HomeMy WebLinkAboutE2021-0305 - PermitsON*
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 550 (PH) NEWPORT CENTER DR Bldg: 1 Floor: Suite:
Description of Work: ELEC ADD (3) LIGHT FXITU RES IN PENTHOUSE
PLAN ATTACHED
Inspector Area: 7
Legal Description: IRVINE SUB LOT BLK 93 FOR OF BILK
Owner: IRVINE CO Contractor:
Address: 500 NEWPORT CENTER DR Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Con State Lic:
Issued Date:O 11/2021 Lic Expire:
_
Bus LIC:
Processed Lic Exp Date:
II III IIII ILII IIII ILII IIII IIIIII0 IVI IIII5 II
DYNAMIC ELECTRICAL SOLUTIONS CO
16835 ALGONQUIN ST, STE 164
HUNTINGTON BEACH CA 92649
714-907-3325
978307
01/31/2023
BT30073547
11/30/2021
New Construction
0
Code Edit: 2019
Receptacle/Switch/Outlets
Residential
0 to 1 HP/KW/KVA:
• •
Receptacles/Outlets:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
3
$5.25
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
°
o•coc
Investigation Fee:
Low Voltage
0
$0.00
Service
$37.00
Signs
Supplemental Fee:
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
0/H to U/G
0
$0.00
Additional Fee :
$0.00
TOTAL Fee:
Electrical Permit: E2021-0305
Project No:
Inspection Requests Phone (949)644-3255
I t V SPE VT
0
Code Edit: 2019
Motors/Transformers (HP/KVA)
Sub Panel:
0 to 1 HP/KW/KVA:
• •
$0.00
• • •
!•000(
Worker's Compensation Insurance •• •
°
Carrier: PREFERRED EMPLOYERS INS
• ° °
Policy No:WKN1534178 T
Expire 04108/2022
Over 100 HP/KW/KVA:
0
$0.00
Plan Check Fee:
°
o•coc
Investigation Fee:
$0.00
Issuance Fee:
$37.00
Supplemental Fee:
FEES
0
$0.00
Motors/Transformers (HP/KVA)
Sub Panel:
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:
0
$0.00
Sub Panel:
0
$0.00
0
$0.00
0
$0.00
Record Mgmt Fee:
$0.00
Plan Check Fee:
$4.57
Investigation Fee:
$0.00
Issuance Fee:
$37.00
Supplemental Fee:
$0.00
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.
VNER-BUILDER DECLARATION1
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 applKa4..w"'.`
oction 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
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
Ifessions 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
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,
siness 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
movements 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
moved 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
)ly 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).
I am exe ut f4om licensure under the Contractors' State License Law for the following reason:
my signa7ure%elow 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,
I a structurWal 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
VassionsQloVe,% available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
n2ture of Property Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
;reby affirm,undeopenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the usiness and Profe sA ions Code, and my license is in full force
teffect. • • "' ; / —.�,Il-Qy--moi
ey3e Class License No Con or Signature
)RKERS°GOVISENSATION DECLARATION
JNING: FAILURE j0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
iT OF COMPENS TION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
veby affirrr6tInder penalty of perjury one of the following declarations:
413ave 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 the
fgVance oilewovIkvk for which this permit is issued. Policy No.
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
trance carrier and policy number are:
of Agent
certify that, in the performance of
if I should b4ome subject to the
of
Policy Number
Date
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
%ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proytsions. 7 r
CLARATION REfqARDING CONITP15CTION LENDING AGENCY v ' `
:reby affirm under penalty of perjqrithat 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 U 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 ordi� Gas and state laws relating to building construction.
I authorize representatives of thiZcityyrcounty to epte h above -identified property for inspection purposes.
nature of Property Owner or Au ed Agent i� Print Property Owners or Authorized Agent's
rGVIv` V C1 I
ACTION DATE BY
DECLARATION OF COMPLIANCE 4 qTH CODE OF
FOR
FEDERAL REGULATIONSPART til OF TITLE40 AND
AQMD RULE 7403,
PERMIT EXPIRED
❑ ]SUBMITTED ASBESTOS M077FICATION TO:.
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
[ DASBES OS N07 RCA770N IS NOT APPLICABLE TO
PERMIT FINAL -5-M716-7- 1
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
15
0
co
o'
.i vim •,.
� �!IT, I&I
48 $IIii1
{
7
i
Z
O
N
Ira
p
A
§Z
u b
U 'O
L w
�
6 9
E
G
o E A
tet.,
o
y, do
E
3r
rn
H K
9
F
o
�
v
w
w
E
d a x
x
m
N
=
em
� �!IT, I&I
48 $IIii1
{
7
i
Z
O
N
p
A
§Z
u
k
'o
m
a