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HomeMy WebLinkAboutE2022-0692 - Permits,City R4". of Newport Beach Community Development Department- Building Division clu'p" Civic Center Drive, Newport Beach, CA 92660 n100 xInspection Permit Counter Phone: (949) 644-3288 Requests Phone. (949) 644-3255 w newportbeachca.gov/inspections Electrical Permit Plan Check o Work Class : Other Issued Date: Inspection Area : 2 E2022-0692 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: 457 PROMONTORY DR W Legal Desc : P BK 49 PG 15 PAR 1 PARCEL MAP 49-15 PAR 1 POR OF PAR Description: ELEC- RE -ENERGIZE METER Owner: PROMONTORY POINT APARTMENTS LLC Contractor : L U ELECTRIC INC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Address: 17762 MITCHELL NORTH IRVINE, CA 92614 Phone : Phone : (714) 536-3200 Can State Lie : 603868 Applicant: L U ELECTRIC INC Lie Expire : 11/30/2023 Address : 17762 MITCHELL NORTH IRVINE, CA 92614 Bus Lie: BT30041336 Phone: (714) 536-3200 Bus Lie Expire:11/30/2022 Workers' Compensation Insurance Owner/Builder : Carrier : PREFERRED PROFESSIONAL INS CO Address : Policy No : ON0815205 Phone: W. C. Expire: 10/30/2022 Code Edition : 2019 Fire Hazard Zone : NO Type of Construction : Occupancy Groups : R2 Building Setbacks Flood Zone : X; X Use Zone : PC - Promontory Point - UP 1494 PROCESSED BY: �I SPECIAL CONDITIONS: a I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.6, Business and Professions Code: Arty city or county that requires a perm It to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for he permit to file IS 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 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 70$1.5 by any applicant for a. permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or [_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usinass and Professions Code: the Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the mprovements 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 mproved for the purpose of sale). 1 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 pursuantto the Contractors' Slate License Levi). 1 1 am exempt from ifoensure under the Contractors' Slate License Law for The following reason. iy 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 SIT a structure that 1 have built asan owner-buildar if it has not boon constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:li"w .leginfo.ce.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date _ICEN'SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 700) of iv'sion 3 of the Business and Pr s ions Code, a y license is In full force an . d effect. License Class License No Dat (O 3 22 Contractor Signatur_ VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARS ($100,000), IN ADOn10N TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOK, INTEREST, AMID ATTORNEYS FEES. hereby affirm under penalty of perjury one of the lollowing dectaraflons: I I have and will maintain a certificate of consent to self-Tnsure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for th, p10bifirinance 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 Cade, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent Phone # certify that, inthe 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 agre if I should become subject to the work compensation provisions of Section 3700 of the Labor Code, I shallforthwith comply with those provisions. nature of Applicant CLARATION RE, GAR I NSTRUCTION LENDING AGENCY Neby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code), Ider's Name Lender's Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county toventer the aboveAt5huffed property for inspection purposes. Owner's or Authorized AoerfS Name ACTION DATE BY r�ECLARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R((�iE.ULATIONS PART fit OF TITLE 40 AND AQMD RULE 1403 PERMtr EXP)RFD _ _I.SUBYiI'TED ASBEST054'OTIFICATION TO �� ^ZIEPA PERMi7 CAM1'CELdED FER4vT EXiENOCD_ PERMtr FlNAC _ _L1kQMU_ ❑ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANC✓ISSUED �� �� ) 5IGNA-Ll