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HomeMy WebLinkAboutE2020-0234 - Permitstwt City of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII off'. 100 Civic Center Drive, Newport Beach, CA 92660 III E 2 0 2 0 0 2 3 4 II F j Permit Counter Phone (949)644-3288 U .ar Electrical Permit: Eg2020-0234 Project No: 0835-2020 Inspection Requests Phone (9,49)644-3255 Job Address: 2800 PACIFIC VIEW DR Bldg: 1 Floor: Suite: - Description of Work: MFR/COMM REMOVE/REPLACE (E) PANELS (115, 123, 131 & 132) "SEAVIEW LUTHERAN PLAZA" Inspector Area: 7 Code Edit: 2019 Legal Description: P BK 149 PG 25 PAR 1 Owner: LUTHERAN PLAZA SEAVIEW Contractor: Address: 2800 PACIFIC VIEW DR Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:08/11/2020 Lic Expire: Bus Lic: Processed By: �` Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 4 $180.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $371.60 SOUTH COAST ELECTRICAL INC 800 E ORANGETHORPE AVE ANAHEIM, CA 92801 714-782-9640 886771 11/30/2020 BT30061885 01/31/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Worker's Compensation Insurance Carrier: FEDERAL INSURANCE Policy No: 54309689 Expire : 0512112021 FEES Motors/Transformers (HP/KVA) 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: 0009®� G o o ane�o eo°oco � ° G oGovoo G °°uoG 30 f JOOO O ' Temp Underground: „ 0 $0.19 Sub Panel: °10 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $156.60 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 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. )WNER-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 nextto 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 he permit to file a signed statement that he or she is licensed pursuant to the provisions ofthe Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) orthat 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 lot more than five hundred dollars ($500). I, as owner of the properly, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 nprovements 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 n roved for the purpos n 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 ipply 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 lip:ensure under the Contractors' State License Law for the following reason: ly 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 ell 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 Tofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calow.hhnl. lignature of Property O Nner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingYRTCPJMINAL lion 7000) of Division 3 of the Business d Professions Code, and my license is in full force nd effect. icense Class License No Dat_ Contractor Signature Michael P. Melvinil1[-`"fl--=- "°"" — VORKERS' COMPE3SATION DECLARATION DARNING FAILURE TO SECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO PENALTIES AND CML FINES UP TO ON HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, D:IMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEYS FEES. hereby affirm under pe -talty of perjury one of the following declarations; 7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th� 91ormance of the workfor which this permit is issued. Policy No. have and will] maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: r Policy Number Expiration Date of Agent _ Phone# LJI certify that, in the perform nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to t e workers' compensation Ia%vs of California, and agre that, if I should become.subj t to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those pro 'si S. .M.." 8-11-2020 Signature of, pplicant_ Michael P. Melvib%"i=iEYa^ '^","�tM 7..m ^7m'��°°°" Date DECLARATION REGAR G CONSTRUCTION LENDING AGENCY l hereby affirm under pe-. I of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (e n 3097, Civil Code). ender's Name Lender's Address By my signature below, : certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and cou ordinances and state laws relating to building construction. I authorize representatives of this city or cou enter the above-'a,aofd$_,_gA.pmpert�yr for inspection purposes.-11-2020 Signature of Property Owner or Authorized Agent Michael P. MelvirF„....:,^ Print Property Owner's or Authorized Agent's Name Michael Melvin ` Date ACTION DATE. BY DECLARATION C-OTP—LIANCE M NCODEOF FEDERAL REGULATIONS PART 6f OF 777LE40AND ARMDRULE1403. ❑ I SUBNTTEDASBESTOS N077FICA770N O: j] EPA AQMD E3 �BESTOS M07IRCATIONIS NOTAPPUCASLE TO PROPOSED DEMOLITION. SIGNATURE., FOROFRCEUSEONLY PERMiTO(PIRED PERA^,ITCANCELiED ._ PERMITEX7EMDED PERMI'MMAL CER77FfC47EOF OCCDPANCYlBSUEC