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HomeMy WebLinkAboutE2021-0342 - Permits0�waDr}t City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2021-0342 100 Civic Center Drive, Newport Beach, CA 92660 II�E 2 0 2 1 0 3 4 2 Project No r `, n Permit Counter Phone (949)644-3288 'i�,,r4}y Inspection Requests Phone (949)644-3255 Job Address: 500 NEWPORT CENTER DR Bldg: 1 Floor: 6 Suite: 680 .� Description of Work: COMM ELEC/SUITE 680 FEES New Construction CD ". Inspector Area: 7 Motors/Transformers (HP/KVA) Code Edit: 2019 Residential Receptacles/Outlets: i it Legal Description: P BK 295 PG 33 PAR 4 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 0 Owner: 500 NEWPORT CENTER DRIVE LLC Contractor: DYNAMIC ELECTRICAL SOLUTIONS CO Worker's Compensation Insurance 1 to 10 HP/KW/KVA: Address: 550 NEWPORT CENTEDR Address: 16835 ALGONQUIN ST, STE 164 Carrier: PREFERRED EMPLOYERS INS $0.00 NEWPORT BEACH, CA 92658 0 HUNTINGTON BEACH CA 92649 Policy No: WKN1534178 0 Phone: Phone: 714-907-3325 Expire : 04/08/2022 e 0 Con State Lic: L ' 978307 •fid Issued Date:05/25/2021 Lic Expire: 01/31/2023 Bus Lic: BT300735073547 Processed By: Lic Exp Date: 11/30/2021 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday o Friday 7:04 a.rp. to 6:3Qp.m.•and Saturday from 8:00 a.m. to 6:00 p.m. ® o • 0 0 • Os �+ •90 C 4 00 • O 0. A O 9'' O D O O O• y y0 LC 3 O.O 4 000 • one c�� o c� e o •e o ��oo omc o 0 00� co oo• FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 1 $1.75 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $1.52 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $40.27 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $40.27 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday o Friday 7:04 a.rp. to 6:3Qp.m.•and Saturday from 8:00 a.m. to 6:00 p.m. ® o • 0 0 • Os �+ •90 C 4 00 • O 0. A O 9'' O D O O O• y y0 LC 3 O.O 4 000 • one c�� o c� e o •e o ��oo omc o 0 00� co oo• IWNER-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) lection 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 Wroved 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 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 7000) of Division 3 of the Business and Profe ions Code, and my license is in full force nd effect.f icense Class License No Date "Z.-7 Z/ Contractor Signature YORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND _ THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 thr erfoyrliance of the work for which this permit is issued. Policy No. have and will pa" tain workers' pensation insuranc as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior trance carrier alrd p Iicy number e, Tierlic r Expiration Date ne of Agent Phone # certify that, int performance o the ork 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 agrer t, if I should become to ubject t r ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro Islo nature of Applicant Darr CLARATION REG 'G CO II T UCTION LENDING AGENCY Ireby affirm under enalty of pe ' ry at 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 Vach 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 ordi ncas and state laws relating to building construction. I authorize representatives of this city or county, trya tern h bove-identified property for inspection purposes. !� pi �,� r B nature of Pronertv Owner or Authorized ADent rl� r Print Property Owner's or Authorized Agent's Name 6'`fl 11 tiva I Y1 ACTION DATE BY UtLLAKAJ 1UN Ur UUffiYUH L,C"I I UVIVC ur run urr'"we unir P FEDE$A41RC LATjCWPART61QFURIll PERMIT EXPIRED AQMDR14LE 1 3. ❑ /tU&AfFEBAW$n_S NJ77E/C;1T"V TO:. PERMIT CANCELLED ❑• EPA' PERMtTEXTENDED ❑ AQMD ASBESTOS NOTIRCATIONIS NOT APPLICABL€TO PERMITFINAL / / PROPOS9415EIojITjck • a• a. CERTIFICATEOF : .� • ,', ;, SIGNATURE:. . ocCOPANeYIssuED ... .. .. ... ..