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HomeMy WebLinkAboutX2019-4156 - MiscCITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive 1 P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1(949) 644-3200 TEMPORARY POWER RELEASE APPLICATION (Inspection/Administrative Fee) COMMERCIAL: $209.00 RESIDENTIAL: NO FEE PROJECT: /� I OWNER'S NAME: -- u�tii �v1 �V' i a_ PHONE NO:._7_�. 14;Z/-I&Jt) JOB ADDRESS: — BUILDING PERMIT NO.(s):__ Request is hereby made for the release of electrical on subject project only for the purpose of testing eguioment 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 I11.1). 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 T� AATE..,,_ -PRINT name of owner or tenant:,�q�(i���Y_ W �Lt PHONE # CONTRACTOR SIGNATURE: „ _ . ,- DATE: PRINT name of contractor:!_ ?(h!.�V1 PHONE #: �/y ZZZ 1 ISD n (for office use only) APPROVED BY: J� 1��- -k Z / --z,-r Building Inspector I Date Forms\TEMPORARY POWER RELEASE APPLICATION. 07/01/2021