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HomeMy WebLinkAboutE2018-0549 - Permits0City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II Electrical Permit: E2018-0549 b !. 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 8 0 5 4 9 Project No w Permit Counter Phone (949)644-3288 ,�, nYe^' ' Inspection Requests Phone (949)644-3255 Job Address: 1628 SKYLARK LN Bldg: 1 Floor: Suite: Description of Work: ELEC -PANEL UPGRADE 200 AMP Inspector Area: 3 eu:a-x CQoe Edit: 2016 Legal Description: = N TR 3082 LOT 61 •,�. /a�/5 CLQ n4Tapplicable: Owner: COPPO A CIQR)"& on rac or: OWNER/BLDR Worker's Compensation Insurance Address: 1626 S LARK LN Address: o arrier: ❑ ?0 io OI ❑ 1 C� �. NEWP T B i' 266Qgx Policy No: Phone: f5 hgQe $c Expire ks 1� r t ,� a P L1� ' "} �'.z�t�� to WE?OtTI: Issued Date:08/16/2 8 Lic xp re Bus Lic:T Processed By:T�trz LQ E 5+� L,t? 3 Del L� DEo FEES New Constructio Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacle Outlets: 0 $0.0 0 P Vyl}�,�s�/A°g�Myp� ��`��000. Temp Underground: 0 $0.00 1n2tFam Family: 0. r`? er s 0 $0.0 1 �o0 5 /KVA Y +$0 00 Sub Panel 0 $0.00 `V„ ;� ,�owuvftl 0 $0.00 50(tA0flQ;wgyl�vmt—W-tew ) $0.00 : o $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 200A. 1 $43.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: wtm$0.00 Each Add Circuit 0 $0.00 Piggy Rarkfr p Rnwwer 0 $0:80- Investigation Fee: $0.00 Over 600V or 1000: 0 $070U_ Time Clocks: 0 $0.00 Temp Power Pole: 0, $ Issuance Fee: $35.00 O/H to U/G ' 0 $0.00 Additional Fee: $0.00 insp. Supplemental Fee: $0.00 TOT d00° "I ' "`° � an % cc a -.0.00 Fee Due at Permit Issuance: $78.00 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. ° opo 0 0p0 0� oo o` � o o �•• .00 0 0 0 00° oo° o o 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) ction 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 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 fessions 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 pen9 lty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,'-- liness 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 ovements 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 r ed for the purpose of sale). ,1, A 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 ly tV an owner of property who builds or improves thereon, and who contracts for theQr�o'aecA, wf, s licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors''State.�L-icense,L-aW f6f1ttd following reason: my signature below I acknowledge�that;'ezcept for my personal residence in which I must have a structure that I have built as an owner builder if il has not been constructed in its entirstyy�l ,fessions Code, is available upon-rer(ueatwhe h' app_I'oe io issubmitted- tth _Towing V nature of Property Ownerror Auth8rizrid•Agent_; _" hereby affirm under penalty nd effect. icense Class ARNING: FAILURE TO SECURE W OST OF COMPENSATION, DAMAG hereby affirm under penalty Irl have and Will maintain grformance of the work for v have andlwill maintain H surance carrier and policy r Dlce f Agent ify that, in the performal should become subject lignature of Applican IECLARATION REG G I hereby affirm under penalty.. of ender's Name ly my signaturebelow, I ceelify I am the property owner or I have read this application I agree to comply with all al I authorize representatives- ACi70AI PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED ist gnid Year ptior-to completion of the improvements covered by this permit, I cannot legal :ore. I understand that a copy of the applicable law, Section 7044 of aBusi ass and rrx.logmfQ ca,�odldalaW.htg11" Dat1 All 7000) of Oiyi)Sjon 3 of the Business and Professions Co e, nd my license is in full force ,ILicenea, No '.'Date Contractor Signature ON dIrCIARA710N KERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVERiro ORtINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE AS PROVIDED FOR IN SECTION 3705 OFIHE LARQRCQDE INTERi#,�ANp ATTORNEY'S pequryoneiof the folio vhr PeclaYatjpns certifi6ate of Cohsent ta`sejflinsuCe or Wol'kers' cgmpensation, vsa� aid by �the`Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Fph.this3permlt Is3ssued. Pokgg tJ4i ' Kers Cohn eneati-n insurance, as required by Section 3700 of the Labor Code for the performance of }he workJor which this permit is issued. My workers' compensatiol fiber are: Policy Number `_ a Ex�Iratibh Date fi 18e oft a work for which this perinit'is Issued, I -shall not employ any person In a(ly'mannet-sofas Yo tiecome subject to the workers' compensation laws of California, and agre the workers compens Ion provjsis.of action 3700 of the Labor Code, I shall forthwith comply with those provisions. fo NSTRUCTION LENDING -- A E Y ____---"' 9 agency. p R .(.) peirlurylthat there Is a construction lendin a enc . for -the- erformahce of the work for which this.permit Is leeued: Siacti n-3097, Civil Code . Lender's Address _ to':;each of the following: --. i6tibW City and county ordinances and state laws relating to building construction. this city or c my to ant t a ove-identified pr perty for insp on purposes. nn Ithorized Ag nt n e Owner's or Authorized Agent's Name DONN 8: %PPoLJ't- Date 9 DATE BY .RATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND • .. • A 1403. •' • ❑ f SUBMITTEDASBESTOS M071FICATION TO: 'jD• • ; :•� • •; . • ❑ EPA �4 L O q 3 • •' ❑ ASBESTOS NOTIFICABONIS NOT APPLICABLE TO 1`P/ PROPOSEDDEMOLITION. ':• ••• ' • ' : : SIGNATURE: o p o° o , •m m '° mEp c� m o_o �JOa(w E o D c E ��° Z c NO)VLmN W,c is m mw.3 3Nmm �w WPC C6 cca O N 3v m>' -c ca ° E oc rn=(,Co Io m 00 'F; w n .m.. Q m H w O '> > N a) d -O O N^ m >' '� C O) y m mZ L N O rL i s -p O? C m N An E 'O N U U J V V mi L N N.L.. N C O) a s m d N C n C 3 .L. 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