Loading...
HomeMy WebLinkAboutE2023-0498 - PermitsCity of Newport Beach a��WPoRr p@n � > Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 6 = Permit Counter Phone: (949) 718-1888 a CgG�FORN�P newportbeachca.gov/civic 11iiiiiii111i1iiiiiiiiiii11i1i1i 111iiiiiiiiiiiiiii jj Electrical Permit Plan Check No: Work Class : Other Issued Date : 06105/2023 Inspection Area :7 E2023-0498 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 S \50 LegalDesc : P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 FOR OF PAR Description: COMM ELEC OUTLET FOR CONFERNECE ROOM 3 "N-.7 -..,} r�oo Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 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: X Use Zone: PC - North Newport Center PROCESSED BY: C%� SPECIAL CONDITIONS: 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: U S '. 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) (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 file a signed statement that he or sheds 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 Iicensure 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). ❑ 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 Protessions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves theproperty, 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-Builderwill have the burden of proving that it was not built or mproved 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). [am exempt from Iicensure under the Contractors' State License Law for the following reason. _ By my signature below I acknowledge that, exceptfor 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 legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:http:lAvww.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 Sectio 7 00) of 'v 'on 3 of the Business and IF ssi O „ and my license is In full force and effect. License Class License No DEL Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CrAL FINES UP TO ONE HUNDRED T D DOLLARS ISI00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the fallowing declarations: © 1 have and w111 maintain a certificate of consent to selMnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the p ormanceof the work for which this permit is issued. Policy No.. ave 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' compensation nsurance carrier and policy number are: Carter Policy Number Expiration Date Name of Agent Phone tf ❑I certify that., in the performance of a work for which this permit. is issued, I shall not employ any person in any manner so as to become subject to the worke ' c mpensation laws of California., and agree that, if I should become subject to the o ers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant - Dat (DECLARATION RE DIN N C—nON LENDING AGENCY I hereby affirm under natty of ad ry that there Is a construction )ending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). �Lenders Name Lender's Address By my signature below, I certify Weach 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 have provided is correct. I agree to comply with all applicable city and ' my ord antes and state laws relating to building construction. I authorize representatives of this city or cou t to ant a above -identified property for inspection purposes. ,A, ��,,// Signature of Prop" Owner or Authorized A ent Print Property Owner's or Authorized Agent's Nama Se h CrK(� ate t� 5zz ACTION DATE BY D LARATION OF COMPLIANCE WITH CODE Of FEDERAL FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AQMD RULE V1403 PERMIT EXPIRED L-JiSU.iM�TL;D HSREST OS NO rl F,CATION TO PERMIT EXTENDED PERMIT FINAL CERPFICATEOF OCCUPANCY 6SUED U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIUNATUREo