The URL can be used to link to this page

Home My WebLink AboutE2019-0393 - Permits/ City of Newport Beach - Building Division II�IIIlil1111111111111111111111111111111111111111Ji II Electrical Permit E2019-0393 o 100 Civic Center Drive, Newport Beach, CA 92660 Project No 3 Permit Counter Phone (949)644-3288 ''�Gks�nv2Ps Inspection Requests Phone (949)644-3255 Job Address: 1114 WHITE SAILS WAY Bldg: 1 Floor: Suite: Description of Work: ELEC 200 AMP SERVICE UPGRADE Inspector Area: Legal Description: N TR 2202 LOT 36 Owner: GOODING JAY Contractor: Address: 1114 WHITE SIALS WAY Address: CORONA DEL MAR CA 92625 Phone: Phone: Con State Lic: Issued Date:06/10/2019 Lic Expire: Bus Lic: Processed Ny�14�-�— is Exp Date: New Construction Residential Multi -Family: 1-2 Family: 0 $0.00 0 $0.00 Service 0-600V up to 20OA: 1 0-600V over 20OA: 0 Over 600V or 1000A: 0 O/H to U/G 0 TOTAL Fee : $43.00 $0.00 $0.00 $0.00 LIGHTHOUSE ELECTRIC 2175 AMERICAN AVENUE #1 COSTA MESA CA 92627 714-484-9856 796052 06/30/2019 BT30067646 06/30/2020 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 A a4 aa 0�� Code Edit: 2016; 4�y Worker's Compensation Insurance Carrier: EXEMPT NO EMPLOYEES Policy No: Expire : FEES ••a•a• w a o e Motors/Transformers (HP/KVA) oacv ° �a 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 Plan Check Piggy Backlfemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 O C N00lCj • 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. ••a•a• w a o e Temp Underground: oacv ° �a oc 16.06° Sub Panel: Df �° 0 0 ^e °e® $0:00 Record Mgmt Fee: �0?06° Plan Check Fee: • •• ••?eO° $6.66v Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 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. )WNER-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) 1 have placed next to the applicable 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 the applicant for ie 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 Irofessions 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 got more than five hundred dollars ($500). 7 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, lusiness 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 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 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 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 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed 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://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess! gn 0 , and my license is in full force nd effect. G isense Class License No ContrZ- Signature VORKERS' COMPENSATION DECLARATION l IARNING: FAILURE TV.RfCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND THOUSAND DOLLARS ($700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby offirm under penalty of perjury one of the following declarations: 4•YYYP YYY• 9 I hav4 and 4i114piv11tain 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 the gfigrrcpin ce of thework for which this permit is issued. Policy No. 91 have and will.maintoin 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' compensation lsUgant:q carrieP9r"0qicy number are: e4• .... Policy Number Expiration Date A Anent •____• Phone# �r�ify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become sugjeeF4 he workers' compensation laws of California, and ogre that�if I should become subject to th rs' co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with.th� provisiol s. Sig �' f A 6ti`..- Ci11519i� DIN S TION LENDING AGENCY I hereby affirm under -penalty of p rj Pry there is a construction lending agency for the performance of the work for which this permit is issi tion 3097, Civil Code). Lender's Name Lender's Address By 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 county ord' nce and state laws relating to building construction. I authorize representative this city or county toe rhe - ' 'ed property for inspection purposes. Q iC Ck \ -Q� Signature of Property Own uthorize nt Print PropertyOwners or Authoriz eht's Name v ate ACTION DATE BY.. - DECLARATION OF CO P NCEiM IH DE OF fOR CE OSE tY _------- " FEDERAL REGULATIONS PART 01 OF TIkE40710 PERMIT EXPIRED AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS IVOTIFICAT[ON TO: PERMITCANCELLED ❑ EPA PERMiTEXTENDED ❑ AQMD TiONl5 NOT APPLICABt.E TO PERMfTFINAL /] /9 PROPOSED DEMOUTI OCCUPANCYISSUED SIGNATURE: