HomeMy WebLinkAboutXC2023-0058 - Permits�vev2PoRr City of Newport Beach II IIIIII I IIII II I III III IIIIIIIII II I II COMB Permit : XC2023-0058
o @ Community Development Department- Building Division X C 2 0 2 3 0 0 5 8
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0431
> = Permit Counter Phone: (949) 718-1888 Issued Date : 05117/2023
newportbeachca.9ov/civic Inspection Area : 7
5�/PORN` Combination Type - ELEC
Work Class - Other
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 : 101 BAYVIEW PL
Description: COMM GENERATOR "CLEARWATER"
Owner: KODAKA INC
Address : 1650 DELTA CT
HAYWARD, CA 94544
Phone
Applicant: ROWAN ELECTRIC
Address: 2778 LOKER AVE WEST
CARLSBAD, CA 92010
Phone : (760) 692-0700
Owner/Builder :
Address :
Phone
Legal Desc : N TR 12528 BLK LOT 1
Contractor: ROWAN ELECTRIC
Address : 2718 LOKER AVE WEST
CARLSBAD, CA 92010
Phone : (760) 692-0700
Con State Lie :
746837
Lie Expire :
03/31/2024
Bus Lie:
BT30081567
Bus Lie Expire :
05/31/2024
Workers' Compensation Insurance
Carrier: ZURICH
Policy No : WC551378906
W. C. Expire: 10/1/2023
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : Fire Hazard Zone : NO
Occupancy Groups : U No of Units : 0
Bldg Height: No of Stories :
Building Setbacks :
Flood Zone : X
Use Zone : PC - Bayview
PROCESSED BY:
SPECIAL CONDITIONS:
Architect : DOUGLAS PANCAKE
Address : 19000 MACARTHUR BLVD STE 500
IRVINE, CA 92612
Phone : (949),720-3 50
State Lie:
Engineer
Address
Phone
Designer: ROWAN ELECTRIC
Address: 2778 LOKER AVE WEST
CARLSBAD, CA 92010
Phone : (760) 692-0700
Construction Valuation : $73,480.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0 ,
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 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
Ic 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 ilcensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicar to a civil penalty of
at more than live hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
alsiness 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
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
nproved for the purpose of sale).
] I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
ppiy 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 Iran) Iiconsure under the Contractors' State License Law for the following reason:
ly 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 legal],
all a structure that I have built as an owner-buildor 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwvrw.leginfo.ca.gov(calaw.html.
signature of Property Owner or Authorized AgentDate
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 00 DM ion 3 of the Business and Pr t y lice) is In full farce
nd effect. License Class License No Date Contractor Signatur
VORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDmON TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 th
erformance of the work for which [his 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
Date
lame of Agent Phone #
It certify that, in the a rm co o th 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
iat, if I should beco e u to rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applican _ Dat¢� �Aa
It
DECLARATION REG CON RUCTION 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 Code).
ender's Name Lender's Address
',y my signature below, I certify to each of the following:
I am the property owner or authorized ID act on the property owner's behalf.
I have read +his application and the information I In ravitle correct.
I agree to comply with all applicable city and coup or inane nd state laws relating to building construction.
1 authorize renresentatives of this city or cou5ttyt k f t�I 4,q-ikritified property for inspection purposes.
ACTION I DATE By Y (YCL LATI00NS OF COMPLIANCE
T 51 OF TITLE WITH AO AND DE OF FEDERAL I FOR OFFICE USE ONLY
PFRMf7 EXPIRED _ I —_— U I SUBMITTED A5BFSTOS NOTIFICATION TO
— —
PERM17CANCE LEJ •''''UEP_A_
PERLrII EXTENDED --y- , ,n(Z{�D � -----
PE.RNHT ASBESTOS NOTIFICATION 15 N01 APPLICABLE 10
(:EFTffILATE OF I X "7I PROPOSED DEMOLITION
JCCUPANCY15SUED SIGNATURE: