The URL can be used to link to this page

Home My WebLink AboutE2023-0381 - Permits�EWPORT City of Newport Beach IIIII III IIIIIIIIII IIII IIIII II III I II E2023-0381 Community Development Department- Building Division E 2 0 2 3 0 3 8 1 Electrical Permit : r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1108-2022 Permit Counter Phone: (949) 644-3286 Work Class :Other Inspection Requests Phone: (949) 644-3255 Issued Date : 04/26/2023 newportbeachca.gov/inspections eo. % " r e—� Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER IS DR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED IT AY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS L500 - !I Job Address: 1'1 FORD RD Legal Desc : P BK 302 PG 11 PAR 2 P.M. 302-11 PAR 2 FOR OF PAR Description: ELEC INSTALL 100A TEMPORARY POWER POLE Owner: MIRK REAL PROPERTIES LLC Address : 2350 FORD RD NEWPORT BEACH, CA 92660 Phone: Applicant: DIAMOND POWER SVCS INC Address : 807 EAST MISSION ROAD EL TORO, CA 92609 Phone: (760)744-7191 Owner/Builder: Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: AE- FLOODWAY;X PC - Bonita Canyon J Contractor : DIAMOND POWER SVCS INC Address : 807 EAST MISSION ROAD EL TORO, CA 92609 Phone: (760)744-7191 Con State Lic : 908341 Lic Expire : 12/31/2023 Bus Lic : BT30052020 Bus Lic Expire:0813112023 Workers' Compensation Insurance Carrier : FEDERAL INSURANCE COMPANY Policy No: 54303381 W. C. Expire: 3/1/2023 Fire Hazard Zone : NO Occupancy Groups : U OWNER -BUILDER DECLARATION 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 items) (Section 7031.5, Business and Professions Code. Any city or county that requires a permit to construct, after, improve, demoll or repair any structure poor to its Issuance, also requiresihe applicant for the 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 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 U all of or (_) portions of the work, and the structure is notintended 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). rl I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' Stale 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 heensure 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 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 constructod 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 fallowing Web site:http:/(www.leginfo.ca.govlcalaw.himl, _ 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 700041Dlvi 'on 3 of the Business and Profes ons Cn e.. and my li e e fs in full farce and effect. License Class License No Date a(o a- Contractor Signature WORKERS' COMPENSATION DECLARATION'. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION OCVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001, IN AODITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE "SOP CODE, INTEREST, AND ATTORNEY'S FEES. I 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 trH performance of tea 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' compensatior prance carrier and policy number are: I 'fer'F . bZ.tkL_ IN Cw—al`^—`4 Policy Number 54303;M III Expiration Date Ta of Agent S w.AwtL S AA evQ Phone # 16 certify that, in the performan the work fo n this permit is issued., I shall not employ any person in any manner so as to become subject to the workers' compensation lays of California, and agree if I should become sub to th workers' mp �sation provisions of Section 3700 of the Labor Code. I shalt forthwith comply with those provisions. isture of Applicant C_—_ _ Date t"_ 6.a areby affirm under penalty of peryiNry that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code) )der s Name Lender's Address my signature below, t certify to each of Ilse following: I am the property owner or authorized to act on the property owner's behalf. I have read INS appiration and the information I have provided is correc I agree to comply mathall applicable city and cow cos and isa I s relating to building construction. autnudze reprasrnlatives of this city or count to enter th above-ide. " d property for inspection purposes. mature of Propert 0wnar or Authorized Agent Print Property Owner's or Authorized A ent's Name `aSo r1 S J VL TION DATE BY i OECLARIATON OE COMPLIANCE VVII'N CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40ANDAQMD RULE I SUBMITTED PFP4"IT rYTENDED f1AQMO PFRhtl7 Fl !AL - y-I pA-•"" LJ A56ES WOSNOTIFICATION IS NOT APPLICABLE TO CFRTF�CA f OF �i17.2'f 1�~ PROPOSED DEMOLITION O,CVPAN �YlSSUE0 KX, 1 SIGNATURE _