HomeMy WebLinkAboutE2019-0214 - PermitsCity of Newport Beach - Building Division 11111Jill 11111p111111111p1111ilp111111111111111111 Electrical Permit: E2019-0214
' 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 2 1 4 Project No
Permit Counter Phone (949)644-3288
"r�,raxyr i�' Inspection Requests Phone (949)644-3255
Job Address: 2527 (PM) PORT WHITBY PL Bldg: 1 Floor: Suite:
Description of Work: ELEC REPLACE PEDESTAL METER
SITE PLAN ATTACHED
Inspector Area: 4 Code Edit 2016 P s wo
i
Legal Description:
0
Owner: POWERSTONE PROPERTY MANAG
Contractor:
Address: 9060 CENTER DR 3200
Address:
IRVINE CA 92618
0
Phone: 949-716-3998
Phone:
0
Con State Lic:
Issued Date:04/11/2019
Lic Expire:
$0.00
Bus Lic:
Processed
Lic Exp Date:
New Construction
0
$0.00
Residential
0
$0.00
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0
$0.00
0-600V up to 20OA:
1
$43.00
0-600V over20OA:
0
$0.00
Over 600V or 1000A:
0
$0.00
O/H to U/G
0
$0.00
TOTAL Fee:
PEAK LIGHTING & ELECTRIC INC
1411 N BATAVIA ST #122
ORANGE CA 92867
714-630-0990
886699
04/30/2019
BT30065006
05/31/2019
Receptacle/Switch/Outlets
Receptacles/Outlets: 0 $0.00
Fixtures:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Signs
$0.00
o c
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee:
O
$0.00
FEES
W.
Motors/Transformers (HP/KVA)
0 to 1 HP/KW/KVA:
0
$0.00
,m
Worker's Compensation Insurance
$0.00
o c
Carrier: EVEREST NATIONAL
°"°
50 to 100 HP/KW/KVA:
Policy No: 7600019688181
$0.00
m.
Expire: 11/01/2019
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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 Backfremp Power: 0 $0.00
Temp Power Pole: 0 $0.00
Check Fee:
Temp Underground: 0
Sub Panel 0
0
0
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
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.
$0.00'
$0.00
$0.00'
$0.00
$0.00'.
$0.00'.
$0.00''
$35.00
$0.00.
)WNER-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 itre apgql,icant for
is 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 Bus ass 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).
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,
lusiness 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
reprovements 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
reproved 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
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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature t�e �oyu 1 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 structure teat haave built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
lofessipns Code' Wabailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
' rl'atftf of ProplrIZOwner or Authorized Agent Date
.19ENrSED CONTRACTOR'S DECLARATION
Ile eibX affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr. fession Code, and m lice els In full force
nd eNct. f�r I
AgseQlass .... License No ,Bate L I I 1 I Contraribr Signature
MafWERS' COMPIE'�LWSATION DECLARATION Vr/`
iHNNIN(!.FAILURE'Tb SletU tE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S7a, 9a) ADDITION TO THE
OBABFINCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]Tae OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
lAemb), affirm under penalty of perjury one of the following declarations: '
5 I havb and xMlll"didtain 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
eifyNmBpce of the y✓ork_fpr which this permit is issued. Policy No.
We�ifrl Aktain 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' compensation
ance carrier and policy number are:
er Policy Number Expiration Date
e of Agent Phone #
:ertify 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
if I should become subject to th4-w rke empensation•prQ;isions of Section 3700 of the Labor Code, I shall forthwith comply with those
�prrpwslocns7 -id.
atureofA li ant Date —` 'A
i wewrrnra evr_won rnercrorrrTrnu � c _ r_errry 1
greby 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)
ider's Name Lender's Address
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 agQflcable city and county ordinances and state laws relating to building construction.
I authorize representative Pols city or county to enter the above -identified property for inspection purposes.
mature of Prooertv Owner or Authorized ADent Print Prooertv Owner's or Authadzdd Agent's Name _ Date"4
ACTION DATE BY
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FEDERAL REGULATRONSPART 61 OF TITLE40AND
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❑ i SUBMfTTEDASSESTOS NOTIFICATION TO:
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❑ ASBESTOS N077ACARONIS NOTAPPLICABL.E TO
PERMITFINAL S 8 lot 1-6
PROPOSEDDEMOLITION.
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OCCUPANCYISSUED
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