Loading...
HomeMy WebLinkAboutE2019-0330 - PermitsCity of Newport Beach - Building Division *E2019-0330* New Constructio Motors/Transformers (HP/KVA) Receptacles/Outlets: 100 Civic Center Drive, Newport Beach, CA 92660 $1.00 Permit Counter Phone(949)644-3288. Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service $0.00 Sep Circuits: 0-600V up to 20OA: 0 Job Address: 18 CAPE ANDOVER Bldg: 1 Floor: Suite: 0 Description of Work: ELEC - EV CHARGING STATION Over 600V or1000A: Inspector Area: 3 $0.00 O/H to U/G Legal Description: N TR 15012 LOT 118 $0.00 Owner. S E STEPHEN J Contractor: SHORELINE DEVELOPERS Address: 18 CAPE IDOVER Address: P O BOX 551 NEWPORT EACH, CA 92660 NEWPORT BEACH CA 92661 Pho 849-466-801 Phone: 949-697-3993 - $0.00 Con State Lic: 890871 Issu d Date:05/22/2019 Lic Expire: - 01/3112021 $0.00 Bus Lic: BT30041079 Processe Lic Exp Dater 10/31/2019 New Constructio Motors/Transformers (HP/KVA) Receptacles/Outlets: Residential $1.00 0 to 1 HP/KW/KVA: Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service $0.00 Sep Circuits: 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 FEES Electrical Permit E2019-0330 Project No : 0334-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2016 _ tW Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9038773 Expire : 01/01/2020 Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 1 $1.00 0 to 1 HP/KW/KVA: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sep Circuits: 1 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Additional Fee: $0.00 Plan Check Fee: $0.00: F ° m .° Temp Underground: `,0 $0.00. Sub Panel °" 0 $Q.OD ° A sa.m. s °' 0 $0.00 Record Mgmt Fee: $100. Plan Check Fee: .°o, 10.015 a Investigation Fee: $n.00: Issuance Fee: $15.00.` Supplemental Fee: .... e $0.00: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR I -AST 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) 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 1, 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, iusiness 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 n roved for the purpose of sale). 1, 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 ppiy 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). 7 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 legally 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. signature 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 7 00) of Division 3 of the Business and rofessi s Code, and my license is in full force nd effect. /�— icense Class License No Date ✓ z Z l Contractor Signatur VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: .... a' and Of mairRain 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 thl orf rice of the work for which this permit is issued. Policy No. I hav 'and wil nfaj41in 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 ysa CPi carrier anp policy number are: et • Policy Number Expiration Date o?Pgent •__• .. :rtify that, in!he pa of of the work for 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 agre he wor ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /STRUCTION LENDING AGENCY jury that there is a construction lending agency for the performance of the work for which this permit is iss (Section 3097, Civil Code). Lender's Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to e t r the a - ified propert for inspection purposes. iature of Property Owner or Authorized Agent Print Property Owner's or Authorized slZ2 /(� ACTION DATE BY DECLARATIONOF OMAUANCEINITHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF 7IILE40AND ACIMORULE1403. - — PERM1TEXPIR€D © i SUBOTTEDASSESTOS NOIIFICATION TO. j] EPA [3 A€M0 PERMITC4NrELLED PERMITEXTENDED ❑ ASBESTOS N017FICA170NIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL // ( CER77FICATEOF - SIGNATURE. OCCUPANCYISSUED