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
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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: