HomeMy WebLinkAboutE2022-0910 - PermitsEWIPoRr
City of Newport Beach
Development Department - Building Division
yCommunity
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
OAS
newportbeachca.gov/inspections
iiiiiiiiiElectrical Permit : E2022-0910
Plan Check No : PC2022-2987
Work Class : Other
Issued Date : 12/08/2022
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 : 130 NEWPORT CENTER DR Legal Desc : P BK 52 PG 37 PAR 5
Description : COMM ELEC: DISCONNECTS FOR (2) ROOF TO UNITS. (H2O22-0677)
Owner: MYFORD GATEWAY PORTFOLIO LLC
Address : NEWPORT BEACH, CA 92658
Phone :
Applicant: BRIAN BUDDINE
Address: 265 MCCORMICK AVE COSTA MESA, CA 92626
Phone:
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY
SPECIAL CONDITIONS:
X
PC - North Newport Center
Contractor : ACCO ENGINEERED SYSTEMS INC
Address :
888 EAST WALNUT ST PASADENA, CA 91101
Phone:
(818)244-6571
Con State Lic
: 120696
Lic Expire :
12/31/2023
Bus Lic:
BT00004502
Bus Lic Expire:12/31/2022
Workers' Compensation
Insurance
Carrier :
LM INSURANCE CO
Policy No:
WA566DO67353011
W. C. Expire:
10/1/2023
Fire Hazard Zone : NO
Occupancy Groups: U
I hereby affirm under penally 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)
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
1e 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
'rofesslons 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
got more than five hundred dollars ($50D).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nproved for the purpose of sale).
I, 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason: _
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 legalll
ell 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
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:// w .leginfo.ca.gov/wiaw.htmi.
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 70on 3 of the Business and Prof ns a dnd-rnyiiaeR II force
00 of ivisi
nd effect. License Class License No Date ' 2z"L2-- Contractor Signature
PORKERS' COMPENSATION DECLARATION
!ARNING: 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 ($100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS 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 have 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
erf9rmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
certify 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 workers' compensation laws of California, and
if I should become subject tc thet workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Dale M CY 22-
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ender's Name Lenders Address
y my signature below. I csrdfy to each of the following:
am the property owner or authorized to act on the property owner's behalf.
have read this appli:.&tion and the Information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I author ize repres.,'ntalives of this city or county � the above -identified orpyy1oc inspection purposes. <1
iunature of ProDert; C n.ier or Authorized ADent `�� ��L �.7 Print Pronertv Owners nr Authorized Anent's Name
AC-. ION i DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
! REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED IstHINv TEDASRFSTOS NOTIFICATION TO
PE.4VITFYTENDED L kQMD _
PERM-!-INAL LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF ' PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
Civil Code).
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