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HomeMy WebLinkAboutE2015-0501 - PermitsCity of Newport Beach - Building Division II�II�I���I��II���I����I�I�II���III II 100 Civic Center Drive, Newport Beach, CA 92660 Ili 1 2 0 1 5 0 5 0 1 Permit Counter Phone (949)644-3288 a Job Address: 521 REDLANDS AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/CHANGE OUT (E) SERVICE PANEL TO 200 AMP Inspector Area: 2 Legal Description: FIRST ADD TO NEWPORT HEIGHTS BLK 33 LOT 19 Owner: ZEHNDER PETER H Contractor: Address: 521 REDLANDS AVE Address: NEWPORT BEACH, CA 92663 Phone: Phone: $0.00 Con State Lie: Issued Date:09/10/2015 Lie Expire: Service Bus Lie: Processed By: S:i Lie 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: 1 $40.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 0/H to U/G 0 $0.00 ENGLISH SCOTT GC 1561 ORCHARD DRIVE SANTA ANA HEIGHTS CA 92707 949-355-6228 784484 09/30/2016 BT30038851 04/30/2016 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Policy No: (NO EMPLOYEES) Expire $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2015-0501 Project No : 1891-2015 Inspection Requests Phone (949)644-3255 FEES 0 Code Edit: 2013 Motors/Transformers (HP/KVA) 0 $0.00 Worker's Compensation Insurance 0 Carrier: WIC EXEMPT 1 to 10 HP/KW/KVA: Policy No: (NO EMPLOYEES) Expire $0.00 10 to 50 HP/KW/KVA: 0 FEES 0 $0.00 Motors/Transformers (HP/KVA) 0 $0.00 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: 0 $0.00 Plan Check Fee : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0 00 •e• • V� a .O pQ5 5� 5 0 .45 C5 G � C • p V � N • © © p E 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: $0.00 Supplemental Fee: $9.00 Fee Due at Permit Issuance : UYYIYGR'OVILUCR uaVL RN11Ull i' - 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' 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 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 not 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, 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 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 have the burden of proving that it was not built or improved 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 apply 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). ❑ 1 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 Iegalh cell 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sattjon 000'0) f Division 3 of the Business and Profes Rs•Code, and m>�npe is in full force and effect. C/ CU �j %lam _icense Class License No Date Contractor Signature. GG NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE :OST 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: 1 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 th Ierformance 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' ,ance carrier and policy number are: ?g,of Agent certify that, in the performance if I should become subiect-te- of Policy Number Date 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 agre rke a Rpr Bions of Section 3700 of the Labor Code, I shall forthwith comply with those pro v sions. DECLARATION REGARDING'CONSTRUCTION DING AGENCY I 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). Lender's Name Lender's Address By 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 ordin nees and state la�g to building construction. I authorize representatives of this city or county to eni eli ified arty for inspection purposes. �� Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam // %1 / I Date ACTION DATE BY DECLARATION OF COMPLIANCE M TH CODE OF FOA OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403, ❑ I SIBMLTttbASEVS[OSNO77FIC4T,ON•TO: ❑ rEPAi PERMIT EXPIRED PERMtTCANCELIED • : e • a•• i ❑ • •iQm PROPOSED DEMOLITION ASBESTOS NOT•tIPliLJCABLE TO • PERMIT EXTENDED PERMITFINAL - - S ) CERTIFICATE OF OCCUPANCYISSUED SIGNATUI€.-: •. •. :•• ••• •:•