HomeMy WebLinkAboutE2022-0091 - PermitsCity of Newport Beach - Building Division
�`.. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1412 NOTTINGHAM RD Bldg: 1 Floor: Suite:
Description of Work: ELEC PANEL UPGRADE 200 AMPS
Inspector Area:
Legal Description: N TR 3000 LOT 90
Owner: JENKINS CHRISTOPHER
Contractor:
Address: 1412 NOTTINGHAM RD
Address:
NEWPORT BEACH, CA
Phone:
Phone:
Con State Lic:
Issued Date:02/14/2022
Lic Expire:
Bus Lic:
Processed By:
is Exp Date:
*E2022-0091*
TESLA ENERGY OPERATIONS
2102 ALTON PARKWAY #B
IRVINE CA 92606
650-638-1028,
888104
12/31/2022
BT30026827
02128/2022
New Construction
Receptacle/Switch/Outlet
Residential
Receptacles/Outlets:
0
Multi -Family:
0
$0.00
Fixtures:
0
1-2 Family:
0
$0.00
Sep Circuits:
0
Low Voltage
0
Service
Signs
0-600V up to 20OA:
1
$47.00
Branch Circuit:
0
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
Over 600V or 1000A:
0
$0.00
Time Clocks:
0
O/H to U/G
0
$0.00
Additional Fee
TOTAL
Fee:
$85.00
Electrical Permit: E2022-0091
Project No :
Inspection Requests Phone (949)644-3255
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Code Edit: 2019 t��
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Worker's Compensation Insurance
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Carrier: ZURICH AMERICAN INS
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Policy No: EWS107458504
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Expire 10/31/2022
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FEES
Motors/Transformers (HP/KVA)
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
$0.00
$0.00
Piggy Back/Temp Power:
0
$0.00
$0.00
Temp Power Pole:
0
$0.00
$0.00
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
ie at Permit Issuance :
$85.00
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 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 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
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).
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
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).
I am exempt Vgrp 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 leg -all,
sell a structure thaflhave 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
PrLl2Srjions Cede, jelvailable 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
LICEUSED CONTRACTOR'S DECLARATION
I here%y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business and Pr fessions Code, and my license is in full force
d% eifgct. • • • • •A• �7
Licenseo Class •• [��� License No n� 169 Date 2Z Contractor Signatur g
NORKERS' COARENSATION DECLARATION
4IA RAG: FAILURE Tp SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
V9T,QFeCOMPENSATION, 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:
ee
•e1e Rive and Will r"main 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
>emformance ofathe 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' compensatiol
nsurance carrier and policy number are:
carrier ZCUndk hnnoy\cc'n Policy Number in "is Tj-d"3 Expiration Date lo(SI it01L
Jame of Agent Phone #
I 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
that, if I should become su act thew cars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date lq20,2.2--
DECLARATION REGAIZIDING CONSTRUCTION LENDING 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 (Sectio 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or count ante the above -identified property for inspection purposes. (�
Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date)(2 j 2-
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF T17LE40 AND
AQMD RULE 1403.
PERMITEXPIRED
❑ 1 SUBMITFEDASBESTOS NOTIFICATION TO::
❑ EPA
❑ AQMD'
PERMITCANCELLED
PERMITEXTEPIDED
❑ ASBESTOS NORFICA71ONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
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