HomeMy WebLinkAboutE2020-0284 - PermitsCity of Newport Beach - Building Division 11IIII1IIIIIIII1IIIIIIIIIIII�III1IIIIIIIIIIIII 11 Electrical Permit: E2O20-0284
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 2 8 a
Project No : 2975-2018
Permit Counter Phone (949)6443288
�•, .�+.* INSPECTOR Inspection Requests Phone (949)644-3255
Job Address: 515 36TH ST Bldg: 1 Floor: Suite: z
Description of Work: ELEC TEMP POWER POLE 0
0
Inspector Area: 1 Code Edit:2019 0
Legal Description: CANAL SECTIPNUff 9�6�1 536(AND NEL 1/2 L T 7 BqLK 536 �i
Owner: TJMERCURYINC ` m_; Co 3 ` ERJR��R�°�O�%i5r�krieCompensationlnsuran
Address: 50 W LEMON AV #23 C Address AUTH AGENT: ROGER JEN _ Car' r ' �� °
MONROVIA CA 91016 v��o 061� NV00€ 0 refund°
Phone: 909319-6888 $ r� Pho re 2- 98-90 Expire : ZAX
Contatec ®, °
Issued Date:06/1212020 € ¢' {E ` -'"' .:� €L
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Processed By: Lic Exp Data iMy
FEES
New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA)
Residential Receptacles/Outlets 0 $0.00 O to 1 HP/KW/KVA:- 0 $0.00 Temp Undergr 41nd 0 $0.00
Multi -Family: 0 $000 € IxtLIP' Os Y .� $480 - 1 to 10 (iP/KW/KVA: U> > - $0 VO SrUb del: 0 $0.00
1-2 Family: 0 $0 OD ep IrEUtts 0 $tl tl0 10 to 54HP/KW/ISVA II $0 00 0 $0.00
-row Voltage 0 i.$0.00 50 to 100 HP/KW/KVA 0 $p 00 0 $0.00
Service Signs i r. , . ..._ ) Over 100 HP/KW/KVA. 0 $0.00 Record Mgmt F e $0.00
0-600V up to 2OOA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Feb $0.00
0-600V over 20OA: 0 $0 00c- Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fed $0.00
Over 600V or 1 OOOA: 0 $0 OQ Tune-Glecks 0---"-- hemp Power Pole: 1 ---Moo Issuance Fe y4 $35.00
O/H to U/G 0 $0.00, Additional Fee: $0.00 Supplem al $0.00
TOTAL Fee $74 0¢ Rlan:heck Fee: $0.00 Fee Due at Pe nee : 574.00
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.
INER-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)
ction 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
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
fessions Code) or that 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
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 U portions
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of ci
)roved for the purpose of sale).
as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C
)ly o an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra
I am exempt from licensure under the Contractors' State License Law for the follow' g. reason
my signature below I acknowledge3hat,,-exeeptiormy- rsorratreetth ceidwhich usf nav resided for at least o
I a structure tb'dtlhaye built as an owner -builder if it h not been constr}I ad�l d .e itty b ligens�tl contractors.
Ifessions Code! IS aAailable upon request when this plic ion i u Ifitt d r% a olio" VMe15 e:httt Wwww.k
pure of Pop;"Owner or Authorized : Agent — - -
:ENS'ED C6N?RA•CTOR'S DECLARATION
)Q,by nfirm under penalty of penury that 1 am -lice sed umde� islons of C�pter�' (Cp6Ai time wit %e on 700�
t effdct.wd
ense Class •. • = • • i< License No "a + )af ✓
)RHERS' CO.MPUtISATION ECLARATION =' e:. -:1 Y=� '•✓ `'"-"_` s
kMft AILURERQ•SECLg2E WORKER ' CSATIO OMPENN S U COVERAGE IS AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE
I MPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST. AND ATTORNEYS FEES_.___
berp4Y affirm and€r penalty of
I have and NTIVairltain a
arfow*ace of the work for wh
It,)V and ,I "Pi
wo
Isurance carrier and policy nui
1e of Agent /
certify that, in the perfo 4tr ce o the
if I should become sugb{{act to th wo
to
as required by Section 3700 of the Labor Code, for
Policy Number
Ynot employ any perswif
3700 of the Labor Code, I
work, and the structure is not intended or offered for sale (Section 7044,
oloyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).:_
year
of the applicable law,
Pu% or U 1uu,/o reTUFIU
Division 3 of the Business and Professions
TIES AND CIVIL FINES UP TO ONE HUNDRED
of Industrial Relations as provided for by
as
of the work for which this permit
nature of ApplicGARbant // v+""`
CLARATION REING CON RUCTIO NDING AGENCY
Neby affirm under pinalty of ped �a t tflere is a construction lending agency for the performance of the work for which thi�Lis
)der's Name IV L2. ress - - —�
my signature below, I certify to, h of the following:
I am the property owner or autho zed to act on the pro ert owner's behalf
I have read this application and tie In ormation I have provided is
I agree to comply with all applica y r mantes and stat laws relating to building construction.
I authorize representatives of this city or county to ter the a e-i led pro erty for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agen
to the
k.
by this permit, I cannot legalll
144 of the Business and
Id my license is in full force
RS ($100,000), IN ADDITION TO THE
)0 of the Labor Code, for th
fd. My workers' compensatiol
n laws of California, and agree
r
I;Z r:' Zvi
Name / Igo I. r N
ACHON
DATE
DECLARATION OF COMPLANCE THCODEOF
/ FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF T17LE40AND
AQIMORULE7403.
PERMITEXPfRED
CO ti�
V
❑ 1 SUBMfTTED ASBESTOS A071FICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS N07IRCAIIONIS NOT APPLICABLE TO
PROPOSED. DEMOLITION.
PERMTFFINAL
CERTtFtCATEOF
SIGNATURE:
OCCUPANCYISSUED