HomeMy WebLinkAboutE2022-0395 - Permits�a>:.tazl'oy City of Newport Beach - Building Division `E2022-0395`
ti 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1 GENEVE Bldg: 1 Floor: Suite:
Description of Work: ELEC: UPGRADE MAIN SERVICE PANEL TO 400A (X2021-0636)
Inspector Area: 6
Legal Description: N TR 9862 LOT 10
Owner: BOOTH MICHEAL
Address: 1 GENEVE
Phone: NEWPORT BEACH, CA 92660
Issued Date:
Processed
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA:
0-600V over 20OA:
Over600V or1000A:
0/H to u/G
0
0
0
1
0
0
Contractor:
PACIFIC CREST ELECTRIC
Address:
1706 WEST OCEANFRONT
NEWPORT BEACH CA 92663
Phone:
949-751-9990
Con State Lic:
902464
Lic Expire:
08/31/2023
Bus Lic:
BT30023597
Lic Exp Date:
07/31/2023
Receptacle/Switch/Outlets
Receptacles/Outlets:
0
$0.00
$0.00
Fixtures:
0
$0.00
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Signs
$0.00
Branch Circuit:
0
$0.00
$97.00
Each Add Circuit:
0
$0.00
$0.00
Time Clocks:
0
$0.00
$0.00
Additional Fee:
$0.00
Electrical Permit: E2022-0395
Project No : 0581-2021
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire :
FEES
Motors/Transformers (HP/KVA)
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
Temp Underground:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
Fee Due at
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.
0
0
0
0
35.00
®009et°
°
°
°
�j7 e
e a'O
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$38.00
$0.00
NER-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 it the checture, prior
I have placed next to the applicable item(s)
;lion 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
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
'essions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, Will do ro all of rt w portions of the work, and the structure is not intended r offered for sale (Section d 44,
that
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds a improves the property, provided that the
rovements 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
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section racto Business and Professions Code: The Contractors' State License Law does no
,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 reasoncovered by this permit, I cannot legally :
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
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
Ifessions Go" Ii available upon request when this application is submitted or at the following Web site:http:/Ar .leginfo.ca.gov/calaw.html. Date
nature of P%oenx®wner or Authorized Agent
;,FMED CONTRACTOR'S DECLARATION
-reby of lrm: ndenpenalty 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
J effect.
Qme Class License No Date Contractor Signature �' �"' e
DRKERS'.C(5 .ENSATION DECLARATION
RNFNG: FAILURP TG SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO TH
.DF COMP .NSAWQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
grgby affirm undes penalty of perjury one of the following declarations:
1.1.4ave and All 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
rforfiance pN'the "rk for which this permit is issued. Policy No.
It Cleve and wil 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' compensatio
ausance carrier III" policy number are: Expiration Date
,,,,e, •* • Policy Number DR cos
Name of Agent
�. 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 comply
become subject to the workers' compensation laws of California, and agree
at., if I should become sub' o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date N
Signature of Applicant
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency forLthe ender's Address of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name
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. � 7rO/ z7
I authorize representatives of this city or county to��nter the above -identified property for inspection purposes. Date G
Print Property Owners or Authorized Agent's Name
TE GAurt.�nrw., ... T#TLE90AND
ACT10N 6Y FEDERAL REGULATIONSPART51 OF '
FINAL
❑ I SUBMITTEDASBESTOS NODFICATION' TO:
❑ EPA
❑ AQMfI
Tf[I ASBESTOS MOTtACAOMIS NOT APPLICABLE TO
PROPOSEDDEMOLFTION,
OCCUPANCYISSUED
SIGNATURE: