HomeMy WebLinkAboutE2021-0705 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 116 24TH ST Bldg: 1 Floor: Suite:
Description of Work: ELEC OVERHEAD TO UNDERGROUND
Inspector Area: 1
Legal Description: NEWPORT BEACH CITY BILK 23 LOT 14
Owner: BEACH NEWPORT LLC
Contractor:
Address: 116 24TH ST
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:10/18/2021 n�
Lic Expire:
Bus Lic:
t(/-�/ --
Processed By: i
Lic Exp Date:
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
1
$47.00
"E2021-0705`
B I D ELECTRIC
4550 CAMPUS DR #151
NEWPORT BEACH, CA 92660
949-903-4591
730445
12/31 /2022
BT30076892
10/31/2022
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
Electrical Permit: E2021-0705
Project No :
Inspection Requests Phone (949)644-3255
TinqCode Edit: 2019 �
Worker's Compensation Insurance
....
o•••.o
Carrier: WIC EXEMPT
.•..
Policy No: (NO EMPLOYEES)
.
.'
Expire :
o
.
. .
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
Pigdy Back/Temp Power:
0
$0.00
Temp Power Pole:
0
$0.00
Plan 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
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.
OWNER -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, priorto its issuance, also requires the applicant for
the 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
Professions 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
not 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 the work, and the structure is not intended or offered for sale (Section 70414,
Business 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
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
improved 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
apply 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:
By 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 legal)
sell a structure B44 j tit 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
P;Ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca. gov/calaw.html.
HgnefAma of PropariWOwner or Authorized Agent Date
CENSIED CCNIRACTOR'S DECLARATION
I bereb3 affirm und(V penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Professions ode, and my license is in full force
Old Licensect.-Class
JFJ E ^a(Contractor Sin � c�
;OOR FORS' ...: License No Date g atu��
WORfCERS' COP PENSATION DECLARATION
V ARIT111M. FAILURER06ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CQJT.QF.&OMPENSAtI0r1,UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
• I have and will maTiRtain 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
perforcraerlce of the work'for which this permit is issued. Policy No.
t 1%?e and W1114MI'lim 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' compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the 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 agre
I should become ssu ject to the worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Y Date �/f D
DECLARATION REGA I STRUCTION LENDING AGENCY
I hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code).
Lender's Name Lenders Address
By my signature below, I certify to each of the following:
1 am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is tract. (Q Grp
I agree to comply with all applicable city and county ordinances d e laws rel 'ng to building construction.
I authorize representatives of this city or county to enter the a ve denti led p e y fo c Ion purposes. (.P J
Signature of Property Owner or Authorized Agentk Print Property Owner's or Authorized Agent's Name Date
AC'RON DATE BY DECLARATION OF COMPUANCE4YIT}I CODE OF FOR OFFICE USE ONLY
FEDERAL REGUFAT1flNSPART 59 OFTtREdtiAND
AQMDRULE idO]-
❑ 1 SUBMtTTEDA58ESTOS NOTIFICATION TO:•.
❑ EPA
❑ AOMD
[3 ASBESTOS NOT3FlCATtONdSNOT APPLICA8LET0
PROPDSEDDEhRf1LITION:
SIGNATURE:
PERMtTfXPIREtJ
PERMITCANCELLED
P€RM1TIX7€LADED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYlSSUED