The URL can be used to link to this page

Home My WebLink AboutE2021-0377 - PermitsCity of Newport Beach - Building Division *E2021-0377* 100 Civic Center Drive, Newport Beach, CA 92660AA � Permit Counter Phone (949)644-3288 1 C� P C I 1 l 4_ Job Address: 500 NEWPORT CENTER DR Bldg: 1 Floor3 Suite: 300 Description of Work: COMM ELEC OUTLET IN KITCHEN Inspector Area: Legal Description: IRVINE SUB LOT BLK 93 POR OF BILK Owner: IRVINE CO C Contractor: Address: 550 NEWPORT CENTEDR Address: NEWPORT BEACH, CA 92658 ° m Phone: Phone: 1 Con State Lic: Issued Date:06/2212021 Lic Expire: G� Bus Lic: Processed By: Lic Exp Date: 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 eeoe $0.00 Receptacle/Switch/Outlets Residential ° m Worker's Compensation Insurance 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 °° c Investigation Fee: Low Voltage 0 $0.00 Service ° Signs Supplemental Fee: co o o 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 or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: Electrical Permit: E2021-0377 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 FEES eeoe $0.00 Motors/Transformers (HP/KVA) o eaeo ° m Worker's Compensation Insurance eemo °e°°° Carrier: PREFERRED EMPLOYERS 1111Soo 0 Policy No: WKN1534178 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 Expire : 04/08/2022 Over 100 HP/KW/KVA: m ° $0.00 o o °° °° c Investigation Fee: $0.00 m ° Om 0000 ° mmeoo� Supplemental Fee: co o o i � m �, oo coonc� FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel: 0 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 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: $1.52 Investigation Fee: $0.00 Issuance Fee: $37.00 Supplemental Fee: $0.00 Due at Permit Issuance: $40.27 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. DWNER-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, 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 &I not 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 intended or offered for sale (Section 704`4, 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). I 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 structure3thM014have 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 Coda, d%available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Slgnatpire of PrOp%V Owner or Authorized Agent Date VICENSED OC%TRACTOR'S DECLARATION hereby affirm upder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing "th co6on��7000) of Division 3 of the BusinesKno fes ions Code, and my license is in fullN'D rce ar- 3 9ffect. yy�/ZZ '� tjceflae Class • .0: License No Date Contractor Signatu NbRKERS' COMPENSATION DECLARATION • .. IAT2AVG: FAILERE 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OED THOUSAND DOLLARS ($700,000), IN ADDITIOO THE 306F OF COMPEIM9ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ••hereby affirm Under penalty of perjury one of the following declarations: I;ave and vWUnaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the 5 rformance oflhe fvork for which this permit is issued. Policy No. ✓ 1 have arft4ifl4aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation "ura carrier and policy number are: Policy Number me of Agent _ Date I certify that, in the pmance of work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and agree t, if I should beco ject to th kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi 'on p / �� (nature of Applican Dat. (P 'LZ 'L, CLARATION REGWING'CON$TRUCTION LENDING AGENCY ' areby affirm under penalty of pe) ry that there is a construction lending agency for the performance of the work for which this permit is issued a ion 3097, Civil Code) ider's Name 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 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 city or coun en r - ove-Identified property for inspection purposes. mature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's NameYAI .Q ` I^0. ACTION DATE y I, BY DECLARATIONOF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY _ FEDERAL REGULATIONS PART 61 OF TITI_E40 AND AQMD RULE 9403. PERMIT EXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO.' ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIRCAAFION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL C- 2 3..wz CERTIFICATEOF SIGNATURE: OCCUPANCYISSU€D 500 Newport Center Drive _ Newport Beach, CA 926�0� 3rd Floor / � if ,. S' i'� N,HI ICI n10 HL JI OSI O _ \ 4i IN— Irl./ l .. iD J IS H� �,.- 11H .al 1I T a3naw L.i 1 alnlu uo 1oN s u av le > > u ,300 E,1N.1111-11Vd:10 iN3Vk OUAACI A11Nfnw!oo ilovA8 `A"") Server Room where Panel-DI is located' i Add Now Convenience outlet at +18". \ Will connect power to existing convenience circuit #11 out of Panel -D1 (120v) Cud -ivy vpelud recep� 00 V/ evJ penctra t"t' J -box located above ceiling that contains J circuit #11 and is fed from Panel -D1 / (Panel located In Server Room) ,/2 1.1 v