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Home My WebLink AboutX2022-1321 - PermitsCity of Newport Beach Community Development Department- Building Division 0Q,- 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gowinspections Combination Type - ELEC Work Class - Alteration X 2 0 2 2 1 3 2 1COMB Permit : X2O22-1321 Plan Check No : 1221-2022 Issued Date : 03/15/2023 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 : 20662 NEWPORT COAST DR Legal Desc : Description: COMM FIBER INSTALLATION FOR EXTG TELECOMMUNICATION "T-MOBILE Owner: COUNTY OF ORANGE Address : 300 N FLOWER ST, 400 SANTA ANA, CA 92703 Phone: Applicant : Ravinder Kaur Address : 550 N Parkcenter Dr, 250 Santa Ana, CA 92705 Phone: (213)512-2026 Owner/Builder : Address : Phone Contractor: MASTEC NETWORK SOLUTIONS Address : 1858 PONCE DE LEON BLVD #543 CORAL GABLES FL 33134, CA Phone : (818) 602-9473 Con State Lie: 984138 Lie Expire : 06/30/2023 Bus Lie : 3BT30075553 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: ACE+AMERICAN+INSURANCE+COMPANY Policy No: WCUC67817436 W. C. Expire : 9/15/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height : No of Stories Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone State Lie Engineer: LEE, CHRIS SHIUH-GUANG Address : 27758 SANTA MARGARITA PKWY 2S8, MISSION VIEJO, CA 92691 Phone: Designer Address Phone: NO Construction Valuation : $35,000.00 NO Added/New/TI sq. ft. Bldg 7- —0 — 0 Alteration sq. ft. Bldg: Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(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 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 frve hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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. Ir, however, the building or improvement Is sold within one year of completion, the Owner -Builder will have the burden of proving that a 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 7D44, Business and Professions Coda: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El 1 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 least one year prior to completion of the improvements covered by this permit, I cannel legally sell a structure that I have built as an owner -builder it it has not been constructed in its entirety by liconsad contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code., is available upon request when this application is submitted or at the following IA'eb site:http:llwww.leginfo.ca.govfcalaw.html. signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) Of Nisi n 3 of the Business and Profe io Co e, d y II • se is In full force and effect. Llcensa Cluss License No Date Contractor Signature WORKERS' COMPiNSATION DECLARATION WrRNAG: tAILURE 1 O SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIWL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 0709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 I have and will maln•airl 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 orkllarcs, of the work for which this permit Is issued. Policy No. � t ha+ra and will io.imiain 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' compensatio ance career and ,)uI cy number are: of agent that, in the performance of if I ahould became subject to title of Applicant Policy Number Date for w this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws Of California, and agre co ensahcp provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Date-5,Q-3j,�J_4— IG{„L AI IVIV RCV MR V3IYV 441\,asl*v'vl ♦ unw.,\r„�.� �,�+, hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued. (Sectlon 3097, Civil Code). ender's Name Lender's Address he my signature below, I certify to each 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 county a t�e laws relating to building construction. I authorize representatives of this cityor count. o rt Id tified property for Inspection purposes. ;imrature of ProDertv Owner or Authorized Agent _ r� Pent Property Owner's or Authorized Agent's Name )pj NILLFI�- ACTION DATE By D CLARATtON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQNID RULE. PERMITEXPIRED (_u I SUHMI I I EUASatJ I Un NU un�I+ILvn IV PERMITCA.NCELLED EPA PERMIT EXTENDED OMD PCRMiT FINAL ']-Z(, _ ASBESTOS NO T IFICA NON ISN .APPLICABLE TO CERriFICATE Of OCCUPANCY ISSUED PROPOSED DEMOLIT�I 0 SIGNATUR / �f �