HomeMy WebLinkAboutE2023-0788 - Permits,`ov City of Newport Beach
"0 '. Community Development Department - Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
�.�. x Permit Counter Phone: (949) 718-1 B88
egt�o newportbeachca.gov/civic
Electrical Permit
Plan Check No : PC2023.2164
Work Class : Other
Issued Date : 09/13/2023
Final Date:
Permit Status: Issued
Inspection Area :7
E2023-0788
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: 450 NEWPORT CENTER DR Legal Desc : P BK 61 PG 10 PAR 1
Description : COMM ELEC- RELOCATE 5 LIGHTS AND INSTALL 1 OUTLET
Owner: IRVINE COMPANY
Address : 110 INNOVATION DRIVE IRVINE, CA 92617
Phone: (949)720-2000
Applicant: Joel Hackney
Address : 23286 Arroyo Vista Rancho Santa Margarita, CA 92688
Phone: (949)264-4000
Owner/Builder:
Address
Phone:
Code Edition : 2022
Type of Construction
Building Setbacks :
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : HACKNEY ELECTRIC INC
Address :
23286 ARROYO VISTA RANCHO SANTA MARGARITA, CA 92688
Phone :
(949) 264-4000
Con State Lic :
686221
Lic Expire :
03/31/2024
Bus Lic :
BT30017322
Bus Lic Expire:12/31/2023
Workers' Compensation Insurance
Carrier :
MIDDLESEX INSURANCE COMPANY
Policy No:
A0120699005
W. C. Expire:
2/1/2024
Fire Hazard Zone : NO
Occupancy Groups : B
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or counky 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 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
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wagas as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building Or improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that i( was not built or
Improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' Stale License Law for the following reason
By my signature below I acknowledge that. except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
soli a structure that I have built asan owner -builder if it has not boon eonstructod in its entirely by licensed contractors. I understand that a copy of trio applicable law, Section 7044 of the Business and
Professions Code., is available upon request when this application is submitted or at the following Web site http:/twww.leginto.ce.gov/cataw,html.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 700 DIsion .. 3 of the Business and Prolaa2ons .an ' ense is In full force
and effect. License Class License No Dot$ 2 Contractor Signatur
WORKERS' COMPENSATION DECLARATION v\
WARNING: 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 (E100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
peTTarmance of the workfor 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:
Policy Number
Date
re of Agent Phone It
certify that, in the performance of the work-fjr r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatlo laws of California, and agre
t, 1f I should become subject to the `Mor' PIS co pensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. /9 /
nature of Applicant ._ ... „. ...._ ._., .., ..... a
CLARATION REGARDI NB RUCTI G AGENCy
ireby 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 30 ,Civil Code).
ides 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 Withall applicable city and county ordinances and state laws relating to building. construction. I
I authorize representatives of this city or county o enter the above -identified property for inspection purposes.
ert\ /G--� r✓1 r Z /r
nature of Propy Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name x Dale ( >I
ACTION
PERMIT f XPIREO
PERM+iT CANCF,LLED
pERfviiT EXTENOEO
PERMlT FINAi
CERTIFICATEOF
OCCUPANCY ISSUED
DATE BY V \ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
r RFGUt.ATION$ PART 61 OF TITLE 40 AND AQMD RULE
1403
I LJ I SUBMITTED 458FSTO5 NOTIFICATION TO
UASBES'1'05 NO1'IEICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION