HomeMy WebLinkAboutE2022-0689 - Permits�aE�Po?r City of Newport Beach
O Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Q Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cgt�FOR��P newportbeachca.gov/inspections
IIII III II Electrical Permit
Plan Check No :
Work Class : Other
Issued Date :
Inspection Area : 2
E2022-0689
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 : 453 PROMONTORY DR W
Legal Desc : P BK 49 PG 15 PAR 1 PARCEL MAP 49-15 PAR 1 FOR 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
Con State Lic : 603868
Applicant: L U ELECTRIC INC
Lic Expire : 11/30/2023
Address : 17762 MITCHELL NORTH IRVINE, CA 92614
Bus Lic: BT30041336
Phone: (714) 536-3200
Bus Lic Expire:11/30/2022
Workers' Compensation Insurance
Owner/Builder :
Carrier : PREFERRED PROFESSIONAL INS CO
Address :
Policy No : ONOB15205
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
:,
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
>ecten 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
is 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
rofessions Code) or that he or she is exempt from hoensurs and the basis for the alleged exemption. Any viDiatidn of Section 7031.5 by any applicant for a permit subjects the applicant to A civil penalty of
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation. will do L) all of or ) portions of the work, and the structure is not intended or offered for sale (Section 7044,
:usiness 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
nprovements are not intended or offered for sate. 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
nproved for the purpose of sale).
1 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
pply 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).
I I am exempt from Iicensure under the Contractors' State License Law for the following reason.
,y 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
ell a structure that I have built asan owner -builder if it has not been constructed in its entirety by Ilcensod 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:/,'www.leginfo.ca.gov/calaw,html.
signature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of Div Sion 3 of the Business and P s— sio s Cod" o my license is in full force
ad effect. License Class License No Date d Contractor Signatu
UORKERS' COMPENSATION DECLARATION
!ARNING: 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 ($100A00), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the Iollowing 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 Iht
edormance 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'
carrier and policy number are:
Policy Number
7s of Agent _
Date
certify that, in a arformance 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 agref
t, if I should be me subject to the_Workers' compensation provisions of Section 3700 of the Labor Code,. Ishall forthwith comply with those provisions.
Tr ofi APPlican _.. ____. DateZ-
CLARATION REGARDING CONSTRUCTION LENDING AGENCY;
Ireby 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).
titer'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 properly owners behalf.
I have read this application and the information I have provided Is correct.
I agree to comply withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county /to enter fhe ove-identified property for inspection purposes. \ / i
nalura of Prooertv Owner or Authorized .ADRIFT\ Print Procerty Owners or Authorized Aoent's Name V f`mrVV`Ui" f /� mtrc (A Date f `'12✓ I ��
ACTION
DATE
BNB V DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
i Kr UTATIONS PART 61 OFTITLE 40 AND AQMO RULE
1403
FOR OFFICE USE ONLY
PERMIT EXPIRED
IJI-UfMI?TF.IASBFSTOS?IOIIFICATIONTO
PFRMtTCANCELLED
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PERMIT EXTENDED
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j L,J ASBESTOS NOTIFICAPON 15 Nor APPLICABLE TO
CEATIFICATE Of
PROPOSED DEMOLITION
OCCUPANCY ISSUED
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