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HomeMy WebLinkAboutE2023-0499 - Permits��EWPpar City of Newport Beach 0 A Community Development Department- Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 71 B-1888 C4[/F00.N�P newportbeachca.gov/civic �11�111 11111111111111111111111111111111111111111111 11111Electrical Permit Plan Check No : Work Class : Other Issued Date : 06/05/2023 Inspection Area : 7 E2023-0499 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 : 1600 NEWPORT CENTER DR, 200 Description: COMM ELEC OUTLET Owner: IRVINE COMPANY Address: 110INNOVATION DRIVE IRVINE, CA 92617 Phone: Legal Desc : P BK 316 PG 3 PAR 3 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 : 2022 Type of Construction Building Setbacks : Flood Zone : X Use Zone: PC - Corporate Plaza West PROCESSED BY: SPECIAL CONDITIONS: Contractor : DYNAMIC ELECTRICAL SOLUTIONS CO Address : 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH, CA 92649 Phone: (714)907-3325 Con State Lie : 978307 Lie Expire: 01/31/2025 Bus Lie: BT30073547 Bus Lie Expire:11/30/2023 Workers' Compensation Insurance Carrier : PREFERRED EMPLOYERS INS CO Policy No: WKN1534179 W. C. Expire: 4/8/2024 Fire Hazard Zone : NO Occupancy Groups: U 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) 1 have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its Issuance, also requires the applicant for Ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing. with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licansure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty, of of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (Fall of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, .usiness 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 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 nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors ID construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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), 3 1 am exempt from licensers under the Contractors' State License Law for the following reason: _. Iy 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 all 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 'rafessions Code, is available upon request when this application is submitted or at the following Web site:http::/A w .leginfo.ca.govfcalaw.ntml. signature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) f !at n 3 of the Business and Pro fo 'o5fi - and my license is in full force .no effect. License Class License No Date 3 Contractor Signature �� VORKERS' COMPENSATION DECLARATION (ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDR D SANO DOLLARS LStDE000), IN ADDITION TO TH 'AST OF COMPENSATION, DAMAGES AS PROAOEO FOR IN SECTION 3749 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEes. hereby affirm under penalty of perjury one of the following declarations: -11 have and Will maintain a. certlEcate of consent to salNnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih- rlormance of vie work for which this permit Is issued. Policy No. I ve 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 nsurance carrier and policy number are: tamer Policy Number Expiration Date lame of Agent Phone N -1I certify that., in the performance of a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the works ' c pensation laws of California., and agree hat, if I should becoTpnalty bject io the 0Rers' compensation provisions of Section 3700 of the Labor Code,.. I shall forthwith comply with those provisions. Signature of ApplicaDate 3ECLARATIQN RENS CTION LENDING AGENCY hereby affirm undeof erju that there is a Construction tending agency for the performance of the work (or which this permit Is issued (Section 3097, ivil Code). _enders Name Lenders Address 3y my signature below, I certify o Och of the following: I am the property owner or a orizedto act on the property owner's behalf. I have read this application and the information 1 have provided is correct 1 agree to comply with all applicable city and county. dinars sand state laws relating to building construction. I authorize representatives Df this city or county - ter ve-identified property for inspection purposes. Si nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Na 0 ate 5 ACTION DATE BY D TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R. U TIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 _ PERMIT EXPIRED ) I SU6..Ml TE'J AaBESTOS NOTiFIIATION TO PERMITCANCELLED j UEFA PERMITFINAL e'/Z-tJ �AJASBESWS NO'rIFICArION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED nEMCI ITION OCCUPANCY 65UE0 I i Sici.twuhii;