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Home My WebLink AboutE2019-0222 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 �erm}tQounter Phone (949)644-3288 Job Address: 43 (PM) CAMBRIA DR Bldg: 1 Floor: Suite: Description of Work: ELEC -PEDESTAL METER (100 AMP) Inspector Area: 4 Legal Description: Owner: REGENT ASSOCIATION Contractor: Address: 2740 N GRANDE AVE Address: SANTA ANA CA 92705 $0.00 Phone: 714-634-0611 Phone: $0.00 Con State Lic: Issued Date:04/16/2019 Lic Expire: $0.00 Bus Lic: Processed By: Lic Exp Date: New Construction Residential II�IIIIIIIIIIIIIIIIIIIIII��IIIIIIIIIIIIIIIII II Electrical Permit: E2019-0222 2 0 1 9 0 2 2 2 Project No : KORE ELECTRIC 2175 CALLE OLA VERDE SAN CLEMENTE CA 92673 949-793-3262 745565 02/29/2020 BT30066180 02/29/2020 Receptacle/Switch/Outlets 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 $0.00 Temp Underground: 0 Low Voltage 0 $0.00 Service Sub Panel: 0 Signs 10 to 50 HP/KW/KVA: 0 0-600V up to 20OA: 1 $43.00 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 0 $0.00 Additional Fee : Piggy Back/Temp Power: $0.00 TOTAL Inspection Requests Phone Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9210652 Expire : 03/01/2020 hr, c S ossa t e •ane amtleoc m o ..ee o . o see m o e o e n mm tl mm oem s e oo+oc •m o 0 oomoo mmmmmo O t A O O g0N000 O O 000600 e QO O O O ® O Ometl up.P9 FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00' Over 100 HP/KW/KVA 0 $0.00 Record Mgmt Fee: $0.00' Plan Check Fee: $0.00', Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00'. Temp Power Pale: 0 $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. IINER-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) Iction 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 Tequirds 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 Ifessions 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the movements 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 )roved 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 fly 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 frgr�I jiiensure under the Contractors' State License Law for the following reason: my signature bellow 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 I a structure that ate built as an owner-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ItibSSib4s Code, fs';vailable upon request when this application is submitted or at the following Web site:http:/fwww.leginfo.ca.gov/calaw.html. gature of Property 04wer or Authorized Agent Date ,Ed4SfRD CONTRACTOR'S DECLARATION :let a affirm under p penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profpssio my license II force i �1feSt, .. ens@Class License No Dat Contractor Signature 1RKE5tS' CQMPF�SATION DECLARATION 2AINWFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE W OF SOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :reby affirm urWhilianalty of perjury one of the following declarations: T T1914 and will,Tain(ain 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 tmance of theme yak for which this permit is issued. Policy No. ave 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' compensatior trance carrier and policy number are: Policy Number is of Agent certify that, in the performance of the work for which this permit is is: , if I should become subjeAto the workers' compensation provisions of Date I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree action 3700 of the Labor Code, I shall forthwith comply with those provisions./ Date ` !�1/6 //7r! CLARATION REGARDING CONSTRUCTION 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). Ider'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 owner's 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. I authorize representatives of this city or count enter tFLe, b0 oHe-identified grope for inspection purposes. nature of Prooertv Owner or Authorized Aqe -�..�. ((ill AT Print Property Owner's or Authorized Agent's Name 1�%A✓) /z/Gff/t Date ACTION DATE RY vCt.L.a ffvty ur UUffirunrvt C vw In wlic VV rvn vrri�c wcvn�r FEDERAL REGULATIONSPART 6f OFTITLE40AND AQMU RULE 1403. 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