HomeMy WebLinkAboutE2019-0146 - Permitss
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City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 2245 ARBUTUS ST Bldg: 1 Floor: Suite:
Description of Work: ELEC - 200 AMP SERVICE UPGRADE
Inspector Area: 8
Legal Description: N TR 4705 LOT 100
Owner: SCHUMACHER BRADLEY
Contractor:
Address: 2245 ARBUTUS ST
Address:
NEWPORT BEACH, CA 92660
$0.00
Phone:
Phone:
0
Con State Lic:
Issued Date:04/02/2019
Lic Expire:
$0.00
Bus Lic:
Processed By:
Lic Exp Date:
IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII IIElectrical Permit: E2019-0146
E 2 9 1 9 0 1 4 6 Project No: 0543-2019
SOLARSYMPHONY
341 ENGEL ST
ESCONDIDO CA 92029
760-300-4141
988146
10/31/2019
BT30058810
04/30/2019
New Construction
0
$0.00
Receptacle/Switch/Outlets
Residential
$0.00
10 to 50 HP/KW/KVA:
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
Low Voltage
0
$0.00
Service
Signs
0-600V up to 20OA:
1
$43.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Over 600V or 1 OOOA:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
0
$0.00
Additional Fee:
$0.00
TOTAL
Fee:
$43.00
Plan
Inspection Requests Phone (949)644-3255
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Code Edit: 2016 •••• ••••••
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Worker's Compensation Insurance ••••
Carrier: STATE FUND ••
Policy No: 9080648 • e
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Expire : 12/01/2019
Motors/Transformers (HP/KVA)
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
Fee :
. •
oe•••m
Temp Underground:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
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.
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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 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
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 Busineswand
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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner (Alfie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ply to Iin owner'df pNperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
l amexempffIN licensure under the Contractors' State License Law for the following reason:
By.my signature be? W ('acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally)
sell a strecture that4 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Frrofesslons Code, is vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Eij tat Ilrq of ProQerYy,QMner or Authorized Agent Date
LICENSED COdTRA,CTOR'S DECLARATION
I fi seelaffirm and er-plalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business and rofessions C e and my license is in full force
ande$foct. l Contractor Si �1
L1nEDip.(Plass ' License No Dale Signature
VOOhKdRS' C0hRrLASATION DECLARATION
WARAl111"AILURE 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm underQenalty of perjury one of the following declarations:
❑ 1 have and 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 the
cerformance of the work for which this permit is issued. Policy No.
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' compensation
insurance carrier and policy number are:
ie of Agent
certify that, in the p
, if I should become
Policy Number
Date
ice of the work fopphich this permit is issued, 1 shall not employ any person in any manner so as to become subject to th workers' comp nsatio laws of California, and agree
_ to thew rkers' o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proviaio
nature of Applicant Date
CLARATION REG DING CONSTCTI N LENDING AGENCY
;reby affirm under enalty of perjuryhat there is a construction lending agency for the performance of the work for which this permit is issued (S ction 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 is correct.
I agree to comply with all applicable city and co my ordinances nd state laws relating to building construction.
1 authorize representatives of this city or count to e'I ne-ldentified
property for inspection purposes.de
r",
nature of Property Owner or Authorized A ent
Print Property Owner's or Authorized A enfe; Name
ACTION DATE BY
DECLARATION OF COMPIIANCEWITH CODEOF
FOR
FEDERAL_ REGULATIONSPART 61 OFTITLE40AND
AQMORULE 1403.
PERMITEXPIRED
Q ISUBMITTEDASBESTOSX077FICATiONTO:
[I EPA
❑ AQMD
PERMITCANC€LLED
PERMITEXTENDEO
❑ ASBESTOS IVO17FICARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL
CERTIFICATEOF
OCCOPANCYISSOED