The URL can be used to link to this page

Home My WebLink AboutE2022-0177 - Permitsr, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2022-0177 '" 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 1 7 7 Project No : 1539-2019 W Permit Counter Phone (949)644-3288 9v. 8r yr u `' INSPECTOR Inspection Requests Phone (949)644-3255 Job Address: 41 ROYAL SAINT GEORGE RD Bldg: 1 Floor: Suite: Description of Work: ELEC PIGGY BACK Inspector Area: 4 Code Edit:2019 '•••m' ° Legal Description: N TR 7223 LOT 71 ° Owner: HENDERSON CHRISTIAN Contractor: SHOWALTER CONST INC Worker's Compensation Insurance ,• • o " ° Address: 41 ROYAL SAINT GEORGE RD Address: 1791 WHITIER AVE Carrier: STATE COMP NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 Policy No: 9220812 Phone: Phone: 949-673-1645 Expire : 11/02/2022 mm e Con State Lic: 654380 Issued Date:03/22/2022 Lic Expire: 02/28/2024 Bus Lic: BT00006144 • °° ° Processed By: Lic Exp Date: 05/31/2022 m ° m m mo mmmmmo mmoe New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 FEES Motors/Transformers (HP/KVA) 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 $41.00 Temp Power Pole: 0 $0.00 Check Fee : 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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : 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. 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) 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 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 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, liness 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 ownef-61"operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I arr6exempt "Nilicensure under the Contractors' State License Law for the following reason: RITtPrIaturebeloN 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 legal) a structure t}lef 410ve 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 (estipns Code, js available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nAtBre of Property Owner or Authorized Agent 1 Date LEMySED CONT-RACTOR'S DECLARATION �reby affirm under •penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) -f Division 3 of the Business and Pr f si s Code, license is in full force Laftect. -ripp"ass •• • License No Date 2- 'Z� Contractor Signature IRKERS' COMPENSATION DECLARATION .NINGj FAILURE TO J?*RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CR MINAL PENALTIES AND CIVIL FINES UP TO ON HUN RED To DOLLARS ($100,000), IN ADDITION TO THE T OF COMPENSAT{ON, MANAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. � rebyaffirm under penalty of perjury one of the following declarations: .•• • have and 01 mafitain 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 the 'ormance of the work for which this permit is issued. Policy No. ve 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' compensatior Is 1:1e, carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # I certify that, in the performa o the w f 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 agree tat, if I should become su jec the ers' omTpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Da v I s3 /J✓�'/� 7' signature of Applican IECLARATION REG NST UCTION LENDING AGENCY V hereby affirm under p nalty o hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the propert wner's behalf. I have read this application and the information I have pa dVcorct.., I agree to comply with all applicable city and coun or cesrelating to building construction.I authorize representatives of this city or coun t e e Alaoperty for inspection purposes. Dannnature of Pmnerty Owner or Authorized AGent �^lif Print Property Owner's or Authorized Agent's Name GGr) AC77ON DATE BY DECLARATION OF COMPLIANC€WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE'1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITCANCELLED PERMITEXTENOED PERMIT FINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED