The URL can be used to link to this page

Home My WebLink AboutE2021-0580 - Permits,, City of Newport Beach - Building Division 'E2021-0580` Electrical Permit: E2021-0580 s 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0130-2021 - ,,. Permit Counter Phone (949)644-3288 0v r"+y.q,uzb' - Inspection Requests Phone (949)644-3255 Job Address: 1120 BAY AVE W Bldg: 1 Floor: Suite NO CONSTRUICTION.... Description of Work: SFR ELECTRICAL INSTALL 100A TEMPORARY POWER POLE °°°°°• Inspector Area: 1 Legal Description: N TR 626 BILK 4 LOT 6 Owner: BUNTMANN GARY Contractor: Address: 410 17TH STREET #1010 Address: DENVER, CO 80202 Phone: 949-613-5260 Phone: Con State Lic: Issued Date:09/14/2021 Lic Expire: {� 67�► Bus Lic: Processed By: Lic Exp Date: ON THE WEEKEND Code Edit:2019 COAST WATER & POWER P O BOX 3341 NEWPORT BEACH CA 92659 949-548-0106 738400 07/31/2023 ST96014951 12/31/2021 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 200A: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9087110-18 Expire : 1010112021 15z�� 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 $41.00 ° ..... ° . ° ° Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $38.00 Supplemental Fee: $0.00 Fee Due at 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. 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 'he 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 iot more than five hundred dollars ($500). 1 I, 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, 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 mprovements ajd' tMtlWended 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 mprove d for the purpose of sale). y-. l,4AS caner gt•tfle prrperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not �•�ap ly to an ownel•of"operty who builds or improves thereon, and who contracts for the projects with a licensed Contra' i ctor pursuant to the Contractors' State License Law). 70q exempt from licensure under the Contractors' State License Law for the following reason: By my signature Below 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 legall) Gil a structure Aat III;e built as an owner -builder if it has not been constructed in its entirety by licensed contractors.'[ understand that a copy of the applicable law, Section 7044 of the Business and profeSgions Coq%"available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. 9igr"cre of Propertt Owner or Authorized Agent Date LlbaN+SED CONTRACTOR'S DECLARATION I Iheaebyeffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70d0) of Division 3 of the Business and r ession Code, and y license islin f fly 1 f*prce ylyd effect. . • e: — . y. Ljgevr•n Class • • • License No Date X�� ` Contractor Signature • W^' IIVORKERS' C(Zll VMSATION DECLARATION NARNING: FAILURE TO SECORE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certifcate of consent to self -insure for workers' compensation, issued by the Direct) r of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 3erfolmance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number ie of Agent Date ]I certify that, in the performance of the work forwhich this permit is issuqd, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat, if I should become sub"{ hhe workers' compensation p visions of Section 3700 of tT,��e/Labor Code, I shall forthwith comply with those provisiionnss. �+ n ignature of Applicant X - l V i Date ^ -See 4 DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). Ender's Name Lender's Address y 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. y� A I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county enter t`he abo�ve-id tifierd.prop rty for inspection purposes. signature of Property Owner or Authorized Agent � Vv+"�/�-' Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OFCOMPUANCE kWTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 51 OF T17LE 40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD.. PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOITHCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CER77FICATEOF SIGNATURE. OCCUPANCY(SSUED