The URL can be used to link to this page

Home My WebLink AboutE2018-0422 - PermitsCity of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 F 'Permit Counter Phone (949)644-3288 c a "+s irk 111111111111111111111p1JillJ1JJJ11111111111111111111Electrical Permit: E2018-0422 Project No: 1105-2018 Inspection Requests Phone (949)644-3255 Job Address: 2401 MESA DR Bldg: 1 Floor: Suite: Description of Work: ELEC/SERVICE UPGRADE X2018-1401 /hit -Ift CTOInspector Area: 8 Code Edit: 2016Legal Description: N TR6407 LOT 38 Owner: ANDREW Contractor: DOMINIC THE ELECTRICIAN Worker's Compensation Insurance Address:L2MC=NEWPO BLVD UNIT B Address: 261617TH STREET #3 Carrier:TWIN CITY FIRE INS •mm. EA H, CA 92663 HUNTINGTON BEACH CA 92648 Policy No: 72WECDU4424Phone: Phone: 714-969-3164 Expire:10/08/2018 .... e°••.Con State Lic: 836576Issued DaLic Expire: 04/30/2020 Bus Lic: BT30016665ProcessedyLic Exp Date: 09/30/2018 m ° m • ° • ° • ° •m 0009 O • O•Y00 mroe o oommo - New Construction V $0.00 Sep Circuits: 0 Residential Low Voltage 0 $0.00 Multi -Family: 0 $0.00 Branch Circuit: 1-2 Family: 0 $0.00 0 Service Time Clocks: 0 $0.00 0-600V up to 20OA: 1 $41.00 Issuance Fee: 0-600V over 20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 FEES m..•m . • . m Motors/Transformers (HP/KVA) m o =9 ° r0 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 BackfTemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: Fee Due at Permit Issuance: PERMITS EXPIRE 980 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. m..•m . • . m Temp Underground: m o =9 ° r0 oo<oco $Q OOm ° 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: $33.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: PERMITS EXPIRE 980 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 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 is 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). v e I, as owner of.the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not pply tolal'i' 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 artexempt from licensure under the Contractors' State License Law for the following reason: iy my signature belgw 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED COILTP.CTOR'S DECLARATION 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 ad effect.-,q----� iD@rfaV(:lass vti (0 License No � 6 Co S�� DateX(p �1-U `41,6 Contractor Signature) 1.� JORKERS' COMPENSATION DECLARATION ERN1NIS, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL suwECT 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undo# penally of perjury one of the following declarations: jase and 4 hlairjGin 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 the cpjr l rtce of thEPOO1R for which this permit is issued. Policy No. �blNw .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' compensation ku cecarrierandnodcv number are: Policy Number 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 agm if I should becomesubject two the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant/max �-�'`( - Date neby 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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county toenter the above- entified property for inspection purposes. nature of ProDertv Owner or Authorized ADent Print Prooertv Owner's or Authorized Acent's Nam Perm I;N I C, ACT70N DATE BY Uc1.Lt1r1E11rvn yr wvwrumvuc rr+rn uvuc yr PIJKVrrJL UatvlYLT FEDERAL REGULATIONS PART 01 OFTITLE40AND AOMDRULE1403. ' PERMITEXPIRED ❑ ISUBMITTEOASBESTOSNOTIFICATIONTO. ❑ EPA ❑ AOIIMD PERMfTCANCELLED PERMIT£XTENDED ❑ ASBESTOS N017RCAT70NIS NOT APPLICABLE TO PROPOSEDDEMOLITION. .. PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE. , ys