HomeMy WebLinkAboutE2023-0293 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3286
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/lnspections
iiiiiiiiiii II Electrical Permit : E2023-0293
Plan Check No:
Work Class : Other
Issued Date : 03/31/2023
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 630 Legal Desc : P BK 61 PG 10 PAR 1
Description: ELEC - INSTALL (1) ELECTRICAL OUTLET IN OFFICE
Owner: IRVINE CO
Address : 111 INNOVATION IRVINE, CA 92618
Phone : (949) 720-3100
Applicant: DYNAMIC ELECTRICAL SOLUTIONS CO
Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649
Phone : (714) 907-3325
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY'
X
PC - North Newport Center
Contractor : DYNAMIC ELECTRICAL SOLUTIONS CO
Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTONDEACH, CA 92649
Phone : (714) 907-3325
Con State Lie : 978307
Lie Expire: 01/3112025 "
Bus Lie : BT30073547
Bus Lie Expire:11/30/2023
Workers' Compensation Insurance
Carrier: PREFERRED EMPLOYERS INSURANCE COMPAgNM,
Policy No : WKNI534179
W. C, Expire: 4/8/2023 ;
Fire Hazard Zone : NO
Occupancy Groups : B I , , I..
SPECIAL CONDITIONS:
e rs
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) 1 have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires o permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
to 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 70DO) of Division 3 of the Business and
professions Code) or that he or she is exempt from licerisure 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
of more than five hundred dollars ($500)..
3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;usiness 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
nprovemente are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that 1 was not built or
iproved 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
poly t0 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).
I I am exempt from licensure under the Contrectors' State License Law for the following reason: _
�y my signature below f 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
GII a structure that I have built as an owner -builder if it has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7C44 of tho Business and
'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http://voAw,leginto.ca.gov/calaw html,
:ignature 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 700 f Di iaion 3 of the Business and Profess ns and my license is in full force
nd effect. License Class License No ' _Date Z5 Contractor Signature
VORKERS' CO` IDENCEATION DECLARATION
'AFNING: FtILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO C DOLLARS (Tt00A00), IN ADmnON TO THE
OST LF Z0.4PENSAI.ON, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I ha',P 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 th
erformance of the work or which this permit is issued. Policy No.
.fiav� 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'
'ranee carrier Sin mPcy number are:
Policy Number
o` A ent
Date
Certify that, in trio odrformanee f the 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 agre
:I I wid became subject to re workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
IatureofApplicait _ _ �/- Date,3!,L]n 7�
, e rv� eec onurn_ n c rrrrtnu r cu rcnrc nrv_eury
hereby affirm under penalty oflpBA,Vy that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
_enders Name Lender's Address
3y my signature below, I certify each of the following:
1 and 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 ordin ees and state laws relating to building construction.
I authorize representatives of this city or county to enter eve -identified property for inspection purposes.
Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agents Name n
ACTION DATE I BY D L A EON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R CATIONS PART bt. OF ?ITLF. 40 AND AOMD RULE
PERMIT EXPIRED I I I LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCEELED
PERMIT EXTENDED
PERMIFFINAE "-w-Ff r� 1 WA59ESTOS NOTIFICATION 15 NOT APPLICABLE. 10
CERTiFICATEOF E PROPOSED DEMOI TI
OCCUPANCY ISSUED i SIGNATURE,..
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