HomeMy WebLinkAboutE2024-0209 - Permits�EWPORT
City of Newport Beach
Community Development Department - Building Division
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100 Civip Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Electrical Permit
Plan Check No :
Work Class : Other
Issued Data : 0410112024
Final Date:
Permit Status: Issued
Inspection Area : 7
E2024-0209
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 : 6700 COAST HWY W Legal Desc : P BK 100 PG 4 PAR 1
Description: ELEC - ELECTRICAL BOX IN KITCHEN
Owner: TPN LP
Address : 22 PELICAN POINT DR NEWPORT COAST, CA 92657
Phone:
Applicant: BRADCM INC
Address: 120 TUSTIN AVE STE C-901 NEWPORT BEACH, CA 92663
Phone: (949)835-5000
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
X
CV - Commercial Visitor -Serving
Contractor: BRADCMINC
Address : 120 TUSTIN AVE STE C-901 NEWPORT BEACH, CA 92663
Phone: (949)835-5000
Con State Lic : 1051431
Lic Expire : 03/31/2025
Bus Lic : BT30065516
Bus Lic Expire:06/30/2024
Workers' Compensation Insurance
Carrier : TECHNOLOGY INS CO INC
Policy No: TWC4265326
W. C. Expire: 6/29/2024
Fire Hazard Zone : NO
Occupancy Groups:
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
3ectlon 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
to permit to file a signed statement that no or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 8 (commencing with Section 7000) of Division 3 of the Business and
rofessions 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
at more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation. will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness and Professions Code: The ContractorsState 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 sate).
11, as owner of the properly, am exclusively contracting with licensed Contractors to 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 pursuant to the Contractors' State License Law).
I I am exempt from licensors under the Contractors' State License Law for the following reason: ___ -- — - ----- ---
y my signature below }. acknowledge that, except for my personal residence in which I must haveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
all a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by ]!Conrad contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:tl w .leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent �„ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perj at I am licensed under provisions of hap (gojn nCing with Section 7000) I 3 of the Business and FirGfes oil force
Ind effect. License Class Ci License No `f� Da(` Contractor Signaturd
VOR}<ERS' COMPENSATION DECLARATION
IARNINGI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), rN ADDITION TO THE
'.LIST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1716 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 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 in
,.dolma not 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:
Policy Number
is of Agent
certify that, in the performance of the work for which this
if I should become subieot toyh k*rs:_dompeRAati4
Of
Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation ws of California, and agre
fo of Section the Labor Code, I shall forthwith comply with those provisions.
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hereby affirm under penalty f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci 'I Code),
ender's Name Lenders Address
ly 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 this application and the information I have provided is correct.
I agree to comply with all applicable city and count. ordinances and state laws relating to building construction. �y^'
I authorize representatives of this city or county to th -i arty far inspection purposes. 'CCU �� �\V II \ l 9 \ 1 I /
ficnatu a of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 1 Date
ACTION
Y ;DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 610E TITLE 40 AND A4Mp RULE
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FOR OFFICE USE ONLY
PERMIT EXPIRED
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