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HomeMy WebLinkAboutE2023-0773 - Permits"EWPogr City of Newport Beach 0� 9�Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 O x Permit Counter Phone: (949) 718-1888 cy�'-oaN�r newportbeachca.gov/civic II IIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2023-0773 E 2 0 2 3 0 7 7 3 Plan Check No : PC2023.2131 Work Class : Other Issued Date : 10/02/2023 Final Date: Permit Status: Issued 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: 3121 COAST HWY W Legal Desc : N TR 919 BLK LOT L UN HOLD TR 919 LOT L ELY1/2; HO Description: ELEC: INSTALL NEMA 14-50R, BREAKING, WITH CONDUIT RUN AND EV CHARGER. (N) 110 OUTLET. AT PARKING GARAGE. Owner: NEWPORT TOWERS LLC Address : 2552 WALNUT AVE STE100 TUSTIN, CA 927BO Phone : Applicant: TRADE MARK ELECTRIC Address : 19811 PROVIDENCE LANE HUNTINGTON BEACH, CA 92646 Phone: (714)914-9518 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: AE, 8 FT; X; X MU-W1 - Mixed -Use Water S31 SPECIAL CONDITIONS: Contractor : TRADE MARK ELECTRIC Address : 19811 PROVIDENCE LANE HUNTINGTON BEACH, CA 92646 Phone: (714)914-9518 Con State Lic : 954253 Lic Expire : 11/30/2024 Bus Lic : BT30082489 Bus Lic Expire:08/31/2024 Workers' Compensation Insurance Carrier : EXEMPT - NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups : U NO CONSTRUCTION WORK ON SATURDAYS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicatedbelow by the checkmark(s) I have placed next to the applicable iterate) ;Section 7031.5, Business and Professions Code: Any city or county that requires a perrnit to construct, alter, improve, demolish, or repair any structure, prior to 4s Issuance, also requires the applicant for :he 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 Coda) or that he or she is exempt from Ilcensure 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 'to€ more than five hundred dollars ($500). 0 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 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 'unproved for the purpose of sale). 0 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). 0 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 read ence 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 asan owner -builder if it has not been Constructed In its entirey, 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 following Web site:http://wmv.leginfo.ca.gov)calaw,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 0 0 a Dv��iqq 3 of the Business and Prefer d a d my }' nee is innee is in full force and effect. License Class License No Date 7/J Contractor S)gna�ture ✓�—'�.� WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTISS AND CML FINES UP TO ONE HUNDRED 7 OUSAMO DOLLARS t5100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 0 I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 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 Date aT17 Agent Phone # fythat, in the performattee of the work for which this permit is issued, I shall 001 employ any person in any manner so as to become subject to the workers'compensation laws of California, and agre leshould becorne subject the r ors• tun provisions at Section 3700 of the Labor Coda, I stroll forthwith comply With Chase provisions. Ignature of Applice t, mm. ,._ _ „�, ,,,,, Date „� d 'ECLARATION RE ING CONSTRUCTION LENDING AGENCY 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 ode). ondefsName Lender's Address, y 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 withall applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or count the �qb%o �e- Fapgrty for inspection purposes. �I ionature of Prooertv Owner or Authorized Aoel rl%G/Gy Print Property Owner's or Authorized Agent'S Namei \_ Ittl`77741 IV/aWIaL' Date lz9�J,� ACTION DATE BY V DECLARATION Or COM PUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ! RIECxULATtONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I iJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMri CANCELLED EPA ...._...... PfRrY71T EXTENDED _ ............_.._ _.____..�. ....... . ...........�._.._ _.... __..__.... _... IIACM D PERMIT FINAL y ASBESTOS NOTIFICATION IS Nor APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED In' V �'Yl ! SIGNATURE: