HomeMy WebLinkAboutE2020-0043 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIII IIII II II II IIII11
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 0 4 3
Permit Counter Phone (949)644-3288
II Electrical Permit: E2020-0043
Project No : 0074-2020
Inspection Requests Phone (949)644-3255
Job Address: 880 IRVINE AVE Bldg: 1 Floor: Suite:
Description of Work: ELEC REPLACE (3) OUTLETS AND (2) FIXTURES (X2020-0080)
3
Code Edit: 2019 ' SPEC-ro
Inspector Area:
Legal Description: P BK 15 PG 36 PAR 1
Owner: UDR NEWPORT BEACH NORTH L Contractor:
RESTORATION MANAGEMENT CO
Worker's Compensation Insurance
Address: PO BOX 06408 Address:
25172 ARCTIC OCEAN DR
Carrier: ZURICH AMERICAN INS CO
CHICAGO, IL 60606
LAKE FOREST CA 90630
Policy No: WCO29739602
Phone: Phone:
800-400-5058
Expire : 06/01/2020
Con State Lie:
765595
Issued Date:01/22/2020 Lie Expire:
07/3112021
;
Bus Lie:
BT30055216
Processed By:Unk Lie Exp Date:
03/31/2020
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 over20OA:
0
$0.00
Over600V or1000A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL Fee:
Rece ptac Ie/Switch/Outlets
Receptacles/Outlets: 3 $3.00
Fixtures:
2
$2.00
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
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:
'Q
$11.00,
Sub Panel:
1.0
$Q 00
Q
$J 00
"°0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Issuance Fee:
$35.00
Supplemental Fee:
$0.00
Fee Due at Permit
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)
;action 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
Ie 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
rofessions 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
of 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,
usiness 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
nprovements 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
nproved 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
pply 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 reason:
y 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 legally
all 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.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business fe sions Code, and my license is in full force
nd effect. ��`p�'''P
icense Class License No / -A;L - c9-0 ContrXr Signature
IORKERS' COMPENSATION DECLARATION
ARNING'. FAILURE TZ Z-- [CRE 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
CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
neiebv affirm under penalty of perjury one of the following declarations:
I hove and NIII ma-Itain 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 the
lil f=ance of the work for which this permit is issued. Policy No.
and will maimain 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'
carrier and policy number are:
e os Agent `s _
:ert`y that, in fhn, performance of the
if I shouhbtcgme subject to the wo
Policy Number Expiration Date
Phone #
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those� pyr visions.
date I- ZZ- 2a
)ECLARATION REGARDING CONSTRUCT1.v MLENDING AGENCY
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).
Ender's Name Lender's Address
ly 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 orrect.
I agree to comply with all applicable city and county ordinances state laws relating to building construction.
_-
I authorize representatives of thlVity or county to enter the ab dentified property for inspection purposes.
i - Z,7( -
AC77ON
DATE
BY
DECLARATION OF COMPLIANCE IMTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS N077FICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
ASBESTOS
PROPOSEDDEMOLITIOR0NI5 NOT APPLICABLE TO
PERMIT FINAL
'`i- 22d?d
CERTIPICATEOF
SIGNATURE:
OCCUPANCYISSUED