HomeMy WebLinkAboutE2021-0690 - PermitsCity of Newport Beach - Building Division *E2021-0690*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 119 25TH ST Bldg: 2 Floor: Suite:
Description of Work: SFR ELEC OVERHEAD TO UNDERGROUND AND UPGRADE SERVICE PANEL 200AMP
Inspector Area: 1
Legal Description: NEWPORT BEACH CITY BLK 25 LOT 26
Owner: BENDER GEORGE
Contractor:
B I D ELECTRIC
Address: 119 25TH STREET
Address:
412 N COAST HWY #B250
NEWPORT BEACH, CA 92663
Phone:
LAGUNA BEACH CA 92561
Phone:
949-903-4591
Issued Date:10/11/2021
Con State Lie:
730445
Lie Expire:
12/31/2022
Processed 3
Bus Lie:
BT30076892
By: L3 -Lie
Exp Date:
1013112022
New Construction
Receptacle/Switch/Outlets
Residential
Receptacles/Outlets:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
Service
Low Voltage
0
$0.00
Signs
0-600V up to 20OA:
1
$47.00
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
1
$47.00
Additional Fee:
$0.00
TOTAL Fee:
$132.00
Plan
Electrical Permit: E2021-0690
Project No:
Inspection Requests Phone (949)644-3255
NO CONS T RUCTION NOISE
Code Edit: 2019
ON THE WEEKEND
Worker's Compensation Insurance
Carrier: W/C EXEMPT o°°°o°
Policy No: (NO EMPLOYEES) °
Expire
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
Fee
Temp Underground:
Sub Panel:
Record Mgmt Fee:
Plan Check Fee:
Investigation Fee:
Issuance Fee:
Supplemental Fee:
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.
°
°.°°.
°
°
° .
0
$o:ata°
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$38.00
$0.00
32.00
)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 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
rov
sions
the
ctors' State
cense Law
er 9 (commencing
ith Section
0) of
he Business and
Iro ess olnsoCode) or that hero she shexempt from licensu edandrthe basis forpl pusuant to thethe alleged fexe pti exemption. Any violation rof Section 7031.5 tby any applicant ora permit subjects the applicant tota civil penalty of
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or C-) 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
mprovements 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
mproved 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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 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.htmi. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70t00�)}o/f Division 3 of the Business and Professions Cy/Qeand my license is in full force
and irfl&t. ..... License No Date �t "` _ Contractor Signature r /
I icense•Class 0
WQR%ERS' COCIIPENSATION DECLARATION
&ARAITG: FAILURE.TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPENOAl110NI SAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I,henii affirm under penalty of perjury one of the following declarations:
Bl Vaye andlAill "intain 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
performance of the work for which this permit is issued. Policy No.
p�+t have and wig 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' compensatio
IIfhsf34,+ouranle carriar tj policy number are: Expiration Date
p! - _ Policy Number
ne of Agent :
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' com}�nsation laws of California, and ogre
:, if I should becomesubjectto the workers' comp/e�)sat/ioy� provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant /� // J Date f614d1" r/
CLARATION REGA DING CONSTRUCTZN LENDING AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ides 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. / f
I authorize representatives of this city or county to enter the above -Ida pro arty for inspection purposes. �/ G' � sift ti, - C DaX(1� —� (2
lnature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name-
�rr r4r rnnF nFI FOR OFFICE USE ONLY
1111 ACTION BATE I BY II F
PERMIT
PERA41T
OF
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:'
OCCUPANCYtSSUED