HomeMy WebLinkAboutP2022-0212 - PermitsC �gWPO? City of Newport Beach II II I I II I II I II II I II II I II 4 CommunityDevelopment Department- Building Division Plumbing Permit
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: 949 644-3288
> x I ) Work Class : Other
.e., Inspection Requests Phone: (949) 644-3255
C94 Fp 0.�\P newportbeachca.gov/inspections Issued rea a: 5/2022
Inspection on Area : 7
P2022-0212
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 Legal Desc : P BK 196 PG 13 PAR 4 PARCEL MAP 196-13 PAR 2 POR OF PAR AND PAR 3 POR
Description: WATER HEATER CHANGE OUT (4TH FLOOR)
Owner: THE 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 : X
Use Zone : PC - North Newport Center
PROCESSED BY:
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 y, ,
Carrier: PREFERRED+EMPLOYERS+INSURANCE+COR./1P,Ajv1;
Policy No: WKN1534179 ,
W. C. Expire: 4/8/2023
Fire Hazard Zone: IN
Occupancy Groups
INSPLECTCR
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
;Section 7031-5. Business and Professions Code: Any City or county that regolres a permit to Construct. alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
AD permit to fife 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 Iieensure 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).
ID 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 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 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 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
a 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' Slate License Law for the following reason
By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh
sell 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
Professions Code, Is available upon request when this application is submirted or at the following Web site:httpatwww.leginfo.ca.gov/calavrhtml.
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 0 0 Div' ion 3 of the Business and Prof s ions C and my license is in full force
and effect, License Class License No Date ,5 ZZ Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SOBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO NO DOLLARS IS100,0¢91. IN ADDITION TO THE
COST OF COMPENSAr,GH. DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm ut da, Henalty of perjury one of the following declarations:
J I ha:• and 1Vill ma;1tain 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
We once of the work for which [his permit is issued. Policy No.
raee 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' compensa
1PUrance camp— anr4 nAlicy number are:
�:TD 3fAgent
certify that, in the performance of
,f i should become subject to the
nature of Appf.Dank
Policy Number
Date
work for which this pefmit 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
kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t� f
DatA. `l��l`,z/2Z
,ruby affirm under Je natty of rju pethat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder s Name. Lenders Address
my signature below, I certify to Seth of the following:
I am the property owner or authorized to act on the properly 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 ordil noes and slate laws relating to building construction.
I authorize representatives of this city or cour to Sale °ve-Identified property for inspection purposes. `� 1 1- M . ,,
,, fie „f D., —ri„ n,. ., �r �, dlNlfi9P(1 A,.ni v! //� Print Property Owner's or Authorized A9enfs NarneX !i(mv, t '0)1,Y'0
OAT�4 BY _. D ARAYION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
3 R UTATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
' U I SUBMITTED ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences. which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shah remain in place & be meI talna for the
life of the pool.
PERMJTCANCELLED
i SPA.
PERM; TETTENDED
qMp
PERMIT RIVAL
OCCUPANCY ISSUED
��G.?[ , ASBEST05 NOTIFICATION IS NOT APPLICABLE TO
I SIGNATURE:EMOLITION