HomeMy WebLinkAboutXC2023-0269 - Permitsv0?Te lmmOnfyDevelopmentDepatment-BuildingDivision IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
community IIIIIII COMB Permit:XC2U23-0269
Plan Check NO: PC2022-2754
cn 100 Civic Center Drive, Newport Beach, CA 92660 IIIIIIIssued Date
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic Final Date: Permit Status: Applied
cqL/FOM1N�P
Combination Type - ELEC
Inspection Area : 7
Work Class - Other
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
Description :
Owner:
Address
Phone
555 SAN NICOLAS DR Legal Desc : P BK 387 PG 41 PAR 4
GLE PORT EVCS RESTRIPE PARKING LOT (1) NEW HC EV CHARGING PARKING SIGN, (1) TRANSFORMER & (1) NEW
COMM (5) DUAL PORT & (1) SIN
PANEL *RENEW EXPIRED PERMIT*
520 NEWPORT CENTER DRIVE LLC
NEWPORT BEACH, CA 92658
Applicant: CASCO CONTRACTORS INC
Address: 9B50 IRVINE CENTER DR
IRVINE, CA 92618
Phone: (949)679-6880
Owner/Builder :
Address :
Phone
Contractor: CASCO CONTRACTORS INC
Address : 9850 IRVINE CENTER DR
IRVINE, CA 92618
Phone: (949)679-6880
Con State Lic :
790706
Lic Expire :
01 /31 /2025
Bus Lic:
BT30041027
Bus Lic Expire
: 10/31/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No: WC452503200
W. C. Expire : 1/1/2024
Code Edition; 2019
Fire Sprinklers :
Fire Hazard Zone
Type of Construction :
No of Units :
Occupancy Groups : U
No of Stories
Bldg Height:
Building Setbacks :
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: e-
T.
Architect : S
Address
Phone: [ �
State Lic : gr.All
..�
Engineer:
Address
Phone
Designer: CASCO CONTRACTORS INC
Address: 9850 IRVINE CENTER DR
IRVINE, CA 92618
Phone: (949)679-6880
NO Construction Valuation : $115,000.00
NO Added/New/TI sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
0 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
SPECIAL CONDITIONS: ` '
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 lieensue 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).
El I, as owner of the property, or my employees with wages as thebr sole compensation, will do builds or improves the property, provided that the
_) all of or (, portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Business end Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, Improvements are not Intended or offered for sal
Improved for the purpose of sale). e. 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
❑ 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
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).
11 1 am exempt from licensure under the Contractors' State 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 ai ieast one _year prior co to mpletion of tm
he improveents covered by thfs permit, I cannot legal]
sell a structure that I have built as an owner- builder if it has not been constructed in its entirety by licensed Contractors. I undorstand that a copyof 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://Ww .'Ieginfo.ca.govicalaw.htmi.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION —' Date
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section Q �0�)-o�f�{Diiviiissiiioo,-nn 33 of the Business and Prof sib s Code, and my license is In full force
end effect. License Class License No Dete]�
NORKERS' COMPENSATION DECLARATION
7 ContractorSigneture
NARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENAlilES AND CIVtL FINES UP TO ONE HUNDRED No
D DOLLARS aD,eVe), IN AD"TION TO THE
.CST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3T5S OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate or consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided tot by Section 3700 of the Labor Code, for thl
)erformance of the work for which this permit Is issued. Policy No.
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'
carrier and policy number are:
of Agent
Policy Number
Date
I-mone a
I certify that, in the perform nbIS of the work for which this permit is; issued. I shall not employ any person in any manner $d as t0 become subject to the workers' oompansatron laws of California, and agt,
t, if I should become s b ct to th workers' a mpensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
nature of Applicant_„_...._..� I' lZO?3
CLARATION REGAR ING DNS CTI EENCY Date
hreby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Code).
IA C
Ider s Name Lenders Address
my signature below, I Certify to each of the following:
I and 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 comply with all applicable city and county ordinances and state laws relating to building. construction.
I authorize representatives of this city or coun 1 ante above- dentified property for inspection purposes. /+ n /r
lature of Property Owneror Authorized Agent `� % I �� Pnnl Property Ovrnar s or Authorized Agent's NameV Clt-G(C>2- '7 IC�IA�S, �_,l L/7 Ile I,-r
E
UELLARATION OF COMPLIANCE WITH CODE OF FEOERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 ANO AQMD RULE
PERMITEXPlRED
PERMITC4NCELLED
! ISUHMITTEI
PERMIT EXTENDED
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PER,LIIFFINAL
CERTIFrCAFE OF
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SC. /gyp CS ASH ST 5
OCCUPANCY ISSUE I
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