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HomeMy WebLinkAboutE2022-0671 - Permits��F:WPORT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C,</F00.N�P newportbeachca.gov/inspections Electrical Permit : E2022-0671 Plan Check No : 0623-2020 Work Class : Other Issued Date : 09/22/2022 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: 117 N BAY FRONT Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 2 LOT 5 Description : ELEC: INSTALL ELECTRICAL PIGGYBACK Owner: CAPPARELLI EDWARD TR THE CAPPARELLI FAMILY TR Address : 10182 SQUIRES CIR VILLA PARK, CA 92861 Phone: Applicant: TONY VALENTINE CONST INC Address : 567 SAN NICOLAS DR NEWPORT BEACH, CA 92660 Phone: (949)723-6449 Owner/Builder: Address Phone: Contractor: TONY VALENTINE CONST INC Address : 567 SAN NICOLAS DR NEWPORT BEACH, CA 92660 Phone: (949)723-6449 Con State Lic : 467553 Lic Expire : 04/30/2024 Bus Lic: BT30071132 Bus Lic Expire:02128/2023 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 1794693 W. C. Expire: 7/1/2023 Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : U Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : AE, 8 FT; X; AO 1 V u Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: NO CONSTRUCTION NOISE ' SPECIAL CONDITIONS: ON THE WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penally 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, after, improve, demolish, or repair anystruclure, 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 Licensers 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). 0 I; as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or I_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions CodeThe 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 improvements are net intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwlil 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), 0 1 am exempt from licensers under the Contractors' State 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 legalll sell a structure that I have built as an owner -builder if it has not been constmctad in its enliroty by licensed 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:htlp'./(www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm, under penalty of perjury that I am licensed under provisions of Chapter 9 Commencing with Section 7000 f Divls' n 3 of the Business and Profess' Code, al d my i ense Wl res' and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION MARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 1 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 OR 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' rance carrier and policy number are: ier Policy Number Expiration Date Tame of Agent vnone IT _ -1I certify 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 agre sat, if I should become subie t to the corkers' p ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �^ ii lgnaturs of Applicant pail; \ Z-L. -- fECLARATION kLUA DIN115 CONSIT15UCTION LENDING AGENCY hereby affirm LnJal penalty of perjury that there is a construction lending agency far the performance of the work for which this permit Is issued (Section 3097, Civil Code). eerier s Name Lender's Address ly my signature be-cw, I certify to each of the following: I am the property Owner or authorized to act on the property owner's behalf. ; ;lave read this PpRication and the information I have provided is correct. I ..gree to comply with all applicable city and county ordinances and state ws relating to building construction. f Luthorize repron,"lalives of this city Or county to an fine: abo-idenlif - property for inspection purposes, f� A J;dre o(Prcnenv C'wnar or Authorized ADenl /�� .__. Print Property Ovmar's or Authorized Agent's Name ' \--/9 Date ` �L AC r10A ( DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGUTATIONS PART 61. OFTITLF. 40 AND AQMD RULE 1 1403 o°Pfl VI fXPiRED U I SUBMITTED ASBESTOS NOTIFICATION TO PCIIA'r CANCELLED ❑EPA PERMITEXTENDED PERfAfT FINAL tJ g5RE5TO5 NOTIFICATION IS APPUCAE CERTIFICATE OF qq�/ PROPOSED ESIOS OLITJ�^"IN �/� OCCUPANCY ISSUED I/rvF j SIGNATURE:' / / \ V V