HomeMy WebLinkAboutE2018-0459 - Permits0�yys1�'1 �, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�II�IIIIIIIIIIIIIIII II Electrical Permit: E2018-0459
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 8 0 4 5 9 Project No : 1054-2018
F„ `<` n. Permit Counter Phone (949)644-3288
Vin¢ s Inspection Requests Phone (949)644-3255
Job Address: 2000 BERYL LN Bldg: 1 Floor: Suite:
Description of Work: SFR ELEC PANEL UPGRADE 200 AMPS
Inspector Area: 3
Legal Description: N TR 1806 LOT 3
Owner: TAYLOR IVEY FAMILY TRUST
Contractor: OWNER/BLDR
Address: 2000 BERYL LN
Address: IVEY AMY
NEWPORT BEACH, CA 92660
0 to 1 HP/KW/KVA:
Phone:
Phone:
0
Con State Lie: O/B
Issued Date:07/16/2018
Lie Expire:
$0.00
Bus Lie:
Processed By: s
Lie Exp Date:
New Construction
0
$0.00
Receptacle/Switch/Outlets
Residential
0 to 1 HP/KW/KVA:
0
Receptacles/Outlets:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
ee o
Supplemental Fee:
Low Voltage
0
$0.00
Service
0
oeeoo
Signs
m ° o0
0-600V up to 20OA:
1
$41.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
0
$0.00
Additional Fee:
$0.00
TOTAL Fee :
Code Edit: 2016
0
$0.00
Motors/Transformers (HP/KVA)
0
0 to 1 HP/KW/KVA:
0
v+
°
Worker's Compensation Insurancel,,;
a
,lJJlle
eo
° oa•eo
°
Carrier
a
o • o
Policy No:
} -,
m
Over 100 HP/KW/KVA:
Expire
$0.00
$0.00
Issuance Fee:
ee o
Supplemental Fee:
$0.00
0
0
oeeoo
m ° o0
0 0
mmmm°°
°
omom
FEES
0
$0.00
Motors/Transformers (HP/KVA)
0
0 to 1 HP/KW/KVA:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
Piggy Back/Temp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee:
Temp Underground:
0
$0.00
Sub Panel:
0
$0.00
0
$0.00
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Issuance Fee:
$33.00
Supplemental Fee:
$0.00
Fee Due at Permit Issuance:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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.
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 item(s)..,
Iction 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 applicanf for
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
ifessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
vvements 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
Koved for the purpose of sale).
�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
Ily 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 am exempt from licensure under the Contractors' State License Law for the following reason:
my signature b Mjd acknowledge that, except for personal residence in which I must have resided for at least one year prior to completion of the improvements covered by his permit, I cannot legally
a structure t6d.hpve built as an owner -builder if i has not been cop strutted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70 of a Business and
�fasiijns Code, iy,pailable upon request when thji app' ldtion is stjbmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
natuit of Pr(peft .'Owner or Authorized Agent Date
,.EN§ED CON.TRACTOR'S DECLARATI N
(retry affirm under penalty of perjury that I am licensed under provisions of apter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
I effect. ......
4vip Class - • License No Date Contractor Signature
3RICERS' CAIOIT MSATION DECLARATION
idtNC FAILUR9 TO AtURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
•...
1<ebyreffirm under penalty of perjury one of the following declarations:
111a,4e and will malhtain 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 Uhf
P1rpsnce of Jti %Nork for which this permit is issued. Policy No.
have and wilt 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
Trance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the perfo. ante of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to th workers' compensation laws of California, and agrer
t, if I should becomes ject o the work 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio s.
nature of Applicant Date -711 Af
CLARATION RE RDING CONST LITION L DING AGENCY
rreby affirm unde penalty of perjury that there is k construction lending agency for the performance of the work for which this permit is issued Kection 3097, Civil Code).
Ider's Name Lender's Address
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 h e provided is correct.
I agree to comply with all applicable city and coun ordinanc and state laws relating to building construction.
I authorize representatives of this city or countyt r�r the ova -Id tified property for inspection purposes.
nature of ProDertv Owner or Authorized ADent //`^� Print Prooertv Owner's or Authorized Agent's Name / r 1 �r""!—f�D_- Date 7 b
ACTION DATE BY ` ucu- !TFT rIvey air 6Um1-u,4m.17 rw rn a Vvc air run UrrJUt LOtV1vLr I
FEDERAL REGULATIONS PART 6f OF TITLE40.AND
P£RMITEXPIRED AQMDRUTLE1403.
I SUBMITTEDASSESTOS NOTTFTCATION TO:
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PERMIT EXTENDED ❑ AQMD
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