HomeMy WebLinkAboutE2022-0308 - PermitsCity of Newport Beach - Building Division *E2022-0308'
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
uri,u+' Erd 1 � C
Job Address: 4685 MACARTHUR CT Bldg: 1 Floor: 3 Suite: 300
Description of Work: COMM ELEC: ADD (2) OUTLETS @ SERVER/IDF ROOM (302)
Inspector Area: 7
Legal Description: P BK 196 PG 40 PAR 1
Owner: IRVINE CO
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone: 949-453-2330
Issued Date:05113/2022
Processed By: 3_5
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
0
$0.00
TOTAL Fee:
Contractor:
SASCO
Address:
2750 MOORE AVENUE
FULLERTON CA 92833
Phone:
714-870-0217
Con State Lic:
125897
Lic Expire:
05/3112023
Bus Lic:
BT30046326
Lic Exp Date:
02/28/2023
Receptacle/Switch/Outlets
Receptacles/Outlets: 2 $3.50
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: E2022-0308
Project No : 1273-2022
Inspection Requests Phone (949)644-3255
Code Edit: 2019 -
Worker's Compensation Insurance
Canner: TRAVELERS PROPERTY -
Policy No: UNON1616082025K -
Expire : 05101/2023 -
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: 0 $0.00
Plan Check Fee : $0.00
Temp Underground:
0
$0.00
Sub Panel:
0
$0.00
0
$0.00
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$3.05
Investigation Fee:
$0.00
Issuance Fee:
$38.00
Supplemental Fee:
$0.00
ie at Permit Issuance :
$44.55
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 Iicensure 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).
7 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 7044,
Iusiness and Plafessions 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
no,ovpwents 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).
1 -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 :o 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).
7 I am exemr't from i,censure under the Contractors' State License Law for the following reason:
ly r.11 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 legalh
e11 9 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
Irofesaions Cole, 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
XENSED CONTRACTOR'S DECLARATION
hereby affirm, under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiigl 77000) of Division 3 of the Business and Profeo s C , and my license is in full force
no e,fect.
(cease Clas^ License No Date ) LZ Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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
eertormance of the work for which this permit is issued. Policy No.
�f 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' compensatioi
Isurance carrier and policy number are:
Policy Number
Date
me of Agent Phone #
I certify that, in the performance of the work fo hich 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 agr
I. if I should become subject to t wor c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant% ` Date � rg /Z2—
CLARATION REG RIDING CONSTRLICTION LENDING AGENCY
3reby 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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and cou Inn and state laws relating to building construction.
I authorize representatives of this city or county✓,/t ant he ove-identified property for inspection purposes.
nature of Property Owner or Authorized Agent / Print Property Owners or Authorized Agent's Name/\ � `y`t o5 Date �I� 2 /IZ2
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART tit OF TITLE 40 AND
AQMD RULE f403.
PERMfT EXPfRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
^_ 1{�
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED