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HomeMy WebLinkAboutE2024-0160 - PermitsEwPoRr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 II i r Permit Counter Phone: (949) 718-1888 C4(�FORN\P newportbeachca.gov/civic 11111111111111111111111111111111111111111111 Jill 111 Electrical Permit: E2024-0160 E 2 0 2 4 0 1 6 0 Plan Check No : Work Class : Other Issued Date : 03/12/2024 Final Date: Permit Status: Issued 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 : 620 NEWPORT CENTER DR, 250 Legal Desc : P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 POR 0 Description : COMM ELEC - INSTL CAN LIGHTS (4) & PENDANT LIGHT (1) Owner: 620 NCD LLC Contractor : DYNAMIC ELECTRICAL SOLUTIONS CO Address: PO BOX 2450 NEWPORT BEACH, CA B2658 Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649 Phone : (949) 720-2156 Phone : (714) 907-3325 Con State Lic : 978307 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: X Use Zone : PC - North Newport Center PROCESSED BY: Lic Expire : 01/31/2025 Bus Lic: BT30073547 Bus Lic Expire:11/30/2024 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' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Cade. Any city or County that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applcant for the 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 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 for a 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 sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The ContractorsState License Law does not apply to on 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). El I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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' Stale License Law). ❑ 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 feast one year prior to completion of the improvements covered by this permit, I cannot legally soli a structure that I have built asan owner-buildor if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable taw, Section 7044 of the Business and Professions Code, is available upon request When this application is submitted or at the following Web siteaittp:tlw .leginio.ca.govlcalaw,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 SectijoD 700 f D{v' ion.3 of the Susfness and Professions ode, or y license is In full force and effect. License Class License No Da6e IZ 2 f Contractor Signature WORKERS' COMPENSATION DECLARATION. WARNING; FAILURE TO SECURE WORR.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TMSANG DOLLARS (S300.000), IN ADDITION To THE COST OF cOMPENSAirioN, OAMAGESAS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ 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 ormance of the work for which this permit Is. issued. Policy No. have 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. fly workers' compensa rence carrier and policy number are: Policy Number Expiration Dale of Agent Phone # _ LJI 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 agre that, if I should become subject t.q thk workers' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions Signature of Applicant _�� ,�% DECLARATION REGARDIN C NSTRUCTION LENDING AGENCY I hereby affirm of penalty If e fury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civil Code). Lender Name _ Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read thisapplication and the information I have provided Is correct. I agree to comply with all applicable city and county ordin ces and state laws relating to building construction. tauhmwlze representatives of this city or county to o above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property,Owner's or V '� :Date ^ 3 . Z ACTION DATE BY D CLARATI'I.ON OF CON PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE. 40 AND AOMD RULE 1403 PERMIT EXPIRED LJ I sUBivi ASBF5T05 NOTIFICATION TO FERMITCANC:itED pq PERMfT FINA, N-irc-7 ill L,JASBE$fOSNOTIFICATIONISNOr APPLICABLE 10 CERTIRCATE OF PROPOSED DEMOLITION OCCUPANCY i55UE0 ; SIGNATURE: