HomeMy WebLinkAboutE2002-0591 - PermitsCity of Newport Beach
Building Department
ELECTRICAL Permit No: E2002-0591
PO Box 1768/3300 Newport Blvd, Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255
Job Address: 1 HOAG DR Bldg: 1
Inspector Area: 7
Owner.
Address:
Phone:
Issued Date
Processed
New Construction
Residential
Multi-Famiy
1-2 Family
N Meer
0 to 600V up to 200A,1 $23.30
0 to 600V over 200A 0 S0.00
Over 600A/1,000A 0 $0.00
Floor. Suite:
Code Edit: 96
Legal Desc.:
IHNtPITAL PRESBY Contractor.
Address:
CONTRACTORS DECLARATION
92663
Phone:
Con. State Lic.
Lit Expire:
Bus. Lic.:
Exp Date:
Jteogptacle/Swltch/Outlets
Reap/Outlets 0 $0.00
Fixtures 0 $0.00
Sep Circuit 0 $0.00
Slens
Branch Circuit
each Add Circuit
Time Clocks
TOTAL: 544.25
0
0
0
$0.00
$0.00
$0.00
Description of Work: ELECTRICAL/SERVICE (REPL EXPIRED E2OOMIL
2040-2001 err
INSPECTOR NOTES:
FRANK'S INDUSTRIAL SERVICES INC
P O BOX 596
HARBOR CITY CA 907100
310/539-7827
: 700250
12/31/2002
BT01081609
07/31/2002
FEE
Motorslrransfonnerss (HP/KVA).
0 to 1 HP/KW/KVA
1 to 10 HP/KW/KVA
10 to 50 HP/KW/KVA
50 to 100 HP/KW/KVA
over 100 HP/KW/KVA
Piggy Back / Temp Power
PAYMENT: $0.00
$0.00
$0.00
$0.00
S0.o0
$0.00
$0.00
Temp Power Pole
Temp Underground
Sub Panel
Record Managment Fee:
Investigation Fee
Plan Check
Issuance
Supplemental Fee
BALANCE: $44.25
ohm under penalty of perjury that I am Rosso under provisions of Chapter 9 (o nnndng with Section 7000) or Division 3 of the Business and Piu/nsims code.
license is in rullforae and effect.
TONSO Clone Contractor. FRANK'S INDUSTRIAL SERVICES INC
WORKERS' COMPENSATION DECLARABON I hereby affirm under penalty of pequy one of the following declarations
1 have and will maintain a certificate of consent to self -insure for workers' conpmsaeon, as provided for by Section 3700 of the labor code, for the perfanunce
oft the work for slab this pernit is Issued.
I bate and aII maintain workers' carp.ns00on insurance. as required by Section 3700 of the labor code, far the performance of the wakfar which this pemit is issued.
My miters' catenation instance carver and poly timbers is:
Canter ACE PIE UNDERWRITERS Peaty number. NWC013M501 Expire:01A1/SON
This section need not be completed if the permit is for one hundred dollars (5100) or less.
•• • • •••
I certify that in to permanence of the work for Watch hab this pram! !slued. 'shall ay any person in anywasic to the wtkers'anperueaon laws
t t I should become $iger;b thyrlr occasions dSedion 37 d Raba code. I forthwith mrply rah those provisions.
is oneo2•0 • • •••
pD I L-( y Applicant Signature;
g: Fauure to serene waders' co pernation coverage b wdawM� and Oa s.0)ed an erOya 10 aknirW penaHks and dui fins Lp 10 One hundred
•
($10aoNl In same to th% a of m.ipenmsdregs s ;Feet
FNdeO t
•f� �•• ••• • •
I hereby sc apviSge that Ieeve rNd It& applauon Wat ea
inanl6tl
convey with ay aw stela Iawereplu hg constriction? ISM in doh% the
lah Caltends reg to workmen's mnpenmtlan France.
ointerest.
.••
Slat 3hap o labor code, interest. and attorneys fees.
Am a� that I am the won . or day authorized Neel d the Owen. l gyee b
s rk aWudmA therew no person lap be employed M violation dt the labs ade of the sated
Pergilttee Name (Print) • • • • • • Address :
7uro of permittee:
. 40 •• • • ••• ••
rovais
O $0.00
O $0.00
0 $0.00
O 60.00
O $0.00
$0.50
$0.00
$0.00
$20.45
$0.00
Grounding Electrode
Underground
Underslab/Floor
Rough Conduit Walls
Rough Wiring Callings
Rough Service
Temp Power
Utility Co. Notified
Final
Jpscector/Date
y/r Pr
WORK MUST BE STARTED WITHIN A PERIOD OF 180
DAYS FROM THE DATE OF VALIDATION OR THIS
PERM' BECOMES NULL AND VOID..
