HomeMy WebLinkAboutE2023-0191 - Permits,tivuPORr City of Newport Beach; : IIIIIIIIIIIIIIIIIIIIIIIII II If p� m Community Development Department - Building DivisElectrical Permit : EZO23-0191
ion II E 2 0 2 3 0 1 9 1
> 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0520
w8. T Permit Counter Phone: (949) 644-3288 Work Class: Other
cq �` Nor Inspection Requests Phone: (949) 644-3255 1 "; 1» ?"'% ° "�'�:"�'' ��_ _ Issued Date: 04/07/2023
newportbeachca.gov/inspections j g `cd 8..- �, �.9 0 1 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: 435 NEWPORT CENTER DR Legal Desc : P BK221 PG 30 PAR 2 PM 221-30 PAR 2 (LLA 09-0150477 PAR 2 P OR OF
Description: COMM ELEC INSTALL CAT CABLE FOR (N) PIN PADS FOR "DICKS SPORTING GOODS"
Owner: IRVINE COMPANY LLC
Address : 111 INNOVATION DR IRVINE, CA 92617
Phone: (949)720-3100
Applicant: WACHTER INC
Address: 16001 W 99TH ST LENEXA, KS 66219
Phone: (913)541-2500
Owner/Builder :
Address
Phone:
Contractor : WACHTER INC
Address : 16001 W 99TH ST LENEXA, KS 66219
Phone:
(913)541-2500
Con State Lic
: 812907
Lic Expire:
09/30/2024
Bus Lic:
BT30080562
Bus Lic Expire:01/31/2024
Workers' Compensation
Insurance
Carrier :
ARCH INSURANCE COMPANY
Policy No:
41 WCI8985100
W. C. Expire:
8/1/2023
Code Edition : 2022 Fire Hazard Zone : NO
Type of Construction : Occupancy Groups : B
Building Setbacks :
Flood Zone : X
Use Zone: PC --SNorth Newport Center
PROCESSED BY: ■ S� .
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) indicatedbelow by the checkmarli I have placed next to the applicable items)
3ection 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
to 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 Ilcensure 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
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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
,usiness and Professions Cafe' 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
nprovements 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
n roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ply 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 am exempt from licensure 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, 1 cannot legally
e€€ a structure that I 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
'rofesslons Code, is available upon requestwhen this application is submittedor at the following Web Site:http:/I w .leginfo.ca.gov/calaw.html. lignalure of Property Owner or Authorized Agent Pate /
.ICENSED CONTRACTOR'S DECLARATION /
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 9)f Division 3 of the Business and Profess Cod , andmy license is in full force
no effect. License Class License NO Date Cantraclor Signature !���
VORKERS' COMPENSATION DECLARATION
IARNING: 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 (P100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 17M OF THE LABOR CODE, INTEREST, AND ATTORNEYIS FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 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 tht
erfermance 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 whichthis permit is issued. My workers"
ranee carrier and policy number are.
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued, I. shall not employ any person in any mentor so as to become subject to the workers' compensation laws of California, and agree
I, if I should become subject-tq the we rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicantt /h//Sn/I- � Date . ,I,n:2
CLARATION REGARD! G STRUCTI N ENDING AGENCY
ueby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permitis issued (Section 3097, Civil Cc ).
iders Name Lenders Address
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 nompiy with all applicable city and county ordinances and state laws relating to building construction.
I authorize raPre-enlatives of this city or county p emer the above -identified Property for inspection purposes.
ACTION
DATE
By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
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,ERA: r EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
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PERNJTEXTENCED
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SL yy AS NOTIFICATION IS NOT APPLICABLE 70
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L'ERT: FICATE OF
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OCCUPANCY ISSUE'J
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I SIGNATURE: