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Home My WebLink AboutE2022-0676 - Permitsac�w P0, City of Newport Beach IIII I I III I I II IIII Community Development Department- Building Division Q3 100 Civic Center Drive, NewportBeach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °4iFoarP newportheachca.gov/inspections Electrical Permit : E2022-0676 Plan Check No : PC2022-2390 Work Class : Tenant Improvement Issued Date : 10/0312022 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 : 840 NEWPORT CENTER DR, 150 Legal Desc : P BK 136 PG 22 PAR 1 Description : COMM TI - ADD (2) BLDG STD. EXIT SIGNS; (4) OUTLETS Owner: IRVINE COMPANY LLC Contractor : HACKNEY ELECTRIC INC Address: 111 INNOVATION DR IRVINE, CA 92617 Address : 23286 ARROYO VISTA RANCHO SANTA MARGARITA, CA 92688 Phone : (949) 720-3100 Phone : (949) 264-4000 Con State Lic : 686221 Applicant : Joel Hackney Address : 23286 Arroyo Vista Rancho Santa Margarita, CA 92688 Phone : (949) 264-4000 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Flood Zone: X Use Zone: PC - North Newport Center PROCESSED BY: f SPECIAL CONDITIONS: Lic Expire : 03/31/2024 Bus Lic : BT30017322 Bus Lic Expire:12/31/2022 Workers' Compensation Insurance Carrier: MIDDLESEX+INSURANCE+COMPANY Policy No: A0120699005 W. C. Expire: 2/1/2023 Fire Hazard Zone : NO Occupancy Groups : B IL V - 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 pomrit 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 licensors 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)1 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 bu0ding 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 or 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 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). ❑ 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 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 1 have built asan 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 submitted or at the following Web site:http:tfwv .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 SectionY�'L ) f iv fan 3 of the Business and Pr f sjra s mylice In full force and effect. License Class License No DatF 21.- Contractor Signaler WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL TIESAND CIVIL FINES UP TO ONE HUNDR D TH USAND DOLLARS (Si 00,600), RI ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 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 lh� 5erformance of the work for which this permit is issued. Policy No. ave 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' componsatiorr i ura a carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone 0 ❑I Certify that, in fhe per rman 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 mpensatioVawof California, and agroe that, if I should bee Ie s bpact t0 the uDdirSr ' compensatio visions of Section 3700 of the Labor Cotle, I shall forthwith comply wth those provisions.rSignature of Applies _ Date� 'DECLARATION REGA ING R ENDING AGENCY 1 hereby affirm under pan of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, NIT ode). '.Lender's Name Lender's Address By 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 thisapplication and the'mformation I have provided is correct.. I agree to comply withall applicable city and o ty Ord l as and state laws relating to building construction. I authorize representatives of this city or cou d e e a ve-ideni fi d property for inspection purposes. It,II , (Signature of PropertOwner 0r Authorized AT; ; ant Print Property Owner's or Authorized A ent`s Name v 1��f� Date 2Z ACTION DATE BY `'I!IECLARATQ11CF CIDWILIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY _ REGULATIONS PART 51 OFTITLF. 40 AND AGMD RULE 1403 PERMIT EXPIRED J PE�SUBR-IT. ED AS ESTO NOT( 1CATION TO RMITCAACELLEO OLPA PERMITFINAL I( —IL). ZZ• t------- -kdA$8ESTO5 NOTIFICATION 15 NOf APPLICABLE TO CERTIFICATE Of v PROPOSED' DEMOLITION OCCUPANCY ISSUED R sIGNAATJRE: