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Home My WebLink AboutE2022-0911 - PermitsCity of Newport Beach 4 c$W�Hr p Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (949) 644-3288 C,a�IFp0.H�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Electrical Permit : E2022-0911 Plan Check No : PC2022-3057 Work Class : Tenant Improvement Issued Date: 12/08/2022 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: 1301 DOVE ST, 200 Legal Desc : P BK 120 PG 27 PAR 1 Description: COMM ELEC: INTERIOR LIGHTING & CONTROLS (XC2022-1861) Owner: 1301 DOVE OWNER LLC Address : 2101 ROSECRANS AVE STE3270 EL SEGUNDO, CA 90245 Phone : Applicant: HACKNEY ELECTRIC INC Address: 23286 ARROYO VISTA RANCHO SANTA MARGARITA, CA 92688 Phone: (949)264-4000 Owner/Builder Address; Phone : Code Edition: 2019 Type of Construction Building Setbacks : Flood Zone: X�, Use Zone : PC - Newport Place PROCESSED BY: SPECIAL CONDITIONS: Contractor : HACKNEY ELECTRIC INC Address : 23286 ARROYO VISTA RANCHO SANTA MARGARITA, CA 92688 Phone: (949)264-4000 Con State Lie : 686221 Lie Expire : 03/31/2024 Bus Lie: BT30017322 Bus Lie Expire:12/31/2022 Workers' Compensation Insurance Carrier: MIDDLESEX INSURANCE COMPANY Policy No: A0120699005 W. C. Expire: 2/1/2023 Fire Hazard Zone : NO Occupancy Groups : B Boa sac I hereby aflimv under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item (a) (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 the pormit 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 licensure 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole Compensation, will do L) all of or U 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 jSection 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). ❑ 1 am exempt from licensure under the Conlractors' Stale License Law for the following reason: _ By 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, 1 cannot legally sell a structure that 1 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 site:hhp:/fwww.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 7000) pf ivision 3 of the Business and Professions otle, d my license is in full farce and effect. License Class — License No i10 $la 2Z-A Date (Z-(' Contractor Signature - —`— WORKERS' COMPENSATION DECLARATION WARNINO: 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 [5100,0001, IN ADDITION TO THE COST OF COMPENSATION, OAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: Q 1 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 the 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' rance carrier and policy number are: / ter 'VI twDi 'e/ Policy Number A0l2_0( ff Fc)oS_ Expiration Date Z/ f A no of Agent IC t M A Phone # certify tha,, n bw 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 agro , R I should become subject to the workers' npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e , suture of Airlicarin hereby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097 ender's Name Lenders Address y m; signatura below, I certify to each of the following: I am the prapuny owner or authorized to act on the property owners behalf. I Nava read thia 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. , nuthonze epresmitatives of this city or county to solar tltg above -identified property for inspection purposes. M1 PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE LASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROP05EO DEMOLITION SIGNATURE: 1tbI:b79tlC�111)ix�P1117 Civil Code). z" N Name 4- r