HomeMy WebLinkAboutE2018-0059 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
- " Permit Counter Phone (949)644-3288
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111111111111111111111p1Jill 11111111111p11111111111 JillElectrical Permit: E2018-0059
E 2 a 1 8 9 6 5 9 Project No :
Job Address: 930 COAST HWY W Bldg: 1 Floor: Suite:
Description of Work: COMM REMOVE 5 LIGHTS PER CODE NEFORCEMENT 117-3735
Inspector Area: 7
Legal Description: P BK 083 PG43'P
Owner: GUGASIAN LEVON r Contracts . S� TAN LL JAME
Address: 11 RIDGELINE DR S ®eafte�ddress 901 #115
NEWPORT BEACH, (JA 92 60 663
Phone: ihone: 714-815-5097
Inspection Requests Phone (949)644-3255
Code Edit: 2016
CCjjarrri�iggel!r : STATE FU
If Bpi?:
Rblif'2 4/07 2018
n St�Lr ' ;%116',"2Issued Date:01/29/2018 z n 2 80io (3I [� ( 0�/QProcessed By: c Exp a " 02 8 MOM to Whom —
New Construction
Residential
Multi -Family:
1-2 Family:
Service
5
0-600V up to 20OA:
0
0-600V over 20OA:
0
Over 600V or1000A:
0
O/H to U/G
0
W 216A01ke& (HP/KVA)
Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/ 0 $0.00
$5.00 1 to 10 HP/KW/KVA: 0 $0.00
0.00 10 to 50 P/ /KVA 0 $0.00
I n50 to 1 W� m 0 $000
8 Over 10 P/�(W
$0.00 -•'�
$0.00 Piggy Bac emp4IMPkiir<t$(1A�0s.ai
$0.00 Temp Power Pole 0 U.bb`� L
------------
Plan Check Fee : $0.00
Fixtures:
5
hep Chin
V lt4
0
Low
0
Signs
U
Branchti4r�etr �Eci6'�t C"i
Each Add Crrcuif
1)
Time Clocks:
0
AdditionaLE9g_-
$0 00
P. til xa Es:
Temp UnclE
Sub Panel:
levo gmt
I ck F(
Investigation F
Issuance Fee:
Supplemental
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALIDw1iV h11E }Yf1Nfb 'N"� '
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m.
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$33.00
$0.00
UWNER-dUILUtzK ULL;LAKAI IUN'
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 applicayp, 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, prior to its issuance, also requires thee.',plicant 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 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
not more than five hundred dollars ($500).
❑ I, 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,
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 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 wh,%*uflqL&LLmproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from licensure qTder e Contractors f win reason:
ly my signatutB 1521pw I acknow,�ge at, except far my personal residence in whic st one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure thin! l have built a .an o ner-b I rtlas not bee ons Gt¢�n)'�s �rr�Irety by licensed contractors. u licable law, Section 7044 of the Business and
'ro0sions Code, 19 -available u jt n re uest when ls'appAeetiaa: m tteB or of th�ollowing Web site:http://www.leginfo.ca:gov/calaw.html: -
(ignature of Pl*bl`14 Owner or �pthor ed Agent Date
ICENSED CQNTRACTOR y „DE LAi'•
7iti y affirm u nde�rpenalty of p�.'ry'u hat I m licen and Fro ons hap ( m wi ection 7000) of Division 3 of the Business a rofessions ode, and cense is in full force
end Affect. • • • P `i1 F.: f✓; 0(�0 r
.ice nse Class ' • iG-; , o t't- y� �r" _ Date uConfracTo7 Bigha! 7 -g
V•Q11KERS'•t< MANSATI4�N D CLARAT
'�,•. .TO //
TARNy•�:FAILURE TO SECURE WORIiER3' MP E VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER I AL'fl� AllOfiiglP(�.(111s1E5 UP TO ONE HUNDRED THOUSAND DOLLARS ($iD0,0001, IN ADDITION TO THE
'Mr F COMPENSARION, DAMAGES �'S PRO DED . N 370S�QB�tkWWR CODE, INTEREST, AND ATTORNEY'S FEES. "�"'^'�----
bgfelb; affirm •1m• dgr.*nalty of erju one th v ng d pl zt ons 't
14wabd will maintain a rertifi to .c t, selfi�'misure fof ,derPe t e ,Me I vec- of Industrial Relations as provided for by Secti 3700 qr-the Labor Code, for thl
9r00oft1 *0 for whish thi perm 1 e$i Poh* - '' ,
•• , ••
I have and will maintain workers' ompensation insurance, as required by Section 3700 of the a . e performance of the work for which this permit i issued.;YNy workers' compensatior
iSurance carrier and policy number j
Carrier R� yrs; .r'P'olic0umber - Expiration Date 17
lame of Agent I " '" ` `� '"* - Phone # .)
I u <o e g a ,x,: - q
�I certify that, in the perfonnari the work for whic Is permit 1s lssuely'I 'sural i5t ploy any pe so ny a $ _p �ibje o workers' comp sahotr laws of California, and agree
iat, if I should become ubjl:cfto th orkers com H4P 1u�)$rovJs)ons s4[, e�tion 3700 of the Labor hal erth�i ` I�"i it t to pr I `� t
6
signature of Applican .-r a
IECLARATION RE RDING N TR , �1 LENDING AGENCY
hereby affirm and penal ofperj ry that there'isa-earrstruction.tendins agency for the performance of the work for which this permit is issued (Section 3097, Civil
ender's Name --'""-'Lando
ly my signature below, I certifyrto a ch of thafaltawin. _ _ ,
I am the property owner orauth rued to act -,o
��pr grty owner's behalf.- r
I have read this application and the informationLhy..�dPs-�--_I SP. initial. 7pI agree to comply withall applicable city and tonces and state laws relating t•-oiu11�$ibYStlmrL. �-f1 authorize representatives of this city or co Pit = ntified property for inspection purposes. signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's ame to
aC77ON DATE BY DECLARATION OF COMPLIANCEWITNCODEOF FOROFFICE USED LY
FEDERAL REGULATIONS PART 61 OFTIJLE40A D
PERRMITEXPIREDAQMDRULE1403.
�Z ' ❑ I SUBMfTTEDASBESTOS NO7IFIC4TION TO:
PERMITCANCELLEO ❑ EPA
PERMITEXTENDED ❑ AQMD
❑ ASBESTOS NOTIRC47IONIS NOT APPLICABLE TO
PERMITFINAL PROPOSED DEMOLITION.
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUEO