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HomeMy WebLinkAboutE2020-0149 - Permits'k City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2020-0149 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 1 4 9 Project No: 0196-2019 F Permit Counter Phone (949)644-3288 '"�ansu^k Inspection Requests Phone (949)644-3255 JoAddress: 6700 OCEAN FRONT W Bldg: 1 Floor: Suite: Description of Work: ELEC INSTALL OUTLET FOR FUTURE BBQ Inspector Area: 3 Code Edit: 2019 INSPECTOR Legal Description: SEASHORE COLONY TR LOT 1 BILKK G ALL -INC POR ST ADJ- -EX Nft p'�yg� 15 FTCONS Owner: WESTOF LLC Contractor: R D M S INC VC rker's Compensation Insurance Address: 14850 SUNFLOWER AVE Address: 250 E BAKER ST # 300 g /�yy���r�r - EVVERSTREMIER INS CO SANTA ANA CA 92707 $0.00 COSTA MESA CA 92626 PoliSy $�Qj�16443191 Phone: Phone: 714-448-9835 ON Expire : 0 / 0 �� Issued Date:03/11/2 0 Con State Lie Expire: 12/31/2020 8730008726 ���®°`I Sub Panel: Bus Lie: $0.00 7� C6.® Processed By: Lie Exp Date: 01/31/2021 ° 0 $0.00 $0.00 6 O ° 00060 O O O O 00 GG O O New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 TOTAL Fee: FEES Receptacle/Switch/Outlets Receptacles/Outlets: 1 $1.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 Temp Underground: Low Voltage 0 $0.00 0 Signs Sub Panel: 0°°°°6 $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee : 0 $0.00 FEES G Motors/Transformers(HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: G .0 $6.60 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0°°°°6 $tf66° 10 to 50 HP/KW/KVA: 0 $0.00 ° 0 $6.66° 50 to 100 HP/KW/KVA: 0 $0.00 G ° .0 01.04 ° Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: a °..° 0.00 Plan Check Fee: .4.6 `$'d.66 ° Piggy Backrremp Power: 0 $0.00 Investigation Fee: ..... ° $d66 ° Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Plan Check 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. 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 itern(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). " ❑ 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, 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 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 improved 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 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 legally 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.htmi. 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 Professions Code, and my license is in full force and effect. */ I' r License Class License No a ContraSignature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL Flis UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undarpenalty of perjury one of the following declarations: I have and will YR3intain 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 tht Ifismvence of Vie work for which this permit is issued. Policy No. . ha,4e and J143ifitain 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' compensation ufWe carrier arrtl policy number are: Policy Number Expiration Date Cerny that, iR4ht performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become sub' ct to the workers' compensation laws of California, and agreE tpii 1s become sub'ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ovisions. % ! ia4u'r��FA)plipant.. to CLAFIATIOINI%kGAIfDING CONST GTAOWL ENDING AGENCY •� ,le"'affirm undo penalty of jury-thafthefe is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ZrJs Name. . Lender's Address my signature lfeldv7, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this ci r county to enter a above -identified property for inspection purposes. ('I nature of Property Owner or Author' gent Print Property Owner's or Authorized Ager Name ak AC17ON DATE B DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART fitOF TITLE40AND AQMDRULE1403. PERMIT€XPIR€O ❑ ISUBMITTEDASBESTOSNOTIFICAT!ONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOIIHCA170NIS NOTAPPLICABLETO PROPOSED DEMOLITION. PERMITFINAL 2®QE CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED �m �> 2222# CD k i \�V� Z2 S2 §§ 22�0f2 CL co �/ ■ e or 2'u Z § &� r - U) \ § a£ kECcd kz �� c�=CM§_ k 2�M� 0 U � _oeA 2 2 § *0 §§ Um gE�-E2 © c�2® Eo« o■ Q o '9§02 -LU, /t7 �■ �2 -.c •,22EG C7 �KEE• �§ §2 "d VC00 D2Cow �/j 2 ao §@a .2 2ee2� �f& �E J82 a0 2aa9k8 �m 1 � i 1 