HomeMy WebLinkAboutE2020-0210 - Permits��wltkr City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Electrical Permit: E2020-0210
100 „ ,. 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2830-2019
Permit Counter Phone (949)644-3288
u ,
41i4jyrypyn'� Inspection Requests Phone (949)644-3255
Job Address: 3403 FINLEY AVE Bldg: 1 Floor: Suite:
Description of Work: ELEC/BBQ
Inspector Area: 1
Legal Description: CANAL SECTION BLK 434 LOT 2
Owner: SPIELER NORMAN Contractor:
Address: 5550 TOPANGA CANYON BLVD 3350 Address:
WOODLAND HILLS CA 91367
Phone:
Issued Date:04/21/2020
Processed
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA: 0
0-600V over20OA: 0
Over 600V or1000A: 0
O/H to U/G 0
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
AMERICAN WEST SERVICES
921 BAYWOOD DRIVE
NEWPORT BEACH CA 92660
949-683-7410
748965
05/31/2022
BT98041665
03/31/2021
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE FARM
Policy No: 92GKH3474
Expire : 03/08/2021
Receptacle/Switch/Outlets
Sub Panel:
Receptacles/Outlets:
3
$3.00
$0.00
Fixtures:
0
$0.00
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
Low Voltage
0
$0.00
0
Signs
Over 100 HP/KW/KVA:
0
$0.00
Branch Circuit:
0
$0.00
$0.00
Each Add Circuit:
0
$0.00
$0.00
Time Clocks:
0
$0.00
$0.00
Additional Fee:
$0.00
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE FARM
Policy No: 92GKH3474
Expire : 03/08/2021
Plan Check Fee:
mil
Temp Underground:
0 $0.00
Sub Panel:
FEES
®E
Motors/Transformers (HP/KVA)
`p
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
Plan Check Fee:
mil
Temp Underground:
0 $0.00
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:
$35.00
Supplemental Fee:
$0.00
Due at Permit Issuance:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday - Friday 7:00 a.m. to 6:3Q p.qy pnd Jityryfig from 8:00 a.m. to 6:00 p.m.
.. . . . C
o m o e o 0 o c
om coe o o •. .• es•
nprevemenfsarenot intendedoroffere d'forsato. If, :howaVer, the bulldtngorImprovement issold withinonoyear of•oompletion,the Owner•Sultderwill have :the burden, c provIngtKat 1twas. not'bulltor
Troved for the purpose of sale).
I, as owner ofthe property; am exclusively contracting with liceJrsed Contractors to construct the project(Sectfon 7044, Businessand Professions Code: The:Contractors'State License: Law -does -not
l5P,ply to an owner ofproperty.who builds or Improves thereon, and who contracts for the projects with a licensad Contractor pursuanttoths C°ntraotors' StstwiJoense.Law).
lam exempt from licensure under the Contreotors':State License Lawforthe fdllovring Mason:
Iy my signature helow t acknowledgethat except formy personal residanoe in which I must have resided for at least.oneyearprJorto.comprd0on:of the improvements covered ytlrfe permit, I cannot legaly
ell a structure that I have built as an owner -builder if it riot bean constructed In Its entirety by licensed contractors. I understand theta copy oftbe applicable law, Section;7044 ofthe'Susiness and
'rofessions Code, is available upon request when this applicationis submitted' or at the following Web ata;http:ihvww.Jogtdfo.on.govlcalow htmt
Iignature of Property Owner orAuthorixedAgent Date•
dCENSED CONTRACTOR% DECLARATION
hereby Affirm under penalty of pedury that I am licensed underct provisions of Chapter 0 (commencing with Section 7000) of Division -3 of the Business and Proles I Code,.and my ilcense Is In fu If force
nd i ense Floss L } 3 s Q License No t f is `� S DafaySf Contractor Sighatu V&—q" A —
VORKERS' COMPENSATION DECLARATION
IARNINO: PA,ILURETO: aecUREwopms, coMPEHaATIDN WVERAOE 19 UNLAWPUL, ANDSKALLSUaJEOTAN 1IMPLOYEnTo ORIMINAL PENALTIasAND CIva. Fates up To oNa HUNDRED YHOUSAND: bOLLARa;$100,000), INAADDITION TO THD
oSroP OONPENSATION; OAMAOESAS PROVIDW FORIN S60Tioll 0706 OF THE LASOR OOO11,.INTMVI AND ATrORNEY's FEES, -
hereby affldn under penalty of petjary one Of the following declaration
1-1 have and Will maintefilre cerI fleate of:consentto self -insure for workers' compensation, Issued by the Director of Industrial. Relations:as-provided fbe:by saction.:3700:of the Labor Code, forth
fin
hicto
Poli
ave and wihe�ork In worke a compensation
is leaned,; Insurance,
as by _ � of the.
.wor Data , �.���i I ed, My workers' eompensatio
08,nce,
eve and will maintain workers' compensation Insurance, as required by Section 3700 ofttte Labor .Cede fc Eheperformahca of the work for which this ennft Is-Issu oe�r pro d poll number are; ( 202/
..,.'Ine Is T' ✓'l .11 A/1. Cntimr Ni,mN>r Yl �/i' , _
cartify that, in the performance of the rk fol
rwhiclr this permit islasued,.I Shall not employ any parsomin any manner seas to Demme suplectto Ina wvrxera' oompensanon laws ;or%..aaivmla,-anq wine
L if i should become subject to the wer rs' Dompensa Ion pr vises sions ofSectfon3700 of the tabor Cods; l shail £o thWith compiywith thoso provisions.
natureofAppiicanty -t'.liM _ ^jk & Date%4,4 41—V-2-0
CLAMTION RE43AROING CONSTRUCTION LENDING AGENCY
:reby affirm under penalty of perjury that there is a construction lending agenoyfor the performance of thework for which this,peimit is issued (Section 3097, .ZIo)II Cdde);
[does Name Lender's Address
my signature below, I earthy to each!of the followih9:
I am the property owner crauthorized to act on the, propeftyownarrsl14ahalf.
I have toad this. application and the information t have provided is a0ect
I agree to compiywith all applicable city and county ordi case tatels relating to buffding constnrotion.
fauthorize representatives ofthiscityoroeurdyto'eri �A v. d�r tf propert far.iEspaDHonpurposes.i'-
• • .P$OP.t75ECil1E
SdG�fRIt3FiEq