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Home My WebLink AboutE2019-0017 - Permits�s City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII��IIIIIIIIIIIIIIII II Electrical Permit: E2019-0017 o� �o° 100 Civic Center Drive, Newport Beach, C90660" • ° ® m E 2 a 1 9 0 0 1 7 Project No: 0080-2019 z Permit Counter Phone (949)644-3288 • o e e e° o m m �� osr • ®• • e m m m • • • Inspection Requests Phone (949)644-3255 Job Address: 100 COAST HWY W Bldg: 1 Floor: i o Suite: 2D2o Description of Work: COMM ELEC- INSTALL (2) NEW COMENSPNG'UNITS &IkdCF (EXTG SCREENING) NEW ELEC CONDUIT (RESTAURANT USE NOT AUTHORIZED) Inspector Area: Legal Description: Owner: VBAS PROPERTIES Contractor: OWNER/BLDR Address: 100 W COAST HWY Address: VERDULT GLENN NEWPORT BEACH CA 92663 Receptacles/Outlets: 1775 NEWPORT BLVD Phone: Phone: 0 $0.00 Con State Lic: O/B Issued Date:01/09/201 Lic Expire: 0 $0.00 Bus Lic: 2 Processed By: Lic Exp Date: $35.00 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: 2 $14.00 $35.00 Supplemental Fee: Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 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 Code Edit: 2016 Worker's Compensation Insurance Carrier : Policy No: Expire j "rr ' 3 ria 9 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 Backfremp 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: $12.18 Investigation Fee: $0.00 Issuance Fee: $35.00 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. DWNER-BUILDER DECLARATION •• ••• •• ••• I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for tha reason(s) iadieated aelow ty (las 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'• i*rove• din isjl, gr rQpgir a* 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 Contractors' St9te LiC¢nse taw (dhapt Ir 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of orb, —�portions of4he-wortpand the structure is not intended or offered for sale (Section 7044, ner Business and Professions Code: The Contractors' State License Law does not apply to an owof properf/.Who, 0rroJghWplQ1e$s'br parsodal gffort, 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 dhpyeq ;o; complpVort, Ift Owgl;BU11Vier will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, 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 P o 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). 1 a exempt from licensure under the Contractors' Stafe License Law for the fo wing reason: B my ignature below I acknowledge that, except for my personal resi ce in c I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally tructure that I have built as an owner -builder if it has not onstru s entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of a Business and Professions Code, is available upon request when this appli subm' at ollowin eb site:http://www.leginfo_ca.gov/calaw.htmi. Signature of Property Owner or Authorized Ag n v LICENSED CONTRACTOR'S DECLA I hereby affirm under penalty of perjury that I am Ji e d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod , and my license is in full force and effect. r License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: —11 haveand 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 th performance of the work for which this permit is issued. Policy No. ❑1 have 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' compensatioi nsurance carrier and policy number are: Policy Number Expiration Date e of Agent vnone s c rtify that, in the performance a 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 California, and afire f, f I should become subjec ers' c nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f nature of Applicant Dak / r— CLARATION J3 - U G CON CTION LQ[!I NG &N areby affir un enalty 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). 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 have provided' rrect. I agree to comply with all applicable city and county ordi d state I s•rel building construction. 1 authorize representatives of this city or councv1tt a - operty for inspection purposes. '%s7✓! /J nature of PmDertv Owner or Authorized Aoent lC _ Print Property Owner's or Authorized Agent s N AC77ON DATE BY DECLARATION OF COMPLIANCE WITN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 67 QF771LE40A7 D RULE 1403. PERMIT EXPIR€DAQMD ❑ L SUBMITTEDASBESTOS NO77FLCATfQN TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXT€NDED _ _ ❑ ASBESTOS M017RCAR0NIS NOT APPLICABLE TO PROPOSED. DEMOLITION. PERMITFOYAL CERTIFICATE OF SIGNATURE., OCCUPANCYISSUED