HomeMy WebLinkAboutE2019-0236 - Permits.• City 91 Newport Beach - Building Division
100 C•vic Centir Qrjve, `4e jport Beach, CA 92660
.• eumB CbuCteCPJone(�49)644-3288
• e ooe mo
e e m e e e e e e o® • o
e. • .m -e m e• 0 0 e
JobAddrass: 21;35 ;WE$JeLII
Description of Work: ELEC ADD
Inspector Area: 7
Legal Description:
Owner: HANKEY INVESTMENT CO LP
Address: 4751 WILSHIRE BLVD #110
LOS ANGELES CA 90010
Phone:
Issued Date:04/29/2019
Processed
11u11Jill 11111111111111111111111111111111111111111l 11 Project Electrical
0917-2019
9Permit: E2019-0236
ig: 1 Floor: 2 Suite: 203
SUB PANELS & (2) LIGHT FIXTURES `SPEC SUITES 102 & 103*
Contractor:
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
RILEY ELECTRIC INC
1800 W I ITH ST, UNIT C
UPLAND CA 91786
909-981-6110
393866
03/31/2020
BT30043627
05/31/2019
Inspection Requests Phone (949)644-3255
Code Edit: 2016
Worker's Compensation Insurance
Carrier: EVEREST INS
Policy No: 7900347945
Expire : 01/01/2020
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:
2
$2.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
2
$52.00
1-2 Family:
0
$0.00
Sep Circuits:
2
$14.00
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:
0
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$59.16
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
TOTAL
Fee,
$162.16
Plan Check Fee : $59.16
Fee Due at Permit Issuance :
$103.00
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.
OWNER -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 plRjed:ner tDlhe 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 til its issuanee+tals0 jequTrgg t11B•applicant for
the 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 Setffortfd00) 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not irkerbed pr oler§c! (pr sale (Seotiow 704
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, buil& r improves the profty, pr4vlded�hat the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have411Gblilan of prowng-that it w0s not bLilt or
im roved for the purpose of sale).
1, 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
ap ly 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:
By 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 legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect.
License Class License No Date. 4Nj . Contractor Signatur `
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA IE100,000), IN ADDITION TO THE
COST 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 IN
Sart mance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
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 agree
I, if I should become subject to theme a Kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGA DING CONS RUCTION LE ING AGENCY
Ireby affirm under penalty of perjury that there is onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Codi).
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 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 cou ty ordinances and state laws relating to building construction.
I authorize representatives of this city or county enter the a�,above-ide tifieddn property for inspection purposes. �) n
nature of Property Owner or Authorized Aaent V Cil Q.L_ � 7[.— Print Property Owner's or Authorized Agent's Name X r�L�l I`( Jr—" Date Y]r2:11
ACTION I DATE I BY
I PERMIT CANCELLED I I I
I PERMITEXTENDED I I I
❑ I SUBMITTED ASBESTOS N071F#CAT€ON TO.
❑ EPA
❑ AQMD
❑ ASBESTOS U017RC4710MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE.,
FOR OFFICE