The URL can be used to link to this page

Home My WebLink AboutE2023-0235 - Permitsk�EW?oRr City of Newport Beach e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 6, FOft newportbeachca.gov/inspections iiiiiiiiiii II Electrical Permit : E2023-0235 Plan Check No : PC2023-0643 Work Class : Other Issued Date : D312312023 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: 351 HOSPITAL RD Legal Desc : A TR IRVINE SUB BLK 2 LOT 169 IRVINE SUB LOT 169 BLK 2 FOR O F LOT Description: COMM CHANGE OUT INTERIOR AND EXTERIOR FIXTURES THROUGHOUT ENTIRE BUILDING Owner: GENCAL NEWPORT LIDO LLC Address : 100 N PACIFIC COAST HWY STE650 EL SEGUNDO. CA 90245 Phone: Applicant: MESA ENERGY SYSTEMS INC Address: 2 CROMWELL IRVINE, CA 92618 Phon 44-1341 Owner/Builder: Address Phone: Code Edition : Type of Construction Building Setbacks: Flood Zone Use Zone: OM - Office —Medical PROCESSED BY : is� SPECIAL CONDITIONS: Contractor : MESA ENERGY SYSTEMS INC Address : 2 CROMWELL IRVINE, CA 92618 Phone: (949)244-1341 Con State Lic : 611215 Lic Expire : 01/31/2025 Bus Lic: BT98039750 Bus Lic Expire:12/31/2023 Workers' Compensation Insurance Carrier: CONTINENTAL INSURANCE Policy No : WC734181601 W. C. Expire : 10/1/2023 Fire Hazard Zone : NO Occupancy Groups: 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 Karats) '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 le 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 rofessions 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 dlvil penalty, of of more than five hundred dollars ($500). 11, 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, usiness and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the nprovements are not intended or offered for sale. If, however. the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or nproved for the purpose of sale). 7 I, as owner of the property, am exclusively contracting with licensed Contractors to conshwt the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). I I am exerript train licensure under the Contractors' State License Law for the following reason :y 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[, oil a structure that I have built asan owner -builder if it has not beenconstructed 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:fywww,laginfo.ce.gov/calaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section T 0 of Pivisign 3 of the Business and Pr a ons S nd my license Is In full force nd effect. License Class License No h / / ,Z / Date 2 Contractor Signature VORKERS' COMPENSATION DECLARATION. 'ARNING: FAILURE TO SECURE WORAERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$1110.0001, IN ADDITION TO THE Oar OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following deciaratlons: ] 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 epformanceof the work for which this 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 vnone if 11 certify that, in the 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 agre let, if I should become a act to f ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with. those provisions. ignature of Applicant IECLARATCON REG CONSTI UCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction tending agencyfor the performance of the Work for which this permit Is issued (Section 3097, Civil od. ), Finder's Name Lenders Address ly 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 with all applicable city and county ordinances and state laws relating to building construction. ) a I authorize representatives of this city or county 0 Pnter a o e-iWtified property for inspection purposes. /f I it or or ACTION DATE BY r \DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I. REGULATIONS PART 61. OF TITLE 40 AND ADMIT) RULE i 1403 PERMIT EXTENDED ��-r'-r-LSAQMD_ PERMIT FINAL L,_t A5BES rD5 N071FICATION IS NOT APPLICABLE TO C€RTiFICATEOF �- PROPOSED DEMOLITION OCCUPANCY tssu€D SIGNATURE;