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HomeMy WebLinkAboutE2023-0075 - Permits4�EWPoRr City of Newport Beach O @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 a C,4jFOAN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIiE� i111�� ii11111111 ����������ii� � 11111 jj Electrical Permit : E2023-0075 Plan Check No : Work Class : Other Issued Date : 02/0612023 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 Description : ELEC 3 OUTLETS IN COMMON AREA Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: (949)608-9659 Legal Desc : P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 FOR OF PAR 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: SPECIAL CONDITIONS: X PC - North Newport Center Contractor : DYNAMIC ELECTRICAL SOLUTIONS CO Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649 Phone: (714)907-3325 Con State Lie : 978307 Lie Expire : 01/31/2025 Bus Lie : BT30073547 Bus Lie Expire:11/30/2023 Workers' Compensation Insurance Carrier: PREFERRED EMPLOYERS INSURANCE COMPANY Policy No: WKN1534179 W. C. Expire: 4/8/2023 Fire Hazard Zone : NO Occupancy Groups: U r'1 P f' i� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Stale 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 requiresthe applicant 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 lidensure 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 (_) 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 im roved for the purpose of sale). 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not appiy to an owner of property who bulids or improves thereon, and who contracts For the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from ticensure under the Contractors' Stale 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 prior to completion of the improvements covered by this permit, I cannot legally soil a structure that I have built asan owner-buildor if it has not boonconstructed in its entirety 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:httD/rww'w.leginfo.ca.gov/calew.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 ) of tuts' n 3 of the Business and Profes ions I �, a Try license is in full force and effect. License Class License No 'Date 2 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL P£ LTIES ANO CML FINES UP TO ONE HUNDRED T a S ND DOLLARS (5100,000), IN. ADDITION TO THE COST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR COOe, INTEREST, ANO 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. k nco of the work forwhigh 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' compensatior a carrier and policy number are: lamer Policy Number Expiration Date lame of Agent Phone If 3I certify that., in the p or aooe I'll w rk for which this permit. is issued., I shall not employ any person in any manner so as to become subject to the worker ' mpensation lays of California, and agree iat, if I should become eat to I fork W compensation provisiona of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant _- Dat IECLARATION REGA Z i C NST'i I TION LENDING AGENCY hereby affirm under p natty el p yuq that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Cl it Code), enders Name Lender's Address ly my signature below, I certify to Be IT of the following: t am the property owner or au h rued to act on the property owner's. behalf. I have read this application an the informatlon I have rcvid is correct. I agree to comply with all applicable city and county or roan and state laws relating to building construction. I authorize representatives of this city or count to an r ve-identified property far inspection purposes. ,,., ,f� si nature of Property Owner or Authorized Agent Pdot Pro e Owner's or Authorized Agent's Na t ° ' � Da ACTION I DATE BY LLA TI N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R TIONS PART 51 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED L_i(suGNlt -rF.D ASdFSTOJ NOTI FI^.ATIOr! TO PERMITCANCELLED —_UEPA PER101TEXTENDCD Qi D PERMIT FINAL Z• J'g___LJAS6iTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNALI FE: