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Home My WebLink AboutE2022-0884 - PermitsQ 2,QW PORE City of Newport Beach o A Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 C9(�FORN�P Inspection Requests Phone: (949) 644-3255 neWpDrtbeachca.gov/inspections 1111111111111111111111111111111111111111111111111111 jj Electrical Permit Plan Check No: Work Class : Other Issued Date : 11/23/2022 Inspection Area :7 E2022-0884 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: 650 NEWPORT CENTER DR, 4TH FLOOR Legal Desc : P BK 196 PG 13 PAR 4 PARCEL MAP 196-13 PAR 2 FOR OF PAR AND PAR 3 FOR Description: COMM CHANGE OUT ELEC OUTLET IN KITCHEN Owner: IRVINE COMPANY Address: 550 NEWPORT CENTER DR Newport Beach, CA 92660 Phone: Applicant: DYNAMIC ELECTRICAL SOLUTIONS CO Address: 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649 Phone: (714)907-3325 Owner/Builder : Address Phone : Code Edition : 2019 Type of Construction : Building Setbacks: Flood Zone Use Zone : PROCESSED BY SPECIAL CONDITIONS: PC - North Newport Center Contractor : DYNAMIC ELECTRICAL SOLUTIONS CO Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649 Phone: (714) 907-3325 Con State Lic : 978307 Lic Expire : 01/31/2023 Bus Lic: BT30073547 Bus Lic Expire:11/30/2022 Workers' Compensation Insurance Carrier : PREFERRED EMPLOYERS INSURANCE COMPANY Policy No : WKN1534179 W. C. Expire : 4/8/2023 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. items) (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 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 L) portions of the work, and the structures not intended or offered for sale (Section 7044, Business and Professions CodeThe 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 ofthe property, am exclusively contracting with licensed Contractors to construct the project (Section 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 pursuantto the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' Stake 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 legal sell a structure that I have built as an owner -builder if it has not boon constructod in its entirety by licensed contractors, I understand that a copy of the applicable law, Section 70" of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalayr.h€ml,. Signature of Property Owner or Authorized Agent -� Dat _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Vision 3 of the Business and Pr, sion and my license is in full force and effect. License Class License No Date i Contractor Signature INORKE'RS' COMPENSATION DECLARATION ✓ \.. V � NARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TM SANG DOLLARS (S1o0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR W SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Ihereby affirm under penalty of perjury one of the following declarations: n u 1 have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi e f rmance of the work forwhich this permit Is issued. Policy No. L414ve 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 Aure'n'te carrier and policy number are: Cartier Policy Number Expiration Date Name of Agent Phone # 31 certify that, in the o ante of t ork for which this permit is issued, I shall not employ any person inany manner so as to become subject to the worker ' c0 pansation laws of California, and agree That, if should becomes 'BctCtD ih r rs compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with Those provisions. 1 Signature of Applicant -- — I --- .,_,...._.__,,,-,,,,.,.�_,.,._....M. Date l i j 2-� DECLARATION REGA DING CO S' t TI . - DI'.NG AGENCY I hereby affirm under penalty of pe ju. that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By my signature below, I certify to a ch of the following: I am the property Dwner or au. prized to act on the property owner's behalf. I have read this application and the information I have provided is correct. agree to comply withall applicable city and c ty Groin s and slate laws relating to building construction. I authorize representatives of this city or ccunty ante a ve-identified property for inspection purposes. Signature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent s Name Lk r , D to ACTION DATE BY I D L ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 717 R'. ATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED CERTW CATE OF OCCUPANCY ISSUED TO SL1'w-G5 I UASB TOSNOTIFICATION ISNOTAPPOCABIF TO POSED DEMOLITION