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HomeMy WebLinkAboutE2022-0637 - Permits04'. City of Newport Beach I I I II II II II I II Community Development Department - Building Division Electrical Permit : EZO22-0637 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2307 Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 G_ newpnewportbeachca.gov/inspections Issued ion Are 9/'I 4/2022 Inspection Area : 7 H l S EC i R 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 : 800 NEWPORT CENTER DR, 700 Legal Desc : P BK 136 PG 22 PAR 1 Description : COMM ELEC: RELOCATE (3) OUTLETS @ (E) OFFICE742' Owner: IRVINE COMPANY LLC Address : 110 INNOVATION DR IRVINE, CA 92617 Phone : (949) 720-3100 Applicant: SASCO Address: 2750 MOORE AVENUE FULLERTON, CA 92833 Phone : (714) 870-0217 Owner/Builder : Address Phone: Contractor : SASCO Address : 2750 MOORE AVENUE FULLERTON, CA 92833 Phone : (714) 870-0217 Con State Lie : 125897 Lie Expire : 05/3112023 Bus Lie : BT30047521 Bus Lie Expire:06/30/2016 Workers' Compensation Insurance Carrier : TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No : UBON1616082225K W. C. Expire: 5/1/2023 Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : B Building Setbacks Flood Zone : X - Use Zone : PC - North Newport Center - • • " PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exempt from the Contractors.' Slate License Law for the reasons) indicated below by the checkmaril I have placed next to the applicable items) (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 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 ticensure 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do U 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. 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 Improved for the purpose of sale). © 1, 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), ElI 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 sell a structure that I have built as an owner -builder if it has not beenconstructed 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 submittedor at the following Web Site:http:li�.leginfo.ca.gov/calaw.btml. 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 7000) of Division 3 of the Business and Profession i and rnf license is in full force and effect License Class License No Daf Contractor Signature ')C — 42 WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000L IN ADDITION TO THE COST or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 77H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self,insure for workers compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for thi performance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance,as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: Policy Number Agent Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject tc�fsywgrkers' gompensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. a Data -, N - ZZ hereby affirm tinder peal of perjury4Kat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 t r.di s Name _ Lender's Address y my signature bs'c m, I certify to each of the following: I am the properly owner or authorized to act on the property owner's behalf. I have read this apolicalfon and the information I have provided is correct. I agree to eun ply with all applicable city and county or,E cos and state laws relating to building construction. I authorize representatives of this city or county t e e ov entitled property for inspection purposes. icr.cture of ProDeUv Owner or Authorized Agent � Print Property Owner's or Authorized Arent s Name Fin, N Civil Code). is Lcx,_ti � b.:11UN DATE BY HDECLARAT}$N OrTOMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULA NS PART 61 OF TITLE 40 AND AOMD RULE 1403 PFPM/rEXPIRED LJ i 5UBMITTFD ASBESTOS NOTIFICATION TO ..._ OFRMr, CANCEIIED ..___ _.____ . _ _ ........___ ._..._...�_._.__._ ME PA PERMITEXTENDED LlAC1MD _ PERMITFINAL _ , 7y' STOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF OCCUPANCY 1550-C SiGNATURE:EMOLITION