,• affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 3der'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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. i authorize representatives of this city or county to ove-identified property for inspection purposes. nature of Prooertv Owner or Authorized Agent Print Property Owner's cr Authorized Arent s Name ACTION DATE BY RF.GULRAP 5Or COMT 61 OF TNCE WITH ITLAO ANCODE D AORULE FEDERAL FOR OFFICE USE ONLY PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCAACELLEO EQ pA— _..... ........ ..__ �...�_._— PERMIT EXTENDED �f'}-- 7" PERMITiV ____..� l' /y,, PROPOSED DEMOLITiO TION IS NOT APPLICABLt TO CERTIFICATE OF 'r'_� " V OCCUPANCYISSUED ` SIGNATURE: L