HomeMy WebLinkAboutE2020-0442 - PermitsCity of Newport Beach - Building Division
100 Cit is Center Drive, Newport Beach, CA 92660
Permit Mounter Phone (949)644-3288
Job Address: 3900 CHANNEL PL Bldg: 1 Floor:
Description of Work: EL:=C/TO BBQ
Inspector Area:
Legal Description:
LINE -(AND
E 2 0 2 0 0 4 4 2�� II
CANAL SECTION LOT 1 BLK 539 ALL -INC BET SAME & HIGH TIDE
Owner: 3900 CHANNEL PL #1, LLC
Contractor:
Address: 15 CORPARATE PLAZA
Address:
NEWPORT EEACH CA 92660
0
Phone:
Phone:
1
Con State Lic:
Issued Date:08/26/2020
Lic Expire:
r�,�'►'„�—�
Bus Lic:
Processed By: V
Lic Exp Date:
PATTERSON CONSTRUCTION
15 CORPORATE PLAZA STE.150
NEWPORT BEACH CA 92660
949-723-1800
802367
07/3112022
BT02110534
09/30/2020
New Construction
0 $0.00
Sub Panel:
Receptacle/Switch/Outlets
Residential
0
$0.00
Receptacles/Outlets:
1
$1.75
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
$0.00
Service
Signs
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Over 600V or1000A:
0
$0.00
Time Clocks:
0
$0.00
O/H to U/G
0
$0.00
Additional Fee :
$0.00
TOTAL Fee:
Electrical Permit: E2020-0442
Project No: 2171-2018
Inspection Requests Phone (949)644-3255
Code Edit: 2019
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9065406
Expire : 08/01/2021
FEES
0 $0.00
Sub Panel:
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 Backfremp 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:
$37.00
Supplemental Fee:
$0.00
Fee Due at Permit Issuance:
PERMITS EXPIRE 980 DAYS AFTER fSSUANCEyOR LST VALID INSPECTION
Construction Hours: Monday - Fi dak9ZO0 aah, to W30 p m. -and f;aturday from 8:00 a.m. to 6:00 p.m.
(rG OVO O ��00 OGo COO
OWNER-ELIILDER DECLARATION
I ttenelr/aGnn under FenaNyOf pxlryq• that Iron p,,,,pt fr9m Na Cmnlr-c7ere'sgat3 Cl:eleaa. cave for 111- renelxQsl 3Jux:udEalaw.by Ira ehP¢'m�m r) t near,•. plPcei trap jn tGc:Pppenpin cem[6I
;octan rtlif 'i, HUL'lr , coo l+mM.3aNrc [neat An)• Oily oreounly alai. Equirea a permd Ce comCm_I, eller, impw4o-; demolish, impair aaY stadi4tlg, pear qa X5 Ola WTIi at, a14hIW! rrEa Iha app}LSlit fc•
hp pend to file a saJned slut6manLtaal he dr slle Ill waneed pur::uar1410 11 a_ pmV ane 9F'1tu'Cxlimq?rr,' Slnlp a:r r' I:nv t'{�hP(AGf;I (mPmmPOPingVt-•.l1 :iMibn 7070J.OF JI4i51an cdf :he E419ine5s Nn;:
'rot?sainna @Cd?I ar "hal lir ar ehc is exrmp!.famt I'conse stand the hussier the allo3¢d caoTollen. Alrr+'.ulalion of SRcLen 70311.5 by arly s.uplivsnl fa a panel subjo!is the applicant to a chil penalty aI
lot More than five hummrad dnllnm
J I, al volwt 4 Iha prepelty, mfah' amRosa£¢wr,h W19ES Bea elft GORE aln[ana011dfl, Will do lj at oFar 1U penlannof Ihstvtnys;; and NII• iti turm rt not. 1pfcn.ed Orotlmmd ror eale (OatE'dr. 704,1
teniae a „nrF pmf?E?eons fhe. Cal•;radOW Slate LIoense Istir Joe:s jIot xp[9y to an owner of prep•r:y who, Mravghdnpldjpc#'qr I.yrwnpl orfort bUildS or Imyro4**. Me Drapery. proviJed Wat 0'x
Tummment's sre not In:arded or: eltarad for safe. 7f, he.,vavar, the eliedie� ar inpmvcn art ip cold vn;hm ran yra� rn rVm111atkan, tha'VnnEr-&utl.Aredll h9vB11,e:burn?n of pr0ving Ihal r sons nC.iui C.0
rproved far Ih9 purpose 2r sule).
