HomeMy WebLinkAboutE2020-0260 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 133 VIA JUCAR Bldg: 1 Floor:
Description of Work: ELEC .200 AMP SERVICE
Inspector Area:
Legal Description:
Owner: LIDO ISLE LP
Contractor:
Address: 655 BREA CANYON RD
Address:
WALNUT CA 91789
Phone:
Phone:
Issued Date:06/01/2020
Con State Lie:
Lie Expire:
r,
Processed By: N R�
Bus Lie:
Lie Exp Date:
Electrical Permit: E2020-0260
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Project No : 1381-2019
FABERWEST CONSTRUCTION
P.O. BOX 10771
NEWPORT BEACH CA 92658
530-277-7502
592260
02/28/2022
BT30030099
12/31/2020
New Construction
Receptacle/Switch/Outlets
Residential
Motors/Transformers (HP/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
Service
0
$0.00
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
Signs
0
$0.00
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 1 OOOA:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
0
$0.00
Additional Fee:
$0.00
TOTAL Fee:
$80.00
Fee Due at Permit Issuance •
Plan
Inspection Requests Phone (949)644-3255
NO GONSTRUGTION
Code Edit: 2019
ON SATURDAYS
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9050853
Expire: 04/01/2021
FEES
Motors/Transformers (HP/KVA)
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
0
$0.00
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
Piggy Back/Temp Power:
0
$0.00
Plan Check Fee:
Investigation Fee:
$0.00
$0.00
Temp Power Pole:
0
$0.00
Issuance Fee:
$35.00
Supplemental Fee:
$0.00
Fee : $0.00
Fee Due at Permit Issuance •
aRn nn
PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and,Saturday frorrg 8:00 a.m. to 6:00 p.m.
O O • f f O U
O C O O O O
OG VOC !� D OCG
O pop G ¢ p0 0pN JOG
e item(s)
NNER-BUILDER DECLARATION
I hereby affirm under sspand (Profess ons Code: Any city or eomy that requires a pom the Contractors' erm tte lto construct, altecense Law for r, improve, demolish, sh, or repair any structure, rpnor t its issuance, also requires lthecablapplicant for
action 70ofile sign
permit to file a signed statement that he or she is licensed pursuant ithe provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business an
ofessions Code) or that he or she is exempt from licensure and the bass is for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
It more than five hundred dollars ($500).
] I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intendimproves the ed or offered for sale (Section 704
Code: Contractors' State
does not
apply owner
fn employees'
Owner-Builder rproving tprovided
e
Iprovementts are not intentldooffered for ale. If, however, the buildng or imprvement ssold with one year of completion, the w have the burden of hat it was not built
(proved for the purpose of sale).
d Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors State License Law does no
11, as owner of the property, am exclusively contracting with license
)ply 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).
7 I am exempt from licensure under the Contractor' State License Law for the following reason
: ar rior to completion of sll lly
a structure that I halve built as an owner --builder if itnhas not been constructed nsonal residence in lch it I must have resided for at least one ye entirety by licensed co tractors. I understand that a copy of the appl cable aw,lSection 70441of the Buhis siness nand
not lega
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.govicalaw.html. Date
ignature of Property Owner or Authorized Agent
JCENSED 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 Professions Code, cense is in full force
nd effect. Dale 6 Contractor Signatur /�'yJ/l
icense Class License No
YORKERS' COMPENSATION DECLARATION
ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND DOLLARS (E700,005), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3105 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 th
rmance of the work for which this permit is issued. Policy No.
�ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code,
nce carrier and policy number are:
Policy Number
for the performance of the work for which this permit is issued. My workers'
Date
ne of Agent
certify that, in the performance of the work r which this permit is issued, I shall not employ any Peron in any manner so as to become subject to the workers' compensation laws of California, and agree
t, if I should become subject to the worke c pensation provisions of Section 3700 of'
Labor Code, I shall forthwith comply with those Dprovisions.
nature of Applicant
CLARATION REGARDING CONSTR CTI N LENDING AGENCY
;reby affirm under penalty of perjury at there is a construction lending agency for
theLenper Address of the work for which this permit is issued (Section 3097, Civi Co e .
Ider's Name
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 ordinances and at laws relating to building construction. 12 R
I authorize representatives of this city or county enter a bov d fled property for inspection purposes. 7*2 Date /
(nature of Property Owner s Authorized Agent Print Property Owner's or Authorized Agent's Name
DECLARATION OFCOMPLIA CEWITN CODEOf FOR OFFICE USE ONLY
ACTION DATE ,y .. • • • • EpQERAL REGULATIONSPART 81OF 7f7LE4DAND
D€RMITEXPIR€O •+ • • ❑ :i SUDM/TfEDASBESTOS NOTIFICATION TO:
`— • ❑ EPA
PERMITCANCELLED ❑ AOMD
PERMfT EXTENDED • • • ❑ ASBESTOS NORRCATIOMIS NOT APPUCABL.E TO
PfHMfTFlNAt -i® •,. •• :PROPOSED DEMOLITION.
CERTIFICATE OF : • • • • • ilAATURE:
OCCUPANCYISSUEO •i• �•• ••• i �• ••