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Home My WebLink AboutE2019-0293 - PermitsCity of Newport Beach Building Division 11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIJill 11 Electrical Permit: E2019-0293 h 100 Civic Center Drive, Newport Beach, CA 92660 E 2. 0 1 9 0 2 9 3 Project No S Permit Counter Phone (949)644-3288 er Inspection Requests Phone (949)644-3255 Job Address: 11 CRESTWOOD DR Bldg: 1 Floor: Suite: Description of Work: ELEC/UPGRADE (EO SERVICE TO 400 AMP & INSTALL ELECTRIC VEHICLE CHARGER Inspector Area: Legal Description: 4 N TR 9860 LOT 32 Owner: ARESH TAHAMTAN H Contractor: Address: PO BOX 8595 Address:. NEWPORT BEACH, CA 92658 Phone: Phone: Code Edit: 2016 Con State Lic: Issued Date:05/10/2019 Lic Expire: Bk Bus Lic: Processed By: Lic Exp Date: 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 •• n e Code Edit: 2016 FEES w•• •• Bk b tt REAAN ELECTRIC Worker's Compensation Insurance BO 379 E 20TH STREET Carrier: MARKEL INS CO. COSTA MESA CA 92627 Policy No: MWC013809801 Residential 949-279-7271 Expire: 11/19/2019 -- 623150 $1.00 0 to 1 HP/KW/KVA: 07/31/2019 $0.00 x1 BT30067274 $0.00 Multi -Family: 05/31/2020 $0.00 Fixtures: 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 •• n e FEES w•• •• Bk b tt New Construction 994 BO Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 1 $1.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 1 $43.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $86.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $86.00 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 •• n e Ol e w•• •• Bk b tt •k4 �O a. O 994 BO 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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). ❑ 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: 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 legall 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://w .leginfo.ca.gov/calaw.htmi. 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 of the Business and Profession, and my license is in full force and effect. License Class License No DateE%� �i (0 .- Contractor Signature, NORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 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 3erf9rmance of the work for which this permit is issued. Policy No. have and will intain 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' compensator trance carrier a olicy nu b r ar Tier Vklicy Number Expiration Dale TIE of Agent ✓S2&Nt Phone # certify that, in the performance of the w r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agreE I, if I should becomes act to the rs' c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat (� _ CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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, 1 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 county to enter th ov ntifie rope y for inspection purposes. 11 _ .��_.._ . _ ... . .. ....___\/Q61A IAaf .1.dn1 DnnJI:S.F�ti-Iu_IL ACT/DN DATE BY rr+r rr r ., v, FEDERAL REGULA77ONSPART 61 OF TITLE40AND AQMD RULE 1403. PERMITEWIRED.! - • T] f SfI 3PFT5DASBF.STOS•NOTIFICATION TO. !� €PA�r:q r', �` sAQ'YI. • •! • i ASBESTOS NOTIFId4TIQBIS NOT APPLICABLE TO PROPOSEDDEMOL/TION. SIN479/JZE • ! • e ! PERMITCANCELLED :•., PERMITMENDED • PERMITFINAL s tr{ tet CERTIFICATE OF ! ! OCCUPANCYISSUED . • ,• • •