HomeMy WebLinkAboutE2023-0550 - Permits�tiWPORT City of Newport Beach 11111111111111111111111111111111111111I111111111111I 11Electrical Permit : E2023-0550
p" j4 „� @ Community Development Department- Building Division E 2 0 2 3 0 5 5 0
' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
u }a. z Permit Counter Phone: (949) 718-1888 Work Class : Other
cq�""oaN�P newportbeachca.gov/civic Issued Date : 06121/2023
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 : 450 NEWPORT CENTER DR, 500 Legal Desc : P BK 61 PG 10 PAR 1
Description: COMM ELEC TO RELOCATE (2) FLOOR BOXES
Owner: IRVINE COMPANY
Address : 110INNOVATION DRIVE IRVINE, CA 92617
Phone : (949) 720-2000
Applicant: STEVE WILMITE
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
a Vt.ti1 °�=uT(D
OWNER -BUILDER DECLARATION
1 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)
3ec(lon 7031.5. Business and Professions Coda: Any city or county that requires a permit to construct, after, Improve. demolish, or repair any structure, prior to its Issuance, also requires the applicant for
is 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 of the Business and
7ofessions 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
of more than five hundred dollars ($500)..
11, 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,
tusiness 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
nprovements 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
Tiproved for the purpose of sale).
3 I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
5ply 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).
[am exempt from Iicensure under the Contractors' Stata License Law for the following rreasan:
ly 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 legali)
ell a structure that I have built asan owner -builder if it has not boon constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:htip:/Avww.laginfo.ce.govlcaiaw,html.
signature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION �(�
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 0 f Qi Islg 3 of the Business and Prof Sal e, t " my li eri II force
nd effect. License Class License No Date ' Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,eee), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES As PROVIOED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penirlty of perjury one of the following declarations:
�+havq 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 Ih,
�ei/forma%e of (hc, work fur which this permit is issued. Policy No.
J've cnd 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' compensatfor
raurance, carrier and pauny number are:
to of Agent
cer ifv'ihat, in the.perf,)nnw
, it I should become subject
rature -if Applirant__-V)
Policy Number
Date
this permit Is fail' ad, I shall not employ any person in any manner so as to become subject to the workers' compensation 1 ws of California, and agre
at io rov i 7f Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
—... _.. Date, Z�
hdrebv at5rm under pe.ialty of perjury that there is a construction lending agencyfor the performance of the Work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
y 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 he provided fs wr�rect.
I agree to comply with all applicable city and county d' antes a d s ate aws r ng to building construction.
I authorize representatives of this city or County;to 1i oov itlntlf�tig%t� far inspection purposes.
Date
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF II REGULATIONS PART fi OF TITLE 40 AND AOMD RULE FEDERAL FOR OFFICE USE ONLY
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED O EP� A
PERMITEXTENDED f pAp
PERMIT FINAL 'Z3 CASBES'f04 NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
OCCUPANCVISSUED ! SIGNATURE: