HomeMy WebLinkAboutE2020-0234 - Permitstwt City of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII
off'. 100 Civic Center Drive, Newport Beach, CA 92660 III E 2 0 2 0 0 2 3 4 II
F j Permit Counter Phone (949)644-3288
U .ar
Electrical Permit: Eg2020-0234
Project No: 0835-2020
Inspection Requests Phone (9,49)644-3255
Job Address: 2800 PACIFIC VIEW DR Bldg: 1 Floor: Suite: -
Description of Work: MFR/COMM REMOVE/REPLACE (E) PANELS (115, 123, 131 & 132) "SEAVIEW LUTHERAN PLAZA"
Inspector Area: 7 Code Edit: 2019
Legal Description: P BK 149 PG 25 PAR 1
Owner: LUTHERAN PLAZA SEAVIEW
Contractor:
Address: 2800 PACIFIC VIEW DR
Address:
CORONA DEL MAR, CA 92625
Phone:
Phone:
Con State Lic:
Issued Date:08/11/2020
Lic Expire:
Bus Lic:
Processed By: �`
Lic Exp Date:
New Construction
Residential
Multi -Family: 0 $0.00
1-2 Family: 0 $0.00
Service
0-600V up to 20OA:
4
$180.00
0-600V over20OA:
0
$0.00
Over 600V or 1000A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL
Fee:
$371.60
SOUTH COAST ELECTRICAL INC
800 E ORANGETHORPE AVE
ANAHEIM, CA 92801
714-782-9640
886771
11/30/2020
BT30061885
01/31/2021
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
Worker's Compensation Insurance
Carrier: FEDERAL INSURANCE
Policy No: 54309689
Expire : 0512112021
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: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee:
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30
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Temp Underground:
„ 0
$0.19
Sub Panel:
°10
$0.00
0
$0.00
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$156.60
Investigation Fee:
$0.00
Issuance Fee:
$35.00
Supplemental Fee:
$0.00
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.
)WNER-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 nextto the applicable item(s)
Section 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
he permit to file a signed statement that he or she is licensed pursuant to the provisions ofthe Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) orthat 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
lot more than five hundred dollars ($500).
I, as owner of the properly, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
n roved for the purpos n 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
ipply 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 lip:ensure 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
Tofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calow.hhnl.
lignature of Property O Nner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingYRTCPJMINAL
lion 7000) of Division 3 of the Business d Professions Code, and my license is in full force
nd effect.
icense Class License No Dat_ Contractor Signature Michael P. Melvinil1[-`"fl--=- "°"" —
VORKERS' COMPE3SATION DECLARATION
DARNING FAILURE TO SECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO PENALTIES AND CML FINES UP TO ON HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, D:IMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEYS FEES.
hereby affirm under pe -talty of perjury one of the following declarations;
7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th�
91ormance of the workfor which this permit is issued. Policy No.
have and will] maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier and policy number are:
r Policy Number Expiration Date
of Agent _ Phone#
LJI certify that, in the perform nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to t e workers' compensation Ia%vs of California, and agre
that, if I should become.subj t to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those pro 'si S.
.M.." 8-11-2020
Signature of, pplicant_ Michael P. Melvib%"i=iEYa^ '^","�tM 7..m ^7m'��°°°" Date
DECLARATION REGAR G CONSTRUCTION LENDING AGENCY
l hereby affirm under pe-. I of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (e n 3097, Civil Code).
ender's Name Lender's Address
By my signature below, : certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information 1 have provided is correct.
I agree to comply with all applicable city and cou ordinances and state laws relating to building construction.
I authorize representatives of this city or cou enter the above-'a,aofd$_,_gA.pmpert�yr for inspection purposes.-11-2020
Signature of Property Owner or Authorized Agent Michael P. MelvirF„....:,^ Print Property Owner's or Authorized Agent's Name Michael Melvin ` Date
ACTION
DATE.
BY
DECLARATION C-OTP—LIANCE M NCODEOF
FEDERAL REGULATIONS PART 6f OF 777LE40AND
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PROPOSED DEMOLITION.
SIGNATURE.,
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PERA^,ITCANCELiED
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