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Home My WebLink AboutXC2023-0185 - Permitsgg. tiWPoRr City of Newport Beach II IIII I I I IIII III II IIIIIIIII II II II COMB Permit: XC2023-0185 Community Development Department- Building Division x C 2 0 2 3 0 1 8 5 �x y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1311 Permit Counter Phone: 949 71B-1888 ( % Issued Date : 08/1 fi12023 � newportbeachca.gov/civic Final Date: 9�4 roa�� Combination Type - ELEC Permit Status: Issued 4' Work Class - Other Inspection Area : 7 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 : 880 NEWPORT CENTER DR, 100 Legal Desc : P BK 136 PG 22 PAR 1 1 �!_—,,��ag— C Description: COMM TRANSFORMER CHANGEOUT "APPLE" ! Ned l...� � �-'w" tl �d � i Owner: IRVINE COMPANY LLC Contractor: CSI ELECTRICAL CONTRACTORS Architect Address : 111 INNOVATION DR Address : 10623 FULTON WELLS AVE. Address IRVINE, CA 92617 SANTA FIE SPRINGS, CA 90670 Phone : (949) 720-3100 Phone : (562) 967-9565 Phone Con State Lic : 1055811 State Lie Lie Expire : 07/31/2025 Applicant : CSI ELECTRICAL CONTRACTORS Bus Lie : BT30077609 Engineer: ZEN HODA Address : 10623 FULTON WELLS AVE. Bus Lie Expire : 01/31/2024 Address : 15231 LAGUNA CANY01VR15, 100 SANTA FE SPRINGS, CA 90670 IRVINE, CA 92618 , Phone: (562) 967-9565 Workers' Compensation Insurance Phone: (714) 557-8551 , Carrier: ZURICH AMERICAN INSURANCE COMPANY - Owner/Builder : Policy No : WC062528704 Designer : ...... Address : W. C. Expire: 7/1512024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $12,00d.DC . Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : • - Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: / SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next tD the applicable items) ;Section 7031.5, Business end 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 :he 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 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 Tot more than five hundred dollars (S500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3USInP,SS 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 mprovements 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 mproved for the purpose of sale). 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 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). El I am exempt from licensure 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 legally sell a structure that I have built as an owner -builder 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 Professions Code., is available upon request when this application Is submitted or at the following Web siterhttp:liwww.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 0 of Div sion 3 of the Bus in ss and Pnofessio ode, and my�Gerlse is 1 to and effect. License Class License No Dam !� Contr rSignature !-�Gi_— ,jr,}, WORKERS' 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 1E100,0001, IN AUCTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: —1 1 have and will ma,ntain 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 performance of the s:er;: for which this permit is issued. Policy No. end will mq,r in 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 a,id pulicy number are: Policy Number of Agent ______ Date ce t:::y 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 woryters' compensation laws of Callfornia, and ,f I -should becomL/`obieyl tp the •workers' Cop<ensatlr Visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / r sure of Appll" it ate,^,_!JN/ .;...M2;17iO CARD. G Y 'NSTRUCTION LENDING AGENCY =.reby c.ffirm urd r .er3Ry 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). —N,r Name _ ,T Lenders Address my signature irelow, 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 Ibis application and the' Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws elating [o tiding. construction. I authorize representatives of this city D�c y to er�3aht hove-idpnti d propel I * ton purposes. Pont Procertv Owner's or ACTION DATE BY COECLARATON OF COMPLIT 61 OFANCE TITLE 40 WITH A AQMD R CODE OF FEDERAL FOR OFFICE USE ONLY 1 1403 PERMIT EXPIRED LJ I SUBMITTFD ASBFSTOS NOTIFICATION TO PERMIT CANCELLED Q------- EPA ........ ..... .. ... ..... ._... ...... ....... ......... PERrvOT EXTFNOED __ _ _ MD �.... __ ..._ �__ PEANlrT FINAL B'EES',T,IOy�' NOTIFICATION IS NOI APPLICAaE 10 CERTIFICATE OCCUPANCYOSUED try".. i SIGNA FURB�MOLI, J