HomeMy WebLinkAboutX2022-1525 - PermitsEW>,, City of Newport Beach
Community Development Department- Building Division
1 Do Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u v Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - ELEC
Work Class - Other
COMB Permit : X2O22-1525
2 0 2 2 - 1 5 2 5
Plan Check No : 1775-2021
Issued Date : 10/2712022 '
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 : 4601 JAMBOREE RD Legal Desc : A TR IRVINE SUB BLK 50 LOT 138 IRVINE SUB LOT 138 BLK 50 POR OF LOT
Description: DELTA 4 REVISION & ADD'L SCOPE: MOVE SWITCHGEAR FROM COOLING TOWER CLOSER TO PL. (N) SCE TRANSFORMER LOCATION, PAD, & SCREEN.
Owner: COUNTY OF ORANGE
Address : 400 W CIVIC CENTER DR
SANTA ANA, CA 92701
Phone: (657)622-7765
Applicant: AMTEK CONSTRUCTION
Address : 946 N LEMON ST
ORANGE, CA 92867
Phone: (562)696-7111
Owner/Builder :
Address :
Contractor:
AMTEK CONSTRUCTION
Address:
946 N LEMON ST
ORANGE, CA 92867
Phone:
(562)696-7111
Con State Lic
: 490382
Lic Expire :
04/30/2023
Bus Lic:
BT30071386
Bus Lic Expire : 03/31/2023
Workers' Compensation Insurance
Carrier: ACE AMERICAN INSURANCE COMPANY
Policy No : C69975951
W. C. Expire : 10/1/2022
Phone:
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 - Koll Center
PROCESSED BY:
SPECIAL CONDITIONS:
Architect : RHODORE GERONAGA.
Address : 20 MORGAN IRVINE, CA 92618
Phone:
State Lic
Engineer: „
Address
Phone:
Designer:
Address
Phone
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. Bldg :
$50,000.00
0
0
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 permit 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 lieensure 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).
0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U poi l ons of the work, and the structure Is not intended or offered for sale (Section 7044,
Business Intl 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 properly, 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
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).
El I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature at I h I acknowledge that, except for my personal residence in which I must have resided for at least one year prior ID completion of the improvements Covered by this permit, I canno(lagail
soil a structure that have built as an owner-buildor if it has not been constructed in Its entiroty 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://wwvr.leginfo.ca.gov/calaw,btml.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION V — — - --
i hereby affirm order penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of etch 3 of the Business and Pro si s Code, nd my Iicepse js In fall force
and effect. License Cli•ss License No Date d ^ n ZZContractor Signatur �A,l �� ynd1L
WORXF;RS' COPIPENSATION DECLARATION 1.
'ARNING: FAILURE TO ecrURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIwL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000),1N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 270E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I nereh,l affirm under penalty of perjury one of the following declarations:
111 haae and will "nalrtain a cerllfrcate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
nrf /gcunce of the work for which this permit is issued. Policy Ni
9-Ove and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code.. for the performance of the work for which this permit is issued. My workers' compensatio
in.:l_r,„ae carrier and policy number are
C"r' L,i Policy Number Name of hgenE Expiration Date
Phone #
'I certify that, in 5,e penormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia. and agre
that, n I should becor.ie subject to a workers' compensation provr ions of section 3700 of the Labor Code, I shall forthwith comply with those provisions.
SignatDECLARATION
of Applicant � / ,i�/� ,t/)� Date DE:CLARATEgN REGARgiNG ON$TRUCTION LENOINq AtZNCV
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
Lender's Name Lenders Address
By my signature below, I Candy 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 andthe information I have provided is correct.
I agree to comply with all applicable city and comity ordinanoes and state laws relating to building construction.
I authorize representatives of this city or county to ter tie a ove-identified pr perty for inspection puny Owrposes.
S halUra of Propen Owner or Authorized A Lant ' Print pro ener's or Authorized A ents NameX LIJ' iiI
, Data �?/2
ACTION DATE. BY DECLARATION OF COA4PLI CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51'OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED__
PERMIT EXTENDED MO _
PER,v FICATlivEI ASBESTOS OTIFICArION 15 NOT APPLICABLE TO
CERTIFICATEOF (H (/% PROP OSEDO 9LITf N
OCCUPANCY ISSUED Sill NATURE:'