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HomeMy WebLinkAboutE2020-0094 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 'attrna"� IIIIII0�I� IIID 0�I0I 4 II Job Address: 501 (EV) BAY AVE W Bldg: 1 Floor: Suite: Description of Work: ELEC INSTL VEHICLE CHARGING STATION @ THE PARKING GARAGE FOR UNIT (E) PLAN ATTACHED Inspector Area: 1 Legal Description: Owner: BAY ISLAND CLUB Contractor: ROWE ELECTRIC INC Address: 18 BAY ISLAND Address: 625 W KATELLA AVE #26 NEWPORT BEACH CA 92261 Receptacles/Outlets: ORANGE CA 92867 Phone: Phone: 714-639-6110 $0.00 Con State Lie: 850357 Issued Date:02/18/2020 Lie Expire: 11/30/2020 $0.00 Bus Lie: BT30071079 Processed By: Lie Exp Date: ° New Construction o .."a $0.00 ° Receptacle/Switch/Outlets Residential ° m ° o o e0 $D.T)I)- 0 to 1 HP/KW/KVA: Receptacles/Outlets: 1 $1.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 . ° Low Voltage 0 $0.00 Service ° 0 0 Signs oom000 0-600V up to 20OA: 1 $45.00 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 Electrical Permit: E2020-0094 Project No: Inspection Requests Phone (949)644-3255 '1 V Vi Ev 1 ®R Code Edit: 2019 Worker's Compensation Insurance Carrier: HARTFORD Policy No: ROWCO20748 Expire : 12/31/2020 FEES o .."a $0.00 ° Motors/Transformers (HP/KVA) ° m ° o o e0 $D.T)I)- 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 Backriemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee : o©om o .."a $0.00 ° case 0 ° m ° o o e0 $D.T)I)- ooeo $0.00 Plan Check Fee: $46.11 m m ee m moe0000 Supplemental Fee: e o 0 $134.11 . ° om ° 0 0 oom000 0 0 o e o 0 mo 0 o m eoeoo ee e °e000 Temp Underground: °° ° 0 $0.0v Sub Panel o .."a $0.00 ° case 0 ° m ° o o e0 $D.T)I)- Record Mgmt Fee: $0.00 Plan Check Fee: $46.11 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $134.11 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. OWNER -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, priorto its issuance, also requires the an..nlicant 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). ❑ 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, Business 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 improvements.are.notintended 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 im roved for the purposeofsale). 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 apply 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: By 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 legall, sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I 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 rofe si s Code, and my license is in full force and effect. License Class .... License No e IE u% Contractorffi re WORKERS' COMPENSATION DECLARATION /1ARNINB+FAILURE 10 SEEORE 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 COST OF COMPENSATVA, LQIMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. P%eby affirm under penalty of perjury one of the following declarations: 0 I grave 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 th ..... r0 rrrfapce of the WoKfor which this permit is issued. Policy No. ►,K Djj a and wgl%9jAtpin 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' compensatioi surancv carrier and -policy number are: :arrler Policy Number Expiration Date lame of -Agent ofPhone # lame � dL "40 that, in the performance of th 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 1%, jf l sfiould b1 4 Sub' c to a w�kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi 'Ones . .• b (/ signature of Da - IECLARATION EGARDING 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 iy 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 ordina es and state laws relating to building construction. I authorize representatives s city or county to th entified property for inspection purposes. A t ',icnature of Property Owner o orized Ag;rt �' _ y � Print Property Owner's or Authorized Agent's e_ r"v` ��/aaate 6 C ACTION DATE BY DECLARATION OF COMPLIANCEtNITH CODE OF- FOR OFFICE USE ONt F€DERAL REGULATIONSPART 89 OF T[TLE40AND AQMDRULE1403. PERMITEXPIRED 1SUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATiONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL —A1 —2U 1` CERTIFfCATEOF - SIGNATURE: OCCUPANCYISSUED L') 0'py UNI 1 r c CITY OF NEWPORT BEACH COM IVAL OF THESE PLANS DOES )RIZATION TO CONSTRUCT ':HTFNT WITH THE ORDINANC:: THESE OF VdS. AND POLICIES OP+THE CITY OF lOr GUARANTEE THAT THESE PLANS WITH CITY, BUILDING AND 'iG 'ITY OF NEWPORT BEACH 1 5s DIISE THE BUILDING S FU l OR S BEFORE, DURING OR A ;ER TH THE ORDINANCES PLANS AND n:.r_ f4 GI' P,1!�NiNr lW/P V.- VAL[ BUILDING: 114-4 A Zv u r, K f ICOAAU444Arca. CITY OF NEWPORT BEACH COM IVAL OF THESE PLANS DOES )RIZATION TO CONSTRUCT ':HTFNT WITH THE ORDINANC:: THESE OF VdS. AND POLICIES OP+THE CITY OF lOr GUARANTEE THAT THESE PLANS WITH CITY, BUILDING AND 'iG 'ITY OF NEWPORT BEACH 1 5s DIISE THE BUILDING S FU l OR S BEFORE, DURING OR A ;ER TH THE ORDINANCES PLANS AND n:.r_ GI' P,1!�NiNr lW/P V.- VAL[ BUILDING: 114-4 A 1114i1 % Ca C 6L -1v >>>. 0�c�pas� BUILDING DIVISION By, a. F-.