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HomeMy WebLinkAboutE2019-0562 - Permits., City of Newport Beach - Building Division��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII JillElectrical Permit: E2019-0562 cs ` 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 5 6 2 'i Permit Counter Phone (949)644-3288 PfOJBCt NO ; 1723-2019 Inspection Requests Phone (949)644-3255 Job Address: 2210 NEWPORT HILLS DR E Bldg: 1 Floor: Suite: Description of Work: ELEC - 225 AMP MAIN SERVICE UPGRADE Inspector Area: 4 Legal Description: N TR 7027 LOT 72 Owner: SAVANT DINO L & RENEE M Contractor: INFINITY ELECTRIC Address: 2210 NEWPORT HILLS DR E Address: 2460 N GLASSELL #A NEWPORT BEACH, CA 92660 Receptacles/Outlets: ORANGE CA 92865 Phone: Phone: 714-904-3474 $0.00 Con State Lic: 824287 Issued Date:08/13/2019 Lic Expire: 09/30/2019 $0.00 Bus Lic: BT30060932 Processed By: Lic Exp Date: 10/31/2019 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 $0.00 Investigation Fee: Low Voltage 0 $0.00 Service $35.00 Signs Supplemental Fee: 0-600V up to 20OA: 1 $43.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: $78.00 Plan Code Edit: 2016 Worker's Compensation Insurance Carrier: STARNET INS CO Policy No: BNUWC0137148 Expire; 07/01/2020 FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel: 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 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 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 Saturcipy frfrp 8:00,,aar> tr,) 6:00 P.m. o e o 0 0 o c c oo a e e o o c o c 0 o e o o c o c ce ¢c o e e o c coo o o oc 000 0 0 oco c 0 c oo c c c c c c o0 00 0o c o c o c c 00 oou o 0 00 oc o00 IWNER-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) lection 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 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 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 L) all of or U portions of the work, and the structure isnot 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 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legal) ell 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. signature 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 and(P�} ions Code, and my license is in full force rid effect. 8 `� Contractor Signature• -G! icense Class License No Date VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 IN ertirmance of the work for which this permit is issued. Policy No. ave 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' compensatior Isur rice carrier and policy :'numbeQ re: L� ��41a er 1ykwxanaCo PolicyNumber 'a -b lame of Agent 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 agrer tat, if I should become subject to rkers' com ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q ignature of Applicant 1 Dare — IECLARATION REGAIROING CONSTRUCTION LENDING 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 y 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. I authorize representatives of this city or county_`t0 h ve-identified property for inspection purposes. ianature of Property Owner or Authorized Agwt Print Property Owner's or Authorized Agent's NanrpA Date ACTTON DTE • • • • • BY • • • • • uc t.r-»nx f rwx air wmrus+�si.c r. r 1 r I., yr FEDERAL REGULATIONSPART 61 OFT17LE40AND AQMORULE1403. PERMITEXPIRED . . . •' • . . . • • • El t SUBMITTEDASRESTOS M077FICATION TO. ❑ EPA ❑ AQMD PERMITCANCECLED • ' "' ' • PERMITEXTENDED ❑ ASBESTOS MOTIFICAT70MIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PET7M1TFtNAt •'• CERTIFICATE OF e •.. SIGNATURE: OCCOPANCYISSUED •:. .• : : :.. :.•