HomeMy WebLinkAboutE2022-0224 - PermitsCity of Newport Beach - Building Division
+� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
�c
Job Address: 4695 MACARTHUR CT Bldg: 1 Floor: Suite:
Description of Work: COMM (2) ELEC OUTLETS
Inspector Area:. 7
Legal Description: P BK 196 PG 40 PAR 2
Owner: IRVINE CO
Contractor:
Address: 550 NEWPORT CENTER DR
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:04112/2022
Lic Expire:
Bus Lic:
Processed By:_
Lic Exp Date:
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20OA:
0
$0.00
0-600V over 20OA:
0
$0.00
Over 600V or 1o00A:
0
$0.00
O/H to JIG
0
$0.00
TOTAL Fee:
SASCO
2750 MOORE AVENUE
FULLERTON CA 92833
714-870-0217
125897
05/31/2023
BT30046326
02/28/2023
Receptacle/Switch/Outlets
Receptacles/Outlets: 2 $3.50
Fixtures:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Signs
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee :
$0.00
Electrical Permit: E2022-0224
Project No : 0968-2022
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: TRAVELERS PROPERTY
Policy No: UNON1616082025K
Expire : 0510112022
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
Plan Check Fee :
Temp Underground:
0 $0.00
Sub Panel:
0 $0.00
0 $0.00
0 $0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$3.05
Investigation Fee:
$0.00
Issuance Fee:
$38.00
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.
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 Cade: 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 (_) 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 or 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 owne, ji property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I an. exempt fro,n licensure under the Contractors' State License Law for the following reason:
By my signature b,ljti 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 legal)
-ell a sNucture tha' 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
Professions Code, is alrailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Prupe,ty Owner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
' tErcty affirm cnde- penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith Secti n 70 0) of Division 3 of the Business apd R0 C0Jff,-MW,,nTy license is in full force
and Pfrect. Zi IV1`.�
License Class License No Date I1)2, 7 Contractor Signatur r
WORKERS' CUM DE- e
NSATION DECLARATION !
WARNING' FAILURE'rU 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 THE
-OST OF .OMPENSI TION, rAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm urd':r pcnalty of perjury one of the following declarations:
I 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
performance of the work for which this permit is issued. Policy No.
I 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' compensatie
s nce carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the performance a ork�qrl—cft)is 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 agrethat, if I should become subject o the kerson provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. U
Signature of Applicant D,t / / b Z /Z Z
DECLARATION REG D C ON15TRUCTION 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 (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 ha provided is correct.
I agree to comply with all applicable city and cou ty or in es and state laws relating to building construction.
I authorize representatives of this city or cou ty toe ve-identified property for inspection purposes. \
Signature of Property Owner or Authorized Agent Print Property Owner's. or Authorized Agent's Name e
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE
USE ONLY
FEDERAL REGULATIONS PART B] OF TITLE 40 AND
AQMD RULE 1403.
PERMITEXPfRED
❑ f SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AOMD
PERMI7CANCELLEU
PERMITEXTENDED
❑ ASBESTOS NORFlCATIONIS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
—
CERIIFICATE OF
SIGNATURE:
OCCUPAf1CY1SSUED