The URL can be used to link to this page

Home My WebLink AboutE2021-0770 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 w.ks Permit Counter Phone (949)644-3288 r.a iti�y1x Job Address: 520 DE ANZA DR Bldg: 1 Floor: Suite: Description of Work: ELEC 400 AMP SERVICE UPGRADE AND NEW SUB -PANEL Inspector Area: 5 Legal Description: N TR 1237 LOT 93 "E2021-0770" Electrical Permit:E2021-0770 Owner: GREENE DOUGLAS Contractor: LUX ELECTRIC Address: 520 DE ANZA Address: 18 RED LEAF LANE NEWPORT BEACH, CA 92625 LADERA RANCH, CA 92694 Phone: 714-390-6433 Phone: 949-547-4650 Con State Lie: 1035079 Issued Date:11/09/2021 Lie Expire: 04/30/2022 I/'( Bus Lic: BT30070912 Processed By: (DIY, Lie Exp Date: 11/30/2022 New Construction Residential Multi -Family: 1-2 Family: Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0-600V over20OA: 1 $97.00 Each Add Circuit: Over 600V or 1000A: 0 $0.00 Time Clocks: O/H to U/G 0 $0.00 Additional Fee TOTAL Fee: Project No : 2092-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 1 N S � i CT Worker's Compensation Insurance Carrier: NORGUARD INSURANCE Policy No: JEWC254444 Expire : 09/01/2022 �JFYiiVi LIVh t ,S PvOi- Ai L_OWED FOG 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 $0.00 $0.00 Piggy Back/Temp Power: 0 $0.00 $0.00 Temp Power Pole: 0 $0.00 $0.00 Plan Check Fee : Temp Underground: 0' $0.00 Sub Panel: 1 $29.00 0 $0.00 0 $u.00 Record Mgmt Fee: $11.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $38.00 Supplemental Fee: $0.00 e at Permit Issuance: $164.00 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. R-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). ❑ 1, 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). U I am exempt from licensure under the Contractors' State License Law for the following reason: By 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.loginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 oft Bu ness TDRED ion Code, and y license is in full force and effect. van I/ License Class License No D I 1 Contractor I nature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE rD SFGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE OUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 the r`ormance of the work for which this permit is issued. Policy No. have and wiII malrtam 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' compensation ias�ranue carrier a,iJ policy number are: Carrier _ _. Policy Number Expiration Date Name o, Agent Phone # 01 ca.t.fy that, in the perfor ce of the work for hich this permi � issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree !hagt, if I should�h�ecom su a to a rk ' co visions of Section 3700 of the Labor Code, I shall forthwith comply with those p ovisions. I / r ;I nature ofA nt/nt, ate D c:a:�RATIOh i2'cvARDI CON UCTI N LEN G AGENCY hereby affirm under pena of perj ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I 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 andthe information I have provided is corr ct. I agree to comply with all applicable city and cou riqordinanp s and ate laws relating to building construction. 1/ I authorize representatives of this city or unity o t'�r bo e-- f I d tarty for inspection purposes. l� �� I Signature of Property Owner cr Authori Agent (/ Print Property Owner's or Authorized Ag ot's flame 14 f4at ` ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODED FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMDRULE 1403. PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA - ❑ AQMD ) I PERMIT CANCELLED -i PERMITEXTENDED I ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO _ - PROPOSED DEMOLITION. PERMIT FINAL _ ,^ :--�; CERTIRCATEOF ,'� - -- OCCUPANCYlSSUED SIGNATURE: