HomeMy WebLinkAboutE2022-0939 - Permits04".
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-188B
newportbeachca.gov/civic
iiiiiiiiiii II
Electrical Permit : E2022-0939
Plan Check No : PC2022-3180
Work Class : Other
Issued Date : 05/18/2023
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: 201 COAST HWY E
Description
: ELEC FOR NEW FLOATING DOCKS
Owner:
IRVINE CO
Address :
111 INNOVATION IRVINE, CA 92618
Phone :
(949) 720-3100
Applicant :
CHRIS MILLER
Address :
100 CIVIC CENTER DR NEWPORT BEACH, CA
Phone:
(949)644-3043
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction :
Legal Desc : S TWP 27 RGE 6 SEC 10 SEC 26 T 6 R 10 POR SW1/4
Contractor : POWER ENGINEERING CONSTRUCTION CO
Address :
1501 VIKING ST., #200 ALAMEDA, CA 94501
Phone :
(510) 337-3800
Con State Lic
: 488215
Lic Expire :
03/31/2024
Bus Lic :
BT30081098
Bus Lic Expire:03/31/2024
Workers' Compensation
Insurance
Carrier:
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
Policy No :
WC65437345
W. C. Expire:
10/l/2023
Fire Hazard Zone : NO
Occupancy Groups :
Building Setbacks : , , .
Flood Zone : AE, 8 FT; X; X
Use Zone: CM - Commercial Recreational and Marine
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)
,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
: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
arofessions Code) or that he or she is exempt from Iloensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
Tat more than five hundred dollars ($500).
1, 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,
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
Improved 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' Slate 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).
❑ I am exempt from licensors under the Contractors' Slate License Law for the following reason: _
By my signature below I acknowledge that, except for my personal residence in which I must have resided forat 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 -builder if it has not been constructed In its entirety 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 siterhttp:IYw .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
t hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70D0) ofI i 'sio 3 of the Business and Prns e, ocessiod my is in full force
and effect. License Class License No Date F '-2 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 (Si D0,000), IN ADDITION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following 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
ormance of the work for which this permit is issued. Policy No.
andwill maintain workers' compensationinsurance, 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:
To of Agent
certify that, in the performance
If I should become subject toy
of Applicant
Policy Number
Date
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 ogre
comp � n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date,'n 2
hereby affirm undrr ; sialty of i�erfury 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
y my signature below, I certify to each of the following:
I am 1,is property owr,er or authorized to act on the proper owner's behalf.
I have read this application and the information I have pi
ided is correct.
I asraa to comply with all applicable city and county ocd'�anc
sandtale relating to building construction.
aut'iorize refrsCctives of this city or county to en . Dove led roperty for inspection purposes.
iignaiLr_ Of Propert�Owner or Authorized A ent Print Property Owner's or Authorized A
ACYd0N DATE By i G L ION OF COMPLIANCE W i CODE OF FEDERAL FOR OFFICE USE ONLY
( j R ULATIONS PART 51 DFTITLF 4e. AND AQMD RULE
PCRMITEmiPED _� 10 I SUBMITTED ASBESTOS NOTIFICATION TO
PCA.LJ ,;,,AICELLED 2 LJIPA
CERTIFIGAFE OF 1� _Lq 6i PROPOSED DEMOLITION
IUN I5 NOT APPLICABLE 'rD
OCCUPANCYISSUED k i SIGNATURE:
Date �-4