HomeMy WebLinkAboutE2021-0306 - Permits�t rr City of Newport Beach - Building Division
c+' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 520 NEWPORT CENTER DR Bldg: 1 Floor: Suite:
Description of Work: ELEC ADD (3) LIGHT FXITURES IN HARD -LID SPACE IN BASEMENT
PLAN ATTACHED
Inspector Area:
Legal Description:
Owner: IRVINE CO Contractor:
Address: 500 NEWPORT CENTER DR Address:
NEWPORT BEACH, CA 92660
Phone: Phone:
Con State Lic:
Issued Date:05/11 0 1 Lic Expire:
Bus Lic:
Processed By: S/" tet- / Lic Exp Date:
DYNAMIC ELECTRICAL SOLUTIONS CO
16835 ALGONQUIN ST, STE 164
HUNTINGTON BEACH CA 92649
714-907-3325
978307
01/31/2023
BT30073547
11/30/2021
Electrical Permit: E2021-0306
Project No:
Inspection Requests Phone (949)644-3255
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Code Edit: 2019 .
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Worker's Compensation Insurance • m
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Carrier: PREFERRED EMPLOYERS 49+•
Policy No: WKN1534178
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Expire : 04/08/2022 ° ^ ° =
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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.
FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
3
$5.25
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
0-600V up to 20OA:
0
$0.00
Signs
Branch Circuit:
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Plan Check Fee:
Investigation Fee:
$4.57
$0.00
Over 600V or 100DA:
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:
$46.82
Plan Check Fee: $0.00
Fee Due at Permit Issuance :
$46.82
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.
rNER-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 ite nri(s)
ction 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 applicagt 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
fessions 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 U all of or U 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).
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
ply to an owner 01property 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 frt"licensure under the Contractors' State License Law for the following reason:
"i -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 stfucture 01af (,dove 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
fest�ns Code, js available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
nature of Property Owner or Authorized Agent
'ENSED C®WaACTOR'S DECLARATION
%tWaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeps'o Code, and my license is in full force
0.. Class
License No aCt- �) Contr or ignature
),RIORS' COMPENSATION DECLARATION
2NING,FAILUR-10 !yECQRE 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
iT OF 8OMPEN A.TION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IMJb ffirm uniter' penalty of perjury one of the following declarations:
I 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 th
formance 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' compensatiol
rance carrier and policy number are:
ier Policy Number
Date
ame of Agent
]I 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 agre
lat, if I should become subject to he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )
ignature f Da 5 A\ f 2
IECLARA REGARDING IN TRUCTION LENDING AGENCY
hereby affirm oder penalty o rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
;y my signature below, 1 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 comet --
I agree to comply with all applicable city and county 0dinar state laws relating to building construction.
I authorize representatives of this city or'�ounty to an above -identified property for inspection purposes.1;
Uanatnre of Pmnerty Owner or Authorized Aacnt _ Print Property Owner's or Authorized Agen�s✓,I�ame �vl�) C `0VVA
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USE
ACTION TATE1 / BY
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FEDERAL REGULATIONSPART61 OF TITLE40AND
AQMD RULE 1403.
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO. -
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSEDDEMOUTION.
SIGNATURE:
EXPIRED
CANCELLED
EXTENDED
FINAL 5 ' t Z I
:ATE OF
OCCUPANCYISSUED
Add (3) surface mounted 4' LED Vapor. Tight 520 Newport Center Dr.
light fixtures, in above ceiling hard lid space.
We will add a surface mounted switch to control lights. Newport Beach, CA 92660
We will connect to existing lighting power out of '
. BASEMENT
Panel DPHB1 B (277/480v) Circuit #_9_ ,
El ectrical Be6rn where,
Panel DPHB1 B (277/480v)
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Add (3) surface mounted 4' LED Vapor. Tight 520 Newport Center Dr.
light fixtures, in above ceiling hard lid space.
We will add a surface mounted switch to control lights. Newport Beach, CA 92660
We will connect to existing lighting power out of '
. BASEMENT
Panel DPHB1 B (277/480v) Circuit #_9_ ,
El ectrical Be6rn where,
Panel DPHB1 B (277/480v)
is located _J
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Add (3) surface mounted 4' LED Vapor. Tight 520 Newport Center Dr.
light fixtures, in above ceiling hard lid space.
We will add a surface mounted switch to control lights. Newport Beach, CA 92660
We will connect to existing lighting power out of '
. BASEMENT
Panel DPHB1 B (277/480v) Circuit #_9_ ,
El ectrical Be6rn where,
Panel DPHB1 B (277/480v)
is located _J
I
Add (3) surface mounted 4' LED Vapor. Tight 520 Newport Center Dr.
light fixtures, in above ceiling hard lid space.
We will add a surface mounted switch to control lights. Newport Beach, CA 92660
We will connect to existing lighting power out of '
. BASEMENT
Panel DPHB1 B (277/480v) Circuit #_9_ ,
El ectrical Be6rn where,
Panel DPHB1 B (277/480v)
is located _J
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