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HomeMy WebLinkAboutE2023-0392 - PermitsCity of Newport Beach p Om Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 }«. s Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 1111111111111111111111111111111111111111111111111111jj Electrical Permit : E2023-0392 Plan Check No: Work Class : Other Issued Date : 04/2812023 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, 480 Legal Desc : P BK 61 PG 10 PAR 1 Description: ELEC -COMM INSTALL (1) NEW ELEC OUTLET AT RECEPTION AREA Owner: IRVINE COMPANY Address: 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: 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 a SPECIAL CONDITIONS: EMP WAIVER ATTACHED Contractor : DYNAMIC ELECTRICAL SOLUTIONS CO Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649 Phone : (714) 907-3325 Con State Lic : 978307 Lic Expire : 01/31/2025 . > Bus Lic : BT30073547 Bus Lic 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: B ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and. 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 the permit to fle 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 Ilcenaure 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). ❑ 1, 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, 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 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). 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 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 prir to completion Gf the improvements covered by this permit, I cannot legall, so€I a structure that I have built asan owner-buildor if it has not been constructed In itsentirely 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:htip:/lwww.leginfo.ca.gov/calaw.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 70l) - f Dh fsion 3 of the Business and Professi i od_ e, and y license is In full force and effect License Class License No Date Z Contractor Signature — WORKERS' COMPENSATION DECLARATION NARNING, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANo CNIL FINES UP To ONE HUNDRED M USAN0 DOLLARS ($10D.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, JNTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the IcIlawing declarations: 1 have and VTI 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 aerforn,ance of the work for which this permit is issued. Policy No, and will ncintain 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: Name of Agent certify that,, ii, the performance of if I should bLcca.e subject to the Policy Number Date work for which thispermit is issued. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and tiers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith col with those provisions. lignnhrre of Applicant _ _..�. f __. IEOLAR2ATION REr,A4D1NG C NS AUCTION LENDING AGENCY hereby affirm under penah of I I that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ender's Name Lender's Address ly any signature tetrv,-I certify to ch of the following: I am the property owner or authorized to act on the property owner's. behalf. I have read thisapplication and the information I have provided is correct. agree to comply withall applicable city and county and a os and state laws relating to building construction. I authorize representatives of this city or county to an bove-identified property for inspection purposes. �\\ 1 lignature of Property Owner or Authorized Agent, Print Property Owner's or Authorized Agent's Name o,�,/ioe t4".IQnk ACTION PERMIT EXPIREO DATE I BY OF COMPLIANCE WITH CODE OF FEDEI PART bl OF TITLE. 40 AND AOMO RULE PERMIT EXTENDED /r%Y! i SBESTQ PERMIT FINAL FINAt � �j �7.3 SBE5f05 NOtIFICATION IS NOTAPPUCAelS' TO CEAT0CATE Of PROPOSED DEMOLITION OCCUPANCYISSUED I SIGNATURE: I-/7YI'1 FOR OFFICE USE ONLY N G O rn a <a a m� m W m A p o rn � ( D m _ m m 0: 00 a x �Qmo W�00 A : 3 m > 3�3 rr O 3 C U O 0 I W J a Lij 0 � W Q J Z a QUO O J LL UWLLJ aQ U_Z Z Z O U� WW ma a a .mc O m m A '- c N U E U d U N L N N U m W N l0 .0 L m d O N w d O N U t '> Q n Crd m `O c`Evi .O Co C c N (0 Yj O d (p°3tt0 C O C m N L W N :0 (AU O C m ID 0- E oCL m m 3 Ui « (D C _N comt; :0 m o 7 C O U OC mU C O O :e d TO N 0l9 E`'VCL cr m « m 0 m a '3 O C O O C '0 a) o N y m N 0 0 O. 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