HomeMy WebLinkAboutE2018-0415 - PermitsCity of Newport Beach - Building Division
o. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 20435 UPPER BAY DR Bldg: 1 Floor: Suite:
Description of Work: ELEC - UPGRADE TO 200 AMP PANEL (PV2018-055)
Inspector Area: 8
Legal Description: N TR 6407 LOT 5
Owner: LANTERNIER CRAIG
Contractor:
SUNRUN INSTALLATION SERV
Address: 20435 UPPER BAY DR
Address:
775 FIERO LANE #200
NEWPORT BEACH, CA 92660
SAN LUIS OBISPO, CA 93401
Phone:
Phone:
888-657-6527
Expire : 10/01/2018
Con State Lie:
750184
Issued Date:06/15/2018
Lie Expire:
06/30/2018
Bus Lie:
BT30049205
Processed By:
Lie Exp Date:
03/31/2019
Electrical Permit: E2018-0415
Project No : 1169-2018
Inspection Requests Phone (949)644-3255
Code Edit: 0 2015,
Worker's Compensation Insurance
Carrier: ZURICH AMERICAN INS
CO
Policy No: WC013696003
....
Expire : 10/01/2018
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Receptacle/Switch/Outlets
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Plan Check Fee:
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)
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Residential
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
o ° ° ° and
$i1 00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
• ° p0
m
$bald
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
ooe°e8
$0`dd°
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Service
Signs
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
0-600V up to 20OA:
1
$41.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Backrremp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$33.00
O/H to U/G
0
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
Plan Check Fee:
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 next to 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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
1, 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,
lusiness 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
nproved 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
pply 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 licensure 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is in full force
nd effect. • . //'' C/
icense.Class • •" License No Date Contractor Signature
:0ftMRS' G8W6NSATION DECLARATION
'QRNIW: FAILURE TO 1ECURE 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
09T OFCOMPENSAAON, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm underP@natty of perjury one of the following declarations:
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a and will aintain 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 IN
V ance of=Re w ft for which this permit is issued. Policy No.
e 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
vgprp carrier Ad policy number are:
artier : :... : Policy Number Expiration Date
@Rify that, %tTig 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 agrer
if I should become subject bo^ compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions/
plicant
ature of Ap/ Date
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
my signature below, I 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 correct.
I agree to comply with all applicable city and county ordinan and to laws relating to building construction.
I authorize representatives of this city or county enter th ab0 e= ntI I d pro arty for inspection purposes. (�-'y—
nature of Prooertv Owner or Authorized AGent � Print Prooertv Owner's or Authorized ADent's Name �AA)O "J SrAs Pf / Date
ACTION I DATE
PERMITEXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
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SIGNATURE.