HomeMy WebLinkAboutE2021-0863 - Permitswwtn� City of Newport Beach - Building Division "E2021-0863"
�r t 100 Civic Center Drive, Newport Beach, CA 92660
rw -' Permit Counter Phone (949)644-3288
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Job Address: 2706 OCEAN FRONT W Bldg: 1 Floor: Suite:
Description of Work: SFR ELEC OVERHEAD TO UNDERGROUND WITH 2O0A SERVICE PANEL UPGRADE.
Inspector Area: 1
Legal Description: NEWPORT BEACH CITY LOT 3 BLK 27 AND LOT 4 BLK 27
Owner: NULL JANET
Contractor:
WALKER ELECTRICAL CONTRACTOR
Address: 7 VISPERA
Address:
2348 SAINT CLAIR AVENUE
IRVINE, CA 92620
SIMI VALLEY, CA 93063
Phone:
Phone:
805-420-2082
Con State Lic:
907911
Issued Date:12/2012021
Lic Expire:
5
Bus Lic:
BT30077200
Processed By:
Lic Exp Date:
1113012022
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0-600V up to 20OA:
1
$47.00
0-600V over 20OA:
0
$0.00
Over 600V or 1000A:
0
$0.00
O/H to U/G
1
$47.00
TOTAL Fee : $132.00
Re c e pta c i e/Switch/O ut I ets
Receptacles/Outlets: 0 $0.00
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: E2021-0863
Project No :
Inspection Requests Phone (949)644-3255
NO CONSTRUCTION NOISE
Code Edit: 2019
ON THE. WEEKEND
Worker's Compensation Insurance
Carrier: STATE COMPENSATION INS FUND
Policy No: 9260157 - > > • -
Expire : 0813112022
;
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 BackfTemp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Fee:
Temp Underground: -
0 $LO:CC
Sub Panel:
3 $O.CC
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
Fee Due at Permit Issuance :
$132.00
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).
❑ 1, 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 Iegall
sell 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
Professions 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
I hereby affirm ursder nrnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and s Co - cense is in full force
and effect.
I rprsq Class License No Date / Contractor Signature
WORKERS' COfdPENSATION DECLARATION
WARNING. FAILURE TC SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
LOST Jr COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and wT njintain 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, forth
pelt imPnce of the work forwhich 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' compensatio
irsu,anci carrier .nd pclicy number are:
Carrier Policy Number Expiration Date
Name of Agent Q-Pye I 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 agre
that, if I should become subj t r♦, a sa on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant x � Date 1;� Qo1a
DECLARATION REGARDING CO STR - NDING�Y
I hereby affirm under penalty of perjury that there is a construction lending agency forthe 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 rdmances,and state laws relating to building construction.
I authorize representatives of this city or county to to e-.Identified property for inspection purposes. ' I _
Signature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's Name � �rJ T9 V Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE
ONLY
FEDERAL REGULATIONS PART&1 OFTlTLE40AND
A(aMD RULE 1403.
PERMIT EXPIRED
❑ 1SUl3Mf7TE0 ASBESTOS NOTLFlCATlON TO:
❑ EPA
❑ AOMD
PERMIT CANCELLED
PERMITEXTENDED
O OPOSEDTUEMOUT pC�ARON IS NOT APPLICABLE TO
PERMIT FINAL
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