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Home My WebLink AboutE2023-0791 - Permits�EvvPogr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 c9 F.,ww�r newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 09/07/2023 Final Date: Permit Status: Issued Inspection Area : 7 E2023-0791 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 DRLegal Desc : P BK 61 PG 10 PAR 1 r �, r r1 r-�, •—m—,.,P., Description : ELEC INSTL SWITCH AND OUTLET Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant : JOSEPH MENDOZA Address : 5022 VAN BUREN ST YORBA LINDA, CA 92886 Phone: (714)262-0703 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction Building Setbacks Flood Zone : Use Zone : PC - North Newport Center PROCESSED B SPECIAL CONDITIONS: EMP WAIVER NNED Contractor : DYNAMIC ELECTRICAL SOLUTIONS CO Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649 Phone: (714)907-3325 Con State Lie : 978307 Lie Expire : 01/31/2025 Bus Lie: BT30073547 , Bus Lie Expire:11/30/2023 Workers' Compensation Insurance Carrier: PREFERRED EMPLOYERS INS CO Policy No: WKN1534179 W. C. Expire: 4/8/2024 Fire Hazard Zone: NO Occupancy Groups: , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 ci ly or County that requires a permit to construct, alter, improve, demolish, or repair any structure, poor 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 ContractorsState 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 fora 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 sale 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 safe. 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 improved 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 pursuantto the Contractors' State License Law). ❑ 1 am exempt from Iicensure under the Contractors' State License Law for ilia following reason By my signature below I acknowledge that, except for my personal residence In which I must have residod for at least one year prior to completion of the improvements covered by this permit, I cannot Iegafly sel? a structure that I have built as An ownor-builder if it has not boon 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 site:hltp:/;www.leginfo.ca.gov)calavr.html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SeGJer 7000 DNisi n 3 of the Susin s and Professio de.. and my license is in full torte and effect. License Class License No Dat - I Cori ct r Signakure 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 H SAND COLLARS 1Ei00,000), IN ACDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: l I have and w0l maintain a ;enihc-ae of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by 5ecuon 3700 of the Labor Code, for Ihr Oriente of the work ter which this permit is issued. Policy No. eve end will m i-I'.L,n 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' compensatior ns1111llFFFFFatice carder and Policy number are: farrier Policy Number Expiration Date Jame of Agent Phone # -1I certify that., in the performance of1ka 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 Signer hat, it I shove ecor , subject to try rNorkers' compensaton provisions of Section 3700 of the Labor Coda I shall forthwith comply with those provisions. Signature of Ian .._y''�lI......__...........-.,..-----...__�_.,....__._�._�___.. _._.._._._v.__.._._�__�____t97, e—__.._�.!J�_�.._,.�,.____�._..� )ECLARATIGON G1'ibit: CUFYS RUCTION LENDING AGENCY hereby affirm under penalty of pr-p.0 IIIat there is a construction fending agency for the performance of the work for which this permit is issued (Section Civil Code). -order's Name _ _ _ I Lender's Address 3y my signature below. cart fy 1 each of the following: I am the properly owner uthorized 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 ordinal s and state laws relating to building construction. I authorize represeniatTV .5 of this C y or county to onto eve-i entitled property for inspection purposes. /'r� 3igarature of Pro ert Owner or Aul! ed Agent-- Print Property Owner's or Author AgenCs Name VV I r G1 Ll� e Z ACTION DATE IA BY EC RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE E ON Y , �I)tATION-S PART 61. OFTITLF 40 AND AOMD RII LF. PERMIT EXPIRED PERMIT CANCELI EO PERMIT EXTENDED PA PERMIT FINAL V-19-C S 1 LJ ASBESTOS NOTIPICA'1'ION IS NOT APPLICABLE TO CP1?TI.4CATE OF j PROPOSED DEMOLITION OCCL rPANCY ISSUED SIGNATURE: