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HomeMy WebLinkAboutE2021-0601 - Permits�v City of Newport Beach - Building Division ` d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ca Job Address: 1400 NEWPORT CENTER DR Bldg: 1 Floor: 2 Suite: Description of Work: ELEC -'EXIT' SIGN IN'2ND,;FL_CORRIDOR Inspector Area: 7 Electrical Permit: E2021-0601 IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII Project No : Legal Description: IRVINE SUB ELK 93 POR'OF BLK ZGi Z, Owner: IRVINE CO Contractor: s DYNAMIC_ELECTRICj Address: 550 NEWPORT CENTER DR Address; r 18835 AL60Nf0UIN.. NEWPORT BEACH CA 92660 �Mt�NTIN(;T9J3 " ' - Phone: Phone: ` 714 �07 3325C: ' Con State Lic 978307 ag Issued Date:09/22/2021 ' Lic Expirei' � . . Q113112023 Bus Lic: - f3T30p73547 Processed By: Lic Exit ;Date. 11/3012021 New Construction Residential Multi -Family: 0 1-2 Family: 0 Service $0.00 $0.00-' 0-600V up to 20OA: 0 $0.o 0-600V over20OA: 0 $0.00' Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $41.27 Inspection Requests Phone (949)644-3255 Code Edit: 2019 SOL-UTLQ-NS CO Worker's Compeil5ationingurance STE 164 .Carrier: PREFERRED EMPLOYERSINS iA'as" ,y; ' Policy NO WKN1534178 .. Expire : 04/08/2022 TOR INSPEC FEES Receptacle/giitch/outlets Mot f HP/K ors/T tans ormers ( VAI Receptacles/Outlets 0: $O.DO' 0 to W/KVA: 0 $0.00 Temp Underground Fixtures - ?;.. 1. $1:75' 1 to KW/KVA:- 0 $0.00 Sub Panel Sep Circuits: 0,,' $0.00 10 t /KW/KVA: 0 $0.00 Low Voltage 0 $0.00 50 to VA 0 $0.00 Signs Over 100 HPLKW/KVA: 0 $0.00 :Record Mgmt Fee: Branch Circuit: 0-._._$0.00 plan Check Fee: Each Add Circuit: 0 $O.OIJ"-r,�iggyy Back/Temp Power: 0 ` $0.00: Investigation Fee: Time Clocks..' _. $0.00 Temp Power..Pole: 0 $0.00 Issuance Fee: Additional Fee $0:00--- Supplemental Fee: Plan PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION r 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. OBO •�D DO® O®& £ 6 •• Y S O O O O, OOJ O Op ♦ { ' DO D4D P O O • t O O i 6 OOC O 4 OGO f ( b au Dcy w D cD� ° c as •w• 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $1.52 $0.00 $38.00 $0.00 Issuance: $41.27 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 item(s) (ection 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 'le 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 Iicensure 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or U 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). ❑ I am exempt from Iicensure 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 legal) 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.html. 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 Pr-f sions Code, and my license is in full force and effect. Date 22 Contractor Signature - - License Class License No WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN R THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 the ormance of the work 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' compensation 'n rance carrier and policy number are: Carrier Policy Number Expiration Date IS of Agent certify that, in the performance of the work if I should become subject to the workers' of Applicant 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 agree ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �l I EGLAKA I IUN KLUAKIJINI uvrva I MUY IIMIY LCIYVII%V , hereby affirm under penalty of perjury the there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of t following: 1 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 ordin ces and state laws relating to building construction. I authorize representatives of this city or county to elite above -identified property for inspection purposes. , signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name r' ,\ ACTION DATE BY DECLARATION OF COMPLIANCE INfTH CODE OF FOR 01 FEDERAL REGWyTfON$P.4RT" OF VAE4PANO PERMIT EXPIRED A] I SU .i`tT • 3'3% ��Z ❑ 1 SH541fjTFelTASigESiOS NOi7FtCJ{TtQN Jp: PERMfT CANCELLED ❑ ePA ' + • " ' P€RMIT:EXTENDED ❑ AQMD ❑ ASBESTOS NOTtACA'RONISNOT APPLICABLE TO PERMIT FINAL PROPOSED D1•fiJQLfTIpN. • • + CERTIFICATEOF SIGNATURE., ' "+e •• + ' •• OCCUPANCYISSUED •�� • i+• �e� _ Date '.. We will run a 12/2 MC Cable our new e: � F g. (PanPan r r e412, Cir#5, 277v) its existing exit sign j-box to location. ! iAdd a new exit sign in Ad Floor Corridor to make path of egress more visible. 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