Loading...
HomeMy WebLinkAboutE2018-0437 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ��stririr��` Job Address: 120 BAY FRONT S Bldg: 1 Floor: Suite: Description of Work: REPLACE ELEC TIMER CLOCK ON DOCK Inspector Area: 2 Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 1 LOT 6 Owner: CUPPS ARNE Contractee— Address: ontr —Address: 120 BAY FRONTSress: NEWPORT BEACH, CA 92662,, »rO Phone: _„ «^� 1 ,I;hon�:� Issued Date:06/27/201 Processed New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0-600V over20DA: Over 600V or1000A: O/H to U/G Lic P Re&, es u 70 1 $1.00 0 $04U 0 $0.60 Fixtur6 0 $0.00 �4ep Circuits: 0 $0.QQ 'Kow Voltage 0 0 Signs 0 $0.00 0 Bran_ch GiiaR $0.00 EaetxAdTrstlij: $0.00 0 $0.00 6l$0.00 'fimbClo�cks, yet $0.00 0 $0.90 r,y<Addlhorgl,,0;4 $000 TOTAL Fee: *E2018-0437* Electrical Permit: E2018-0437 Project No : 1534-2018 Inspection Requests Phone (949)544-3255 ,�•�- ` NQ cods lr izo s J Q, JAMES r V3 WOE' ompens ion Insurance #115 V Carrier: WESCO kd CA 92663 Qin' Policy No: WWC3 9846 q <0 Expire : 02/01/201 eoae ar p��'`4v;:. m esoCIS .omoo e. m e o .. e e em o 0 .. o 000 o ..moo �.emoe eeeecm o m m o mom000 0 n 0 emmmom mm o ® m 0 o m omoo om e Motors/Tra ��:V/1LVA) �d O t K 0 �� m erg und: 0 1 to 10 H K VA: QQ� ' $0.00 anal 0 10 t /KVQljti' : 0 $0.00 0 50 to 100 HP/K 'CA: 0 0 Over 100 HP/KW/KVA: $0.00`;1� R gmt Fee: �V0. Ian Check Fee: Piggy Be mp Power: $0. Investigation Fee: T ower Pole: 0 .00 Issuance Fee: Supplemental Fee: -Fee x:00 Fee Due at Permit Issuance: $34 EP RMtT3 P 0 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ifrucfion,�la6rs:.p.¢ a ay 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 $33.00 $0.00 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 ($500). LI I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' o improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completio wne improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the 1 )ly to an owner of property who builds or improves thereon, and who contracts for the projects. with I am exemgCffbM licensure under the Contractors' State License Law for the following re mflo immy signaturebelow I acknowledge that, except for my personal residence in which_eiave re: structure tWJ have built as an owner -builder if it has not been construc�teLLI s entirety by lice ifesstons CgCle,'ig.a6ailable upon request when this application is sut)tnitt€�or at the following We P atua of Property Owner or Authorized Agent .EN9ED CONTRACTORS DECLARATION •reb)*affirm wldar penalty of perjury that I a .1ietisr�UT- "eb;affirm p ows on apter 9 (c cit f 011 ct. .. € o rl— . . • . �c' °� I ArZ�i. a under pon$(ty of perjury on ,of the f��iwing dectlj:Q,rhibr' 110,I,I�Oe and,v%Majntarr�'�'tLLt�t a certdc fe oiionse 118ure for workers' ormance of the werk for�Ihlch s perm) > ss is icy No. have and will maintain v rkers, co„�r,P66Sa'on insurancgg,, ire ' Nance carrier and policy Amber a4 %�` 5€N ` ;a _ ne of Agent (':' • A; R. KA v certify that, in the perforf anc of th o ch this permit is issued, I shall t, if I should become su ect to e woi e, i� 1pfa nsation provisions of Sectuqn, nature of Applicant 4 CLARATION REGAR IN CTI N LENDjNCI - b :reby affirm under pe al f p ry'':pthat the co�astcyd io tl:ng ay�0�sy v� ider s Name 'i .� \?'• my signature below, I certify to each ,f theoil 'I- : aU I am the property owner or authorize` to act"on the prope,�y owners behalf. I have read this application and the in mi tion 1 ave rovided is corre I agree to comply with all applicable cit and co my o inances,to laws n I authorize representatives of this city o out tQ te;, abov ntifiefLpr6 nature of Property Owner or Authorized X44, Business and. Professions ract�`pursuant to the Crlrarst0 one yeri©I pletion of tI I yq¢Unh that a copy of the f�eg o.ca.gov/calaw.htmnf &vision 3 of the Business Contractor Signatur/ PENALTIES AND CIVIL FINES UP TO ot$I :tor of Industrial Relations Mite Labor Code, for the S d— any per m any m ihli p sovas to become Labor Code, I shall fohwith comply with oe r the performance of the rk1or which Lender's Addresg, purposes. for not intended or offered for sale (Section 7044, builds or improves the property, provided that the have the burden of proving that it was not built or e: The Contractors' State License Law does not $ to License Law). : im ovemients covered by this permit, I cannot legally irli ble law, Section 7044 of the Business and Date d Pr f Bions, Code, and my license is in full force AUNDRED THO AND`gOLLARS ($100,000), IN ADDITION TO THE I�NSe of the Labor Code, for thl J`,hiMy workers' compensatior 1 r ' Wens n Jdws of California, and agre( n 3097, Civil Code) ACTION DATE DECLARATION OF COMPLIANCEtMTH CODEOF FOR OFFICE USE ONLY 1 � FEDERAL REGULATIONS PART 890FT11LE40AND AQMDRULE 1403. PERMITEXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO: PERMIT CANCELLED ❑ EPA ❑ AQMD PERMITEXTENDED ❑ ASBESTOSNOTfFICARONIS NOTAPPLICABLE TO PROPOSED DEMOLITION, PERMIT FINAL CERTIRCATE OF SIGNATURE: OCCUPANCYISSUED