HomeMy WebLinkAboutE2022-0926 - PermitsCity of Newport Beach
p 6c'n Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
II�IEIII�I�III�IIIIII�II�IIIIII�� II Electrical Permit : E2022-0926
Plan Check No:
Work Class : Other
Issued Date : 12/14/2022
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: MFR- INSTALL (2) AC DISCONNECTS FOR (2) NEW HEAT PUMP UNITS �
Owner: 1116 BALBOA LLC
Address : 1116 W BALBOA BLVD NEWPORT BEACH, CA 92661
Phone:
Applicant: PRO BUILDERS ENTERPRISES INC
Address: 7411 EDINGER AVENUE NO 314 HUNTINGTON BEACH, CA 92647
Phone : (714) 951-4077
Owner/Builder :
Address:
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY: k
SPECIAL CONDITIONS:
Front: 5, Side: 3, Side: 3, Rear: 0
AO 1; X
R-2 - Two -Unit Residential
Contractor : PRO BUILDERS ENTERPRISES INC
Address : 7411 EDINGER AVENUE NO 314 HUNTINGTON BEACH, CA 92647
Phone: (714)951-4077
Con State Lie : 1052872
Lie Expire: 01/31/2024 _
Bus Lic: BT30072481
Bus Lie Expire: 10/3112023
Workers' Compensation Insurance ,
Carrier: STATE FUND :.
Policy No: 9303183 '
W. C. Expire: 8/5/2023
Fire Hazard Zone : NO
Occupancy Groups : R2
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"JO CONSTRUCTION NO3Se
ON THE WEEKENt-,
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I hereby affirm 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 item(s)
(Section 7031.5, 13uslness 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 Businoss 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
Improvements are not intended or offered for sale. If, however, the building or improvement is sold wfilun one year of completion, the Owner -Builder will have the burden of proving that It was not built or
'unproved for the purpose of sale).
D 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).
❑ 1 am exempt from licensure under the Contractors' State License Caw for ilia following reason: By my signature below I acknowledge that, exceptfor 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 that I have builtas an owner -builder if it has not been constructed in its entirety by licensed contractors.. I understand that a copy of tho 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',llw .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRAGTOR'S DECLARATION
I hereby afOnm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D' ' ion 3 of the Business and Profession,S,C,otl K,10,mi-
NORKERS' is in full force
and effect. License Class License No Data ' 2 — O Z Contractor Signature � V
COMPENSATION DECLARATION
NARNING: 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 i m =N THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37115 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
�
htereby atfirm under penalty of perjuryone of the following declarations:
-1 1 have and wid 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
?erforn.�.e of the work for which this permit Is issued. Policy No..
and wi'I maintain workers' compensation insurance, asrequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Carier?nd policy number are:
to ofAgent
certify that, in tha performance of the
it I should baccr,.c subject to the
Inhre of Appliban _
Policy Number Expiration Date
Phone #
which this permit is issued, I shall nut employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree
nponsation provisions of Section 37OG of the Labor Code, I shall forthwith comply Mill those provisions.
Date t Z— l `tl` 2 c:,2. -I—
hereby affirm ul,r.er penalty of perjury that there is a conslrucho�TTillding agencyfor the performance of the work for which this permit is issued (Section 3097
.ender- Name _ Lender's Address
3y my signature hPlow, 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 s e laws relating to building construction.
I authorize representatives of this city or county to enter We 6w-id 'tied property for inspection purposes.
'>ianatura of Prooertv Owner Or Authorized Aoent / et/ Print Property Owner's or Authorized Anent's Name
.ACTION I DATE BY ! REDEGULATIONS OF COMPLIANCE GI AO Al
DE OF FEDERAL FOR OFFICE USE ONLY
PERMITEXPIRED I LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMI7CANCELLED _ �— EPA
PERMIT FINAL LI�VjlcV 1R LJ ASBESTOS NOTIFICATION IS NUT APPUCA9t,E TO
CERTIFICATEOF 1 (/ PROPOSED DEMOLITION
OCCUPANCY ISSUED ; SIGNATURE:
Civil Code)..