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HomeMy WebLinkAboutE2023-0578 - Permits�2EWPp�T City of Newport Beach p@ Community Development Department -Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic 11IIIIII11111111111111111111111111111111111111111111 jj Electrical Permit : E2023-0578 Plan Check No Work Class : Other Issued Date : 06/3012023 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 : 4695 MACARTHUR CT, 850 Legal Desc : P BK 196 PG 40 PAR 2 Description: COMM INSTALL 10 ELEC OUTLETS (STE 850) Owner: IRVINE CO Address: 111 INNOVATION IRVINE, CA 92618 Phone : (714) 366-7205 Applicant: Joseph Mendoza Address : 5022 Van Buren St. Yorba Linda, CA 92886 Phone : (714) 262-0703 Owner/Builder : Address: Phone : Code Edition : 2022 Type of Construction Building Setbacks : Flood Zone : X Use Zone : PC - Koll Center PROCESSED BY: 65 SPECIAL CONDITIONS: EMP REVIEW WAIVER 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: 1113012023 Workers' Compensation Insurance Carrier : PREFERRED EMPLOYERS INS CO Policy No: WKN1534179 W. C. Expire: 4/8/2024 Fire Hazard Zone : NO Occupancy Groups: B OWNER -BUILDER DECLARATION I 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 Coda: 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 licensors 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 penally of not more than five hundred dollars ($500). 11 1, 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 properly, 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 11 was not built or Ej'roved 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 pursuantto the Contractors' State License Law). ❑ I am exempt from licensors 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 cannot legally sell a structure that I have built as an owner-buildor if it has not been constructed in itsentirety 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 fallowing Web site:http:/lwwvcleginfo.ca.govlcalaw.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 7000) of A�]iv�isjon 3 of the Business and Profess! -� oQe, and my licanse is In full force and effect License Class License No Date 1 %) . 0/Z '> Contractor Signature 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 (5300.000), 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 following deciaralions: © 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 the performance of the work for which 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' Cartier and policy number are: to of Agent certify that, in the performance of , if I should become subject to the r Iature of Applicant _1 Policy Number Expiration Dale Phone # 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 agree 'kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. =--..—. Date____ ��3L2�Z 3 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 (Section 3097, Civil Code). ender's Name Lender's Address ly my signature bf.ILe., lI certify to each of the following: I am the prope.t, a.rner or authorized to act on the property owners behalf. I have read ttis a"lication and the information I have provided Is correct. I agre3 to comply with all applicable city and county ordin�ces and state laws relating to building construction. r�l I authorize reiresertatives of this city or ccunty toe t}i T �above-identified property for inspection purposes. 3ionnture of Provo'ty Cotner or Authorized Agent ✓; !�- Print Property Owner's or Authorized Agent's Name 7L r C.II^^ 1.. t' p� � '� n ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY !,REGULATIONS PART fit OF TITLE 40 AND AQMD RULE 1403 PpAM1 r OPIRED i SSrU--BM—ITTTEE) ASBESTOS NOTIFICATION TO EPL.r A_ PLRMITCANCELLEL PERMITE77ENDEC �J /-/'�-L� G A,,m ) ASSES IDS NOT IS NUT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: PERMITFINAL CERTWMATEOF OCCUPANCY ISSUED