Loading...
HomeMy WebLinkAboutE2019-0543 - Permits91 ,� City of Newport Beach - Building DIVISion (IIIIIIIIIIIIIIII IIIIIIII III�IIIIIIIIIIIIII II Electrical Permit: E2019-0543 ca°t �� .100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 5 4 3 Project No D `q Permit Counter Phone. (949)644-3288 '�4 rsv.a Inspection Requests Phone (949)644-3255 Job Address: 527 WESTMINSTER AVE Bldg:1 Floor: Suite; Description of Work: ELEC - 200 AMP SERVICE UPGRADE Inspector Area: ,2 Legal Description: N TR 27 BLK 2 LOT 19 Owner: ESPINOZA THERESA & LEO Contractor: Address: 527 WESTMINSTER AV Address: NEWPORT BEACH CA 92663 $0.00 Phone: Phone: $0.00 Con State Lic: Issued Datei08/07/2019 Lic Expire: 0-600V over 20OA: Bus Lic: Processed By: Lic Exp Date: New Construction Residential 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 over 20OA: 0 $0.00 Over 600V or 100oA: 0 $0.00 O/H to U/G 0 $0.00 CONTREX INC 31402 ISLE VISTA LAGUNA NIGUEL CA 92677 714-420-1806 533798 06/30/2020 BT30067650 06/30/2020 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Code Edit: 2016 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire : 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Underground: Sub Panel: 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. mm me® P 600 6` m omm 6 o m °mG c m oom o ° m m em cmc. m o m< •• ome o 0 omo 00o meo Ec-r®R 0 $0.00 0 $0.00 0 $0.00 0 $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 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 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 (_) all of or (_) 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 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 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 legally 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.htmi. 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 Professi Code, and my license is in full force nd effect. / 1 icense Class License No Date Contractor Signature 'N IIORKERS' COMPENSATION DECLARATION 'ARNING: 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I 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 thl erformance of the work for which this permit is issued. Policy No. ]I have 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 Isurance carrier and policy number are: arrier Policy Number Expiration Date nlof Agent rhone g t y that, in the performance of the orlp 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 theensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. nature of Applicant J�( �� Dat ' Y gl, 711 CLARATION REG D G S NDING AGENCY v/71' Neby 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 applicable city and county ordinan p f,)ate laws relating to building construction. I authorize representatives of this city or county to enter Identified property for inspection purposes. /_y/ nature of Property Owner or Authorized Agent v Print Property Owner6's or Authorized Agent's Name %&0,k) Date & 7 /f ACTION DATE BY •, DECLARATION OF COMPLIANC€WITH CODE OF FEDERAL REGUL.ATIONSPART 61 OFT17LE40AND AQMD RULE 1403. D I SUBMITTEDASBESTOS N077FICATION T0: ❑ EPA FOR OFFICE USE ONLY PERMITEXPIREO • • • • • • • , • • • P€RMITCANCELLEO ; . . • ; ' . • • • • • , 0 © AOMD ASBESTOS NOUHC47ION/S NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT EXTENDED • • T E PERMIT FINAL / CERTIFICATEOF • • • OCCUPANCYtSSUEO : • ' • • • • ' • • • • :.: : •