The URL can be used to link to this page

Home My WebLink AboutE2018-0479 - PermitsCity of Newport Beach - Building Division 11111111111111p11111p1Jill 1111111111111p11p1111111Electrical Permit: E2018-0479 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 8 0 4 7 9 Project No : 2519-2016 Permit Counter Phone (949)644-3288 Job Address: 621 NARCISSUS AVE Bldg: 2 Floor: Suite: Description of Work: ELEC - PIGGY BACK X2016-3585 Inspector Area: 5 Legal Description: CORONA DEL MAR BILK 640 LOT 21 Owner: LONGO LORENZO Contractor: Address: 621 NARCISSUS AVE Address: CORONA DEL MAR, CA 92625 0 to 1 HP/KW/KVA: Phone: 949-241-4899 Phone: 0 Con State Lic: Issued Date:07/20/2018 Lic Expire: $0.00 Bus Lic: Processed By: Lic Exp Date: BJ SCOTT & ASSOCIATES INC P O BOX 297 YORBA LINDA CA 92885 714-779-8886 718333 01/31/2020 BT30062536 03/31/2019 New Construction 0c 00000 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 .000 $0.00 0 0 Low Voltage 0 $0.00 Service $0.00 Signs 000 e.0 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 or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee : Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire : FEES 0c 00000 Motors/Transformers (HP/KVA) 000°00 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: 1 $36.00 Temp Power Pole: 0 $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. 0c 00000 Temp Underground: 000°00 $O.W 00 0 $0.00 0 0 .. .. . Record Mgmt Fee: $0.00 . .. . . $0.00 Investigation Fee: .000 $0.00 0 0 00000 $33.00 Supplemental Fee: $0.00 000 e.0 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. 0c 00000 Temp Underground: 000°00 $O.W 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 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. VNER-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) action 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 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 (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 )rovements 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 )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 fly 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 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 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 ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION rreby affirm un88r*p%nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force I@ff@Qt. • •.• arise lass : • • License No Date a`� Contractor Si re Xf KLIRS' COMPENSATION DECLARATION UIING: FAILURE TO SEeVRE 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 ILodgpMPENSaIIQIi, 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: •••• I have and ;M -maintain a certificate of consent to self -insure for workers' compensation, e1aormance of the work for which this permit is issued. Policy No. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for and wW:gF4gtain 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' carrier and policy number are: • • • Policy Number Expiration Date Agent certify 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 subject to the workers' compensation laws of California, and , if I should become subject the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date /'2 20 /� I hereby affirm under penalty of perjury that there is jaolQrruction lending agency for the performance of the work for which this permit is issued (Section 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county toe ter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Age— �� a ' } a n r A }h d A }'s Name �3 nl,�,OG �_> J`"/T Date 7/ ACTION DATE DECLARATION OF COMPLfANCEVATN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMGRULE1401 PER(41TLXPIRED i SUBUTTEDASBESTOS M077FIC4TION 70: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ASBESTOS M077FTCA770NIS NOT APPLICABLE TO PROPOSEDDEMOLITION. -- PERMITFINAL CER77FICATEOF SIGNATURE: OCCUPANCYISSUED