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HomeMy WebLinkAboutE2015-0510 - Permitswv,� City of Newport Beach - Building Division II�II�IIIIIIIIIIIII�IIIIIIIIIIIIIIII II Electrical Permit: E2015-0510 4y 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 5 0 5 1 0 Project No: `� Permit Counter Phone (949)644-3288 'y t1 *R,�z,frox'' Inspection Requests Phone (949)644-3255 Job Address:2215 CLIFF DR Bldg: 1Floor: Suite: Description of Work: ELEC/SERVICE UPGRADE & OVERHEAD TO UNDERGROUND Inspector Area: 2 Legal Description: TR 919 LOT A NWLY 50 FT SELY 200 FT NELY 150 FT Owner: MORE KEITH J HOGAN Address: 2215-CLLEF DR ` ' l�ddres9 I r 455 SAP Date:09/15/201 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0-600V over20OA: Over600V or1000A: O/H to U/G 0 0 1 0 0 1 TOTAL Fee: State q -.�� — Code Edit: 2013 U iNSTRUCTI N IW�orl(Q�/6np nsation I urance 5RNARD-EC?'J INO AVE 'o �� J Carrier: NO EMPLOY S BEACH PA9263 Policy No: (WCf7G�M ) yCiOQ'tl`. s ° o " a ✓ 1 +� ° � oo O Receptacle/Switch/Outlets ' Receptacles/©ulfets: 0 $0.00 $0.00 -1 res: 0 $0.00 $0.00 Sep ircuits: 0 t$0.00;, age 0.; $0.00 r $40.06 Cicufi Aime 0 ' , $0.00 $0.00d Circuit: 0 ` " $0.00 $0.00 ocks 0 $0.00 $40.00 '- Additional Fee: $0.00 ,. -. $115.00 -- Plan Ch Motors/Transformers (HP/KVA) 0 to 1 HP/KW/K'O ' I 1 to 1/I€YN/KVAflr`.:r+ .O0DD 10 to 6b HP Wd1Q A 0 ..� � 50 to 1 0` P/KW/1 ',/A a`'��'' N Over 100 HP/KW/KVA: 0 $0.00 Piggy Back/Temp t9W'er�$0 Temp PywerftlF 0 i fg 01 ti1� PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Joeca .,V Jo a gr und: °0 3gA9°° 0 $9d1.0°, °0 $0.OD 0 $0=> . $0.00 fee $0.00 e. $36.00 al Fee: $0.00 Fee Due at Permit Issuance : $115.00 VNER-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) action 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 ifessions 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 applicantfor 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 U all of or U portions of ifn work, and the structure is not I rs ended or offered for sale (Section 7044, siness and Professions Code: The Contractors' State License Law does not apply to an owner of�.rAwrfy'tW through employees' or personal effortbwlq orimprovesthe property, provided that the Irovements are not intended or offered for sale. If, however, the building or improvaMant-is' oo7d within one year of coMpletjbrr� lie Owner -Builder will have a burden of proving that it was not built or (roved for the purpose of sale). I, as owner of the property, am exclusively contra ad Contractors to construct the roject (Section 7044, BUSPfsss' eff(djj x6b Iessrons Code: Tht Contractors' State License Law does not fly to an owner of property who builds_ o�ciyapeo• e o d h ontracts for s with a licensed f!ntrVo'npri~rsuarttto the Contractors State Liberia Law). I am exempt from lice Se h Contr o t n e followingreason- -w `J fi , my signature below I knowledgesthat, exce t F al sidence In whid4J Rsustnjafie resid for at least one yea„r,prior to c of the improve�er.#, covered by this permit, I cannot legal) a structure that I havAbuilt as^an dLvl r- i it h not be corstruct€d In its enthty by-, enseti contraetwsyr�(j €frld8r` 3tta at a Copy of the applicable Iaw�Section 7044 of the Business and fessions Code, is availl�bble upon request when this a licatlo rs subfr, ' or a -the follovnng Web 4�aL_":i/vJ".ieginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized AyentusDate •ouoen rnu nKw -An.,c hereby affirm under penalt)Aof pet ry that nd effect. rebg affirm undBrVbnalty of I leave and will maintain a ornaance of IPLAp Vor whi We and wil l.maipntain wor .anee carrie.arid policy nur tii that, AV(; performance i&ould Wgm# sub' Chapter 9 No cat ecji nt to self -insure for workers' compensation, is s p ifs sued. Policy No. t�6 compensation insurance, as require4lbAsi to1,1 0 of the hereby affirm under penalty of perjury tlaetharE Ender's Name 1-1 ly my signature below, I certify to each Athe_jnl I am the property owner or authorized acf, I have read this application and the info ati I agree to comply with all applicable city and / I thorize representatives of this city or cou licnatdre of Prooertv Owner or Authorized Aaerf 6'rrnit is issued, I shall not provisions of Section 3Z_Q( a Construction owner's behalf. led is correct. �es and state laws relating to above -identified property foyl Address 7000) of Division 3 of the Business o � 1 g —Xr n nr ginnnr/c TO CRIMINAL PENALTIES AND CIVIL FINES UP FEES. frltNy V49ottn'ance of the work for waarrn any manner so as Code, I shall forth_wjtb-earn of the work for which this permit is construction. purposes. )Dertv Owner's or Authorized de, and my lieftse is in full force POLLARS ($100,000(, IN ADDITION TO THE a 3700 of the Labor Code, fK th, issued. My workers' compensatior I• r c% isation laws of California, and agre, -iG— sued (Section 3097, Civil Code). Name J014-" W 14 4-1^ ACTION DATE Y rxuftrrrr r 1v ur �VwvuvuvE M I n uv cur tun Ottr(2 list UJVLY FEDERAL REGULATIONSPART Bf OFTIILE40AND PERMITEXPfRED AQMDRULE7403. Z I ❑/SUBMTTTEDASBESTOSM0T7FICATfONTO: PERMITCANCELi£D ❑ EPA PERMfTEXTENDED ❑ AQMD ❑ ASBESTOS NOTIFICAT/ONIS NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. CER77RCATE OF OCCUPANCYISSUED SIGNATURE: