HomeMy WebLinkAboutE2019-0126 - Permitsa" # City of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 810 AVOCADO AVE Bldg: 1 Floor: Suite:
Description of Work: COMM 24 LIGHT FIXTURES (REV19-0373)
PC FEES ON REV19-0373
Inspector Area: 7
Legal Description: P.M. 270-15 PAR 1 POR PAR
Owner: IRVINE CO Contractor:
Address: 550 NEWPORT CENTER DR Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
$0.00
Con State Lia
Issued Date:03/27/2019
Lic Expire:
Service
Bus Lia
Processed By:
Lic Exp Date:
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0
$0.00
0-600V up to 20OA:
0
$0.00
0-600V over20OA:
0
$0.00
Over 600V or 10DOA:
0
$0.00
O/H to U/G
0
$0.00
IIIIIIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIII II 1 Electrical Permit: E2019-0126
E 2 0 1 9 0 1 2 6 Project No: 1853-2018
COMMERCIAL BUILDERS INC
525 B STREET STE 1010
SAN DIEGO CA 92101
949-337-2578
669342
10/31/2020
BT30050318
03/31/2019
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
24
$24.00
Sep Circuits:
2
$14.00
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
Inspection Requests Phone (949)644-3255
01
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CT
Code Edit 2016,
Worker's Compensation Insurance "OO
°
Carrier: STATE COMP °'
Policy No: 9036265 ' .....
Expire : 12/08/2019
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om
... . ..
. c ot,aco
OC<<lL
C
FEES
W
Motors/Transformers (HP/KVA)
e¢
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 Backfremp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Plan Check Fee :
Fee Due at Permit Issuance :
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.
W
e¢
msec
p
Temp Underground:
C O
°1°0
®®O
$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:
$35.00
Supplemental Fee:
$0.00
Fee Due at Permit Issuance :
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.
VNER-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)
action 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
I 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
)fessions 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
t more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
3rovements 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
3roved for the purpose of sale).
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
Dly 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:
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
I 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
Aessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
(nature of PsoPerty Owner or Authorized Agent Date
,ENSED'6QWTPtACTOR'S DECLARATION
ry affirrp under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Section 7000) of Division 3 of the Business a Professions Code, a in7r ' s S in full force
i "elect.
apse Class• • • • License No Dat S ' 2 % ��/` Contractor Signature
DAERS' COMPENSATION DECLARATION
RNING: FAILURE TO S[CURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES up
TO E HUNDRED THOUS DOLLARe ($100,0001, IN ADDITION TO THE
ST OF COMPENSATIOIS, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
eby affirm urlcM penalty of perjury one of the following declarations:
J,heve 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 thi
foirpance of tie work for which this permit is issued. Policy No.
QSwe and•Ailtffalntain 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' compensatior
lYpace carrier and policy number are:
rear .00. • Policy Number Expiration Date
me of Agent Phone #
I certify that, in the peIfor ante of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject o the workers' compensation laws of California, and agree
I, if I should become Sub' ct to the workers' compensation pro action 3700 of the Labor Code, I shall forthwith comply with those pro dons.
nature of Applicant - D to
CLARATION REGAR I G ON LEN ENCY
;reby affirm under p alt of perjury that there is ruction 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 o finances and state laws r ing to building construction.
I authorize representatives of this city or county to a er the -iden ' rope spection purposes. �y
/Date
nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Na t%' S
ACTION DATE
DECLARATION OF OMPLIANCEWITHCODEOF
FOR OFRCEU ONLY
FEDERAL REGULATIONSPARTHf OFTITLE40AND
AQMO RULE 1403.
PERMIT EXPIR€D
❑ iSUSMITTEDASBESTO5NO71FICATIONTO.
❑ EPA
AQMD
PROPOSEDDEMOLITON-UON/S NOT APPLICABLE TO
PERMITCANC€LIED
PERNtITEXTENDED
PERMITFINA //-/- 7o7-1-- SC z�,"0
CERTIRCATE OF
SIGNATURE:
OCCUPANCYISSUED