I, 3S mmr of the property. .m nxtlLM,sly or.nlmrnrlD 1vn191r"MWd [Conroe-0Jrn to c419tntmj tale C(OI d f.,eMbil 7044, Buaillls% and Coon the Cculir=farliSlate. LKcnse Law deal no;
Ip'ly to un awoe, of pl a[r+dywho builJs or otpravul inglOm, and. Otho CC•;tImG8 far he projact£tlM 3Humid! `Cgrt PJCWr pnBuanaa me'.CdntmElor9' elate 4Crrrn L v' ).
1 am exETpCfrom htenmm under the Cbritractois' Siota Licnnsu Las farMedca.:vine ran3p:
lyrmr a511'.alule bulcw 1. acknowledge Thal oa,pot for my p0nQncl=Idercein vA'Jm l nmat IEoa rsalNOd rerell fea9tM fe fInGr OECmpell..ne€.the unpm•enenla dducred hythL4 pemit,Ir.4nnr:tlrUalt
el a stmclwm that I have hudt As ani it rbnlldor;f It hdS. ,of b1 dol cVh,, IuotW it, II5 CIIL{etj IW 1VIIebd c-raft-IQlt1 LIISILYLlAl14} that J CGpy Jli i Ffh-07 `G+dISs law, en ••:Oction nuM?m.d by of 11 10 n11,O cnl nrOrt
§of.a rano'%do. la available Latin raqueal whan IN!'aPP11=Galere sobuitred oral the tollgaiq 1J len st .mlplavAvrael�nln ra,gnnlral'l; a =P'l.
tlgnalurO Of Prof. -arty O Aner ctl AulmrlsedAft _ Date.
.ICENSED CONTRACTOR'S DECLARATION
hereby allifmivnder penalty LIF petjmy!hat l:ImlicelluuJ'undcr,prow; Ours of yhapfo-9(.cmmaacing yeth Sereihlki,QCJM_of olyisbn 3 drthe livaine5a 39dpraf as s ani[ nwmvenae ie ill 10 fere
.na arfacRKE LICCOM §4 IA ccs N[ E81='[`Y/s�a •�'.CbntroElet&r�nelme
YORYERS' COh1RE1i5ATI0N DECLARATION
rMvnNWAIWOE TOV URWOMVZ CdflPEMEAlID4 Lp1EW.a4V•IL5W.w AIM 11FLLp=LWA•1 doPLOYrlt rndmw•U45SNF11LsAnn gMl. TI S[ Rp Tor;lc 1141+earn1IrtL?nl/nIX.larc5 ff1rMeP?. 14AC(tnlC,uT9 lir
OSTdFCONPa4I AWW, UwZa a5 R9 idCYdaEU Rp.4Ih aEL'I'I.IN ]: tp Ln tMr L4ryF C(ICo;; elZF41FT, nan.V'RdhATir'£ Pike,
Ugreh'J at urn under rsnalty of parjdry me or file ral'miing decU ralicrin:
7 1 Pana and wall MsWlain is Eelrr4_ale of eenaellf W self -insure far nscrknl C.4mpansahnn: lesm3 by the Director of I00osirial Relations as pro4lded for Ly Sectlor, 3165 0r the tabor Ccde, ter tel
a art Ileo of Mu Wolk, far which thin cclmlt k Iaar09. Policy No.
Ilan- and Wit rOIntala •ne kers.' mmpresadcn bsuranca, P. mqu rad lxy Sg-Oon 170 or the tabor tyre, for Iha paell A9nenOB Or ale Wolk. toy "Idols !his pennk is Issued, Pay ,corkers' wl'pelua' o
Pumnce wninr andmer lid( `% niinberprw
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71 eetiey Ipal. In the peezrm'nx of thew," rnilifdl thl pond IF -sand, f $hall not nmol aeon pe nn n nay ane?rsoas to bacam9avliecl [adhe'Au er5'wnrpe 9ai 0ir iaa;a O' CBllkarda; and a+.'^:
that I1;frc in canntnaalo'I
I Sas the propene avlwr araupmriaed lm aq: vel Ute propel lyuaaln"x balralr.
I ileo& read Ihls aproetlan and the Rirmrmaffort 1 Mane plovlled Is cmerl.
I agree la ramply mit all apalimb'e city and county ordinanrns anI Mi9p la
I anrflrrtxa rrtpraxrznrnil al MIK%.ip• Or G.t�yl•�Iro rtatr ah/uyE-11{ryjlf}3r;
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