The URL can be used to link to this page

Home My WebLink AboutE2018-0508 - Permits0City of Newport Beach - Building Division *E2018-0508* Electrical Permit: E2018-0508 �, 100 Civic Center Drive, Newport Beach, CA 92660 Project No N 'c y Permit Counter Phone (949)644-3288 "+s ��b Inspection Requests Phone (949)644-3255 Job Address: 1501 BALBOA BLVD E Bldg: 1 Floor: Suite: Description of Work: ELEC PANEL UPGRADE 200 AMPS Inspector Area: Legal Description Owner: ROBERTS TODD Contractor: Address: 1501 E. BALBOA BLVD Address: NEWPORT BEACH, CA 92660 Code Edit: 2016 Phone: Phone: 0 Con State Lic: Issued Date:08/02/2018 Lic Expire: $0.00 Bus Lic: Processed By: Lic Exp Date: New Construction 0 $0.00 Receptacle/Switch/Outlets Residential Code Edit: 2016 10 to 50 HP/KW/KVA: Receptacles/Outlets: 0 $0.00 Multi -Family: m ° mem000 $0.00 Fixtures: ee • e=e ° R 3 BUILDERS Worker's Compensation Insurance 7,'V1,3 Sep Circuits: 11 CAPRICORN DR Carrier: STATE FUNDA•• $0.00 e m LADERA RANCH CA 92694 Policy No: 9095755 0 $0.00 714-330-2240 Expire : 04/10/2019 $33.00 to mo 936205 yJyy ° e m " o 08/31/2019 Branch Circuit: 0 $0.00 BT30061920 0 $0.00 Each Add Circuit: 01/31/2019 $0.00 m®°mmm a 0000m $0.00 Time Clocks: to e • ° mo oo O/H to U/G 0 m to m Additional Fee: New Construction 0 $0.00 Receptacle/Switch/Outlets Residential $0.00 10 to 50 HP/KW/KVA: 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 $33.00 Signs Supplemental Fee: 0-600V up to 20OA: 1 $41.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee: 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: 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: $33.00 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 Saturday from 8:00 a.m. to 6:00 p.m. )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) Zo 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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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). 1 am exempri' A jlcensure under the Contractors' State License Law for the following reason: ly m�r signature lTefOw I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to compla on of the improvements covered by this permit, I cannot legally e11 a ructure *abl.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 'rofe�ssions Code,,jg2vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. �gnatere of Prollerty Owner or Authorized Agent Date .INSED CQflTRACTOR'S DECLARATION bereby affirrd,ynd erpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with coon 7000) of Division 3 of the Business a Profess! s Code, and my license is in full force nd bffect. fdense Clasp' • License No Date i Contractor Signatur - VCYRKERS' LUMPENSATION DECLARATION 'RNG: FAILUReTO 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 OSTEF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •....• ILgfeby affirm undec penalty of perjury one of the following declarations: 3-1 have ana.Alf jnaintain 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 th le1ffrformance df Me work for which this permit is issued. Policy No. slave 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' compensatiol isurance carrier and policy number are: mer Policy Number Expiration Date me of Agent Phone # certify that, in the perm ance 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 agre t, if I should becomes ject tc a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio . nature of Applicant - Date CLARATION REG RDING CONSTRUCT( DING AGENCY ;reby affirm underpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issug (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 pvided is correct. I agree to comply with all applicable city and county o Inances and state laws relating to building construction. I authorize representatives of this city or county to ter t ove-identified pr pection purposes. �� y / r�J�Y� Z c- ��( nof„re of Prnnnnv rrn.,ner nr A„IhnrJoud Anenf l,�rnnart., n,.,ner. nr A,dhnrlccd Ancnf'c . MT v J „pyy��(ato Y ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE LY FEDERAL. REGDLATIONSPART 61 OF TIRE40 D AQMDRDLE1803. PERR4ITEXPIRED ❑ISUBMfTFEDASDESTOSN071FIC4TIONTO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED PROPOS �DEMOLITION.ASBESTOS DONIS NOT APPLICABLETO PERMITFINAL �,( �N CERTtFICATEOF OCCUPANCYISSUED SIGNATURE: