HomeMy WebLinkAboutE2024-0117 - Permits��EWPpR� City of Newport Beach
p @ Community Development Department- Building Division
r n 100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 718-1888
C9� FORN`P newportdeachca.gov/civic
111111111JJJJJ11111111111111111111111111111111111Jill Ill Electrical Permit : E2024-0117
E 2 0 2 4 0 1 1 7 Plan Check No :
Work Class : Other
Issued Date : 02/28/2024
Final Date:
Permit Status: Issued
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 : 23 CORPORATE PLZ, 133 Legal Desc : P BK 93 PG 45 PAR 20 PARCEL MAP 93-45 PAR 20 POR O
Description : ELEC OUTLET IN OFFICE
Owner: IRVINE COMPANY
Contractor : DYNAMIC ELECTRICAL SOLUTIONS CO
Address : 111 INNOVATION DRIVE IRVINE, CA 92617
Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649
Phone : (949) 720-2400
Phone : (714) 907-3325
Con State Lic : 978307
Applicant : DYNAMIC ELECTRICAL SOLUTIONS CO
Lic Expire : 01/31/2025
"
Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649
Bus Lic : BT30073547
Phone: (714) 907-3325
Bus Lic Expire:11/30/2024
Workers' Compensation Insurance
Owner/Builder:
Carrier: PREFERRED EMPLOYERS INS CO
C`'
Address :
Policy No : WKN1534179
Phone:
W. C. Expire: 4/8/2024
Code Edition : 2022
Fire Hazard Zone : NO
5:
Type of Construction :
Occupancy Groups
Building Setbacks
Flood Zone: X
Use Zone : PC - Corporate Plaza
PROCESSED BY:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(Sectior, 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState 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 andthe 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 (_) all of or I 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 properly, 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
roved for the purpose of sale).
L„t I, as owner of the properly, 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).
11 1 am exempt from licensure under the Contractors' State 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 builtasan owner-buildar 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, isavailable upon request when this application Is submitted or at the following Web site:http:/,I"w.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 r 00 ) of iv@s' n 3 of the Business and Pr as 1 ode, and my license Is in full force
and WORKERS'
License Class License No Date Contractor Signature
WORKERS' COlJIPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PEN TIES AND CIVIL FINES UP TO ONE HUNDRED H SA NO DOLLARS (E400,000), IN AUDITION TO THE
CostOP COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 37" OF THE LABOR COVE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 Cade, for Ih(
performance of 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:
no of Agent _
certify that, in the
, if I should becor
taiure of Applican
Policy Number
Dale
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' co p pensation laws of California, and ogre(
workers` compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply will) those provisions.
tSTRUCTIQN LENDING AGENCY��
!relay affirm under genalt}ji) , erjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, i '1 Code),
wer's Name II �� Lender's Address
my signature below, I CerYtify 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 cou y ordnan e and state laws relating to building construction.
I authorize representatives of this city or coupIN enter a ve Ideri fled property for inspection purposes.
nature of PrODertv Owner or Authorized ADenl _. Print Property Owner's or Authorized Agent's Name
ACTION DATE I BY V I riTLAIIATOION OF NS PART Bt COMPLIANCE
F 40 WITH
CODE OF RULEFEDERAL
FOR OFFICE USE ONLY
PERMIT EXPIRED Ll I SUBMITTED ASBESTOS NOTIFICATION TO
__._— __ .__
PERMiTCAA'CELLED t-r [Pl`
PER MIT EXTENDED ? LIAQMD
PERM+T FINAL i L.,,,,A$Bt:I"fO,NJTIPICA TION IS NOTAPPLICABLE TO
CERTIRCATE OF ��' PROPOSPD DEMOLITION
OCCUPANCYISSUED S SIGNATURE __