City of Newport Beach
Building Department
ELECTRICAL Permit No: E2001-1291
PO Box 1768/3300 Newport Blvd, Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255
Job Address: 1 HOAG DR Bldg: 1 Floor: Suite:
Inspector Area: 7
Owner:
Address:
Phone:
Receipt #:
Processed By.
Code Edit: 96 Legal Desc.:
HOAG MEMORIAL HORPITAL PRESBY
1 HOAG DRIVE
NEWPORT BEACH CA 92663
4b
Contractor:
Address:
Phone:
Con. State Lie. :
Lic Expire:
Bus. Llc.:
Lic. Exp Date:
Description of Work: ELECTRICAL/SERVICE (2040-2001)
(SULFUR TREATMNT/GAS FLARE AREA)
FRANK'S INDUSTRIAL SERVICES INC
PO BOX 596
HARBOR CT' CA
310/539-7827
700250
12/31/2002
New Construction
Residential
Multi -Family
1-2 Family
Service
0 to 600V up to 200A
0 to 600V over 200A
Over 600A/1,000A
0
0
0
0
FEE
Receptacle/Switch/Outlets Motors/Transformers (HP/KVA)
Recep/Outkrts 0 $0.00 0 to 1 HP/KW/KVA
$0.00 Fixtures 0 $0.00 1 to 10 HP/KW/KVA
$0.00 Sep Circuit 0 $0.00 10 to 50 HP/KW/KVA
50 to 100 HP/KW/KVA
Skin over 100 HPt
$23.30 Branch Circuit 0 $0.00 C, I
$0.00 each Add Circuit 0 $0.00 P. + = •veer
$0.00 Time Clocks 0 $0.00
TOTAL: $50.08
t•..11:. M •.:. • 1: T •
• y affirm under penalty of per7.lry That 1 am licensed under provisions of Chapter 9 (commenting
my Ifferbse N In Nlforhs and effect.
License No: 700250 Class: Contactor FRANK'S INDUSTRIAL SERV
PAY L N
WORKERS COMPENSATION DECLARATION I hereby affirm under penally of
I have and will maintain a certificate of consent to self -insure for
01 the week for which this aerial is issued.
I have and will maintain workers' compensation insurance, as required
My workers' compensation insurance Lanier and policy nu
Cartier: IN0FMUI1tW racy number: NWCOl0M g 2
This section need not be completed if the permit or • h undred dollars ($100) or less.
I certify that in the p•rforance of the work? Mr&
of California, and a(Vr, e 1 t if I should becoae sub•
Dale'
Warning: Failure le workers'
1100,o00), in addition It et
• •
I hereby adoewiedge
corrWY vlth ply end
California re4ling to
•
• • •
Applicant Signature:
coverage Is unlawful, and shall subject an employer to
I maiai�e••rr,,�// ^ $ b •
sail ens of Section!700 cme J'
• /
rrir
are
INSPECTOR NOTES:
Temp ' • er Pole 0 $0.00
0 $0.r' 1. i• Underground 0 $0.00
ub Panel 0 $0.00
O $0.00
O $0.00
0 .00 Record Managment Fee : $0.50
Investigation Fee $0.00
Plan Check $5.83
Issuance $20.45
Supplemental Fee $0.00
NCE: 550.08
0 •I.00
f0.00
50
on 7000 Divisor 3 of the Business and Professions code,
WCEL
3700 of the labor code. for the performance
of the labor code, for the performance of the work for which this permit Is Issued.
not scan
Do
to the workers' conperaation laws Rough Service
forlhvnth conply with those provisions.
Temp Power
Aoorovals
doll fines up to one hundred
oryawacietas providstforjrl:alie/V/06 of the labor code. interest, end ammeys fees.
• • • e 1pe• • •vR• ••� •
d Uhis plicaJt�: that ruining
rind
agy alithivar uraqtie ncet
s f011pensst. 'nsurance.
Permittee Name (Print)
Signature of permittee:
Date:
; and that 1 am the owner. or duly authorized agent of the ewer. I agree to
thereby, no person wit be e'iPloyed In violation of the lab& code 01 the state or
dress :
�— B/icl o i
ia-
Grounding Electrode
Underground
UnderslablFloor
*Ring Ceilings
Walls
[ pV�ring Ceilings
Utility Co. Notified
Final
Insoector/Date
WORK MUST BE STARTED WITHIN A PERIOD OF 180
DAYS FROM THE DATE OF VALIDATION OR THIS
PERMIT BECOMES NULL AND VOID..