HomeMy WebLinkAboutX2019-4155 - MiscCITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newoortbeachca.aov 1 (949) 644-3200
TEMPORARY POWER RELEASE
APPLICATION
(Inspection/Administrative Fee)
COMMERCIAL: $209.00
RESIDENTIAL: NO FEE
PROJECT: _ I
OWNER'S NAME:
PHONE NO: I l :7i%/z f I l7_ D
JOB ADDRESS: ___ _.J I, S_____ v�✓GL / _ ___
BUILDING PERMIT NO.(s):_ k I I'I 55
Request is hereby made for the release of electrical on subject project only for the purpose of
testing eauioment and/or mechanical systems prior to building permit final approval.
I agree that no building or structure shall be used or occupied until the Building inspector has
issued a building permit final approval or Certificate of Occupancy.
Moving in furniture, staging, showing for sale, or any use other than construction, shall be
considered use or occupancy and a violation of this agreement (CBC 111.1).
Furthermore, it is not our intent to use or occupy this building until all City regulations and
conditions concerning this building have been complied with, and it is understood and agreed that
the City of Newport Beach is hereby authorized to order disconnect of service without notification
for any violation of the above conditions prior to final approval or Certificate of Occupancy.
OWNER or TENANT SIGNATURE: DATE:
PRINT name of owner or tenant PHONE #�!
..._ .._ .
CONTRACTOR SIGNATURE:
PRINT name of contractor: �jY �G I f _ Iv�, (/�._. PHONE #: _11_4—Z27j_I6C
(for office use only)
APPROVED BY: - cw L k Z ( - Z r`
Building Inspector Date
Forms\TEMPORARY POWER RELEASE APPLICATION. 07/01/2021