HomeMy WebLinkAboutE2020-0087 - Permits0ppopoks
7"''r�� City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2020-0087
># 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 0 a 7 Project No : 0535-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
NO CONSTRUCTION t\1012p
Job Address: 616 POINSETTIA AVE Bldg: 1 Floor: Suite:
Description of Work: ELEC TEMP POWER POLE
Inspector Area: 5
Legal Description: CORONA DEL MAR BLK 643 LOT 18
Owner: PAM CAPITAL MANAGEMENT INC
Contractor:
Address: 13600 MARINA POINTE DR #1208
Address:
MARINA DEL REY CA 90292
Phone:
Phone:
Con State Lic:
Issued Date:02113/2020
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:
0
$0.00
0-600V over 20OA:
0
$0.00
Over 600V or 1000A:
0
$0.00
O/H to U/G
0
$0.00
ON SATURDAYS
Code Edit:2016
OWNER/BLOR
Worker's Compensation Insurance
AUTH AGENT:
Carrier:
RYO SAKAMOTO
Policy No:
310-591-9402
Expire
O/B
IN%' 30PLCT0
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
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: 1 $39.00
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:
$35.00
Supplemental Fee:
$0.00
e at Permit Issuance:
$74.00
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.
IWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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
Je 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
pt more than five hundred dollars ($500).
'�. as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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).
11, as owner of hie 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 cf p.-operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
2 ; aia exempt from ,Lensure under the Contractors' State License Law for the following reason:
y my signature L3'ow I acknowledge that, except for y personal residence in which I must have resided for at least one year prior to completion of the improvements covered b this permit, I cannot legal)
911 q sv-Icture that I have built as an owner -builder if i has not been constructed in its ntirety by licensed contractors. I understand that a copy of the applicable law, Section 70 of the Business and
rofessions Code is available upon request when thii applicatio mitt e3n0Owing Web site :h tp:11www.le �''nf ca.g v/ alaw.html.
isnatLre of Pro2.ny Caner or Authorized Agent :CG1 Dati 13, �
ICENSED CONTRACTOR'S DECLARATIO
h=.rgh" affirm under penalty of perjury that I am li ense under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coe/ and my license is in full force
nd effect.
icense Class License No Date Contractor Signature
WORKERS' CO MPE4SATION DECLARATION
WARNING: FAILURE TO SECURE 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
C'1ST OF COMPENSATIP', nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
I hereby affirm u'nC'er 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
performance 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
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the perf mance of the work for which th' permit is issued, I shall not employ any person in any manner so as to become subject to the worke s'compensation laws of California, and agre
that, if I should becomes jekCTRUCTION
s' co n to 'ans-of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant a a Date e
DECLARATION REGA D LEND G AGENI hereby affirm under p naltyhere is a construction lending agency for the performance of the work for which this permit is issued (S ction 3097, Civil Code).
Lender's Name Lenders 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.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county or nances and state laws relating to building construction.
I authorize representatives of this city or county toe r the above -identified e y for inspection purposes.
Signature of Property Owner or Authorized Agent Z- Print Property Owner's or Authorized Agent's Name Date
ACTION
DATE
Y
DECLARATION OF COMPLIANCE KITH CODEOF
FOR OFFICE 05E ONLY
FEDERAL REGULATIONS PART fit OF TITLE 40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS M077RCA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL
—2 _2.6
0,1_r C'64—
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED