HomeMy WebLinkAboutE2016-0473 - PermitsCity of N?wlj zt Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 6 0 4 7 3
Permit Counter Phone.(949)644-3288
Job Address: 518 WESTMINSTER AVE Bldg:1 Floor: Suite:
Description of Work: ELEC -SERVICE UPGRADE TO 200 AMP
Inspector Area: 2
Legal Description: FIRST ADD TO NEWPORT
Owner: BENDER ERIC
Address: 518 WESTMINSTER T9026j0ote�.
NEWPORT BEACH,Phone: 714-651-6825
Issued Date:07/26/2016
Processed
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20OA:
1
$40.00
0-600V over20OA:
0
$0.00
Over 600V or 1000A:
0
$0.00
O/H to U/G
0
$0.00
Electrical Permit: E2016-0473
Project No :
Phone(949)644-3255
oo ono
Oho CodeEdit:2
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witch/Outlets t %s/Transformer
cles/Outlets: 0 $0.00! 1 HP/KW/KVA:
es: 0 0. 0 1 to 10 HP/KW/KVA:
ircui 0 00 �d110 to 50 HP/I<W/KVF
sag %klbi� 50 to 100 H�PP
N(�Cf` Over 1 G-K /KW/KV
h rcult: � $0.00
Add Circuit: 0 $0.0 Piggy B emClocks: 0 .00 Po ole:
Fee :
0�S00000
0�5`�
'0 _$0'00
Record Mgmt Fee:
001- Plan Check Fee:
0 $0.00 Investigation Fee:
0 $0.00 Issuance Fee:
Supplemental Fee:
EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Fee Due at Permit Issuance:
y- m
" m m
mm
mm
m
. .
SGommm
0
oeoe0
mm Q
mme®
$8.00
$®.bbe`
$O.bbm O
$0.00
$0.00
$0.00
$0.00
$32.00
$0.00
'NER-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 checkm a placed next to the applicable item(s) .,
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any e, prior to it 'ssuance, 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 (Chapte mencing with Secti 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 7 p . y any applicant for a permit s to acts the applicant to a civil penally of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or po ons of the wp r„#rd,Qtle structure As Rgt4 T d
iness and Professions Code: The Contractors' State License Law does not apply to an owner of pr,R, who, throu h or persooj1ZffW 4i�d'Irds or imps
rovements are not intended or offered for sale. If, however, the building or improvement i%odIrvithin one year of �� n, the Own lid will have the burd
roved for the purpose of sale). ;,m= �f� b b OC V
I, as owner of the property, am exclusively contracting with licensed Conti to construct the pr action 70V6$a' L a and Professions C he Conti
ly to an owner of property who builds or improves thereon, and w racts for the project a licensed Contrac r pursuant to the Con rs' State License
Sw . "i -vn-
I am exempt from licensure under the Contractors'
my signature below I acknowledge that, except f
a structure that I have built as an owner- r if it
fessions Code, is available upon opee when this
nature of Property Owner or ALforized Agerg,,,�. ,
I hereby affiRn unq& penalty ofperjdriy that'! am I
and effect.
leieanse Cla$s • • • toe,
• CRKEReCOMPENSATION DE T
• VIPAjjtt[[JJNG: FAILURE TO SECURE WORKERS' CO NSA
• C09f OF COMPERSAIIb@, DAMAGES AS PROVID FOR 1
•I re?eDy affirm -jRder penalty of perjury on f the
•°
I have anli•will iRaintain acertificate o con:
j�a oninance df thd?vork for which this permit is
I.WWe and will maintain workers' compens it
insuralce carrAosal policy number are:
ip,6f Agent:
certify that, in the performance of the work
if I should become subject to the workers'
nature of Applicant
CLARATION REGARDING CONSTRUCTION LEN
Ireby affirm under penalty of perjury that there is a
Ider's Name
my signature below, I certify to each of the following,
I am the property owner or authorized to act on thl
I have read this application and the information I h
I agree to comply with all applicable city and coup
I authorize representatives of this city or county to
nature of Prooertv Owner or Authorized Aqent
ACTION I DATE
EXPIRED
must
in its
that a copy of the applicable law,
tcalaw.html.
ion 3 of the Business and
red for sale (Section 7044,
the property, provided that the
proving that it was not built or
State License Law does not
of the Business and
Date
Code, a4my license is in full force
IS UNLAWFU S AN P ER TO CRIMINAL PENALTIES ANO CIVIL FI�I.�S,T® UN TROUSA D DOLLARS (E 0,0801, IN ADDITION TO THE
N 3]OB OF TH CO TER ANDA R EY'S FEES. ° `&"_��Cy HYY -
vi larati f �a�;edl
;ASC
re compensation, issued by the Di ctor In striae Re1�'seas provi d fo S 700 oft Labor Code, for Chi
l'(i0 required by Section 37 U or Code, for the performance of the work -f Ic t a it
ued. rkers' compensatior
1 l�
Policy Numbe xpiratiort•
Phone !!
r
h Glisions
t is sued��14,10 xta[ employ any person i manner so as ome ct to the workers' compensation laws of California, and agree
lsI,C�"t4_ 11on 3700 of the Labor , PMshall forthwi mpl ose provisions.
Date
NG AGENCY
struction lendina as cv for the pert nce ork for which this permit is issued (Section 3097, Civil Code).
wegn—d state laws relating to building construction.
above -identified property for inspection purposes.
or Authorized
BY I I uct.r-H uvry yr Lv�nrusa:n.v11
FEDERAL REGULATIONS PART 61 OFTITLE40AND
I PERMITEXTENDED I I I
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
❑ I SUBMfTTEDASBESTOS NOTIFICATION TO:
❑ EPA
AQMD
❑ ASBESTOS N07IRCAITONIS NOTAPPLICABLETO
PROPOSED DEMOLITION.
SIGNATURE: