HomeMy WebLinkAboutE2018-0786 - PermitsCity of Newport Beach - Building Division IIpIIIIIIII�IIINIIIIIIIIIIII�IIIIIIIIIIIIIIIII II 1E)o� ivic Teeter Drive, Newport Beach, CA 92660
+ Permit CoZ21'r Phone (949)644-3288
. . •
Job Address: 1Af6 HOLIDAY RD Bldg: 1 Floor: Suite:
Description of Work: E!Ll!C -200 AMP PANEL UPGRADE
Inspector Area:
Legal Description: N TR 3763 LOT 59
Owner: KINSTLER LYNDSAY
Contractor:
OCEAN FRONT ELECTRIC
Address: 1915 HOLIDAY RD
Address:
2234 N HESPERIAN ST
NEWPORT BEACH, CA 92660
SANTA ANA CA 92706
Phone:
Phone:
714-580-4598
Con State Lic:
1025446
Issued Date:12/10/2018
Lic Expire:
04/30/2019
Bus Lic:
BT30065290
Processed By: `
Lic Exp Date:
01/31/2019
Electrical Permit: E2018-0786
Project No: 1293-2018
Inspection Requests Phone (949)644-3255
Code Edit: 2016
Worker's Compensation Insurance
Carrier: NORGUARD INS CO
Policy No: JOWC904853
Expire: 0310812019
�,Iown
1 ECTOill.
FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
Residential
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
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
$43.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp 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:
$35.00
O/H to U/G
0
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
Plan Check Fee:
Fee Due at Permit Issuance:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAUD INSPECTION
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m.
)WNER-BUILDER DECLARATION •• ••• ee ee '°
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next10 tMAappli(;3britenU§) ;
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuanceral$o aege Tres the®pplicant 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 Iuvislon 3 oithe 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).
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 offer�Qfor axle (Sdiction 7044, •
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throug� employees' or personal effort, builds or improveset 9 property, provided :hat the • •
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of co pletion, the Owner -Builder will have the burden ofWviN6tbat it was.natbuilt or...
nproved for the purpose of sale).
1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704,4, 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:
iy 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)
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:http://www. leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professi ns Code it my,4igense is in full force
ind effect. II j
.icense Class License No Dat '/U -/P Contractor Signatur
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL THOUSAND IL FINES UP TO ONE HU DOLLARS ($100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
rformance of the work for which this permit is issued. Policy No.
i
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' compensatio
in urancecarier and policy number are:
crier 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
hat, if I should become subject to th rkersovoenytpd provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applican Da -
DECLARATION REGARDINGANSTROCTION LISNOMM AGENCY
I hereby affirm under penalty f perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code).
Lenders Name Lender's Address
By 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 ordinance and slat v4s relati to building construction.
I authorize representatives of this city or countxta)enter th bgan_, Ned � for inspection purposes.
Signature of Property Owner or Authorized Agent j( �� Print Property Owner's or Authorized Agent's Name v' ate
ACTION
DATE
BY
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PERMITFINAL
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CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED
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