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HomeMy WebLinkAboutE2019-0304 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII Electrical Permit: E2019-0304 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 3 0 4 Project No: 6% 'y Permit Counter Phone (949)644-3288 New Construction Residential Multi -Family: 0 $0.00 Inspection Requests Phone (949)644425% ° e 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over20OA: � •Deco° Job Address: 104 15TH ST Bldg: 1 Floor: Suite: $0.00 "® • ° Description of Work: ELEC UPGRADE UNIT 4 SUBPANEL FROM 30 AMPS TO 60 AMPS & UPGRADE/INSTALL 60 AMP HOUSE PANEL ,� r� �T ° °e $0.00 Supplemental Fee: • 14 [' Inspector Area: 1 Code Edit: 2016 Legal Description: TR 234 LOTS 12/13 BILK 14 ° aeoaa Owner: 15TH STREET PROPERTY LLC Contractor: AARON ELECTRIC owes• Worker's Compensation Insurance ° Address: 10415TH ST Address: 382.E 16TH ST Carrier`.. WIC EXEMPT a •e NEWPORT BEACH, CA 92663 COSTA MESA CA 92627 • ° Policy No: .... ° � Phone: Phone: 949-355-9147 Expire Con State Lic: 966512 Issued Date:05/14/2019 Lic Expire: 10/31/2019 Bus Lic: BT30062679 Processed By: Lic Exp Date: 03/31/2020 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee :$87.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 FEES 0 $0.00 Motors/Transformers (HP/KVA) 2 $52.00 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 Temp Underground: 0 $0.00 Sub Panel: 2 $52.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $87.00 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. 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 items) lection 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 1e 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 'rofessions Codepor 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 of more than fprghundred dollars ($500). 1 J„ Qs owne$ Whe property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 'usineSs and j; r&WIons 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 nprovements 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 nbgw9d for the purpose of sale). I, as ownel•df-tWiroperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply jd 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). 5. ... I.am exempt front 4censure under the Contractors' State License Law for the following reason: I lgy,Slgnature 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 ell 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 'roiessl'ons Cod Mable upon request when this application is submitted or at the following Web site:htt //www.le info.ca. ov/calaw.htmi. ignatul'e of Prop rty Owner or Authorized Agent PP g F g 8 Date :ICPN$ED COWRACTOR'S DECLARATION hra" affirm dMar penalty of perjury that I am licensed under provisions of Chapter 9 (commencln with Section 7000) of Division 3 of the Busine and Pr ssio Cc nd my license is in full force nd effect. _ icense Class License No D to /C V l Contractor Sign I/ORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 IN erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number Date e of Agent -vnone s KINertify that, in the performan a of the r r hich this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre that, I should becomes b'ec o the wo er c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov. Ion Signature of Applicant D DECLARATION REG4ADIad COAS M06TIdN LENDING AGENCY I hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which. this permit is issue (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 and the information I have provided is corre I agree to comply with all applicable city anLtounty o financesa d s to s relating to building construction. I authorize representatives of this city, co ed property for inspection purposes.Si nature of Propert Owner or Authorized A e Print Property Owner's or Authorized Agent's Name .Date J ACTION DATE/ BY DECLARATION OF COMPLIANCE MTH CODEOF FOR OFRCE USWNLY FEDERAL REGULATIONS PART 87 OF TITLE40AND PERMITEXP/RED AQMDRULE1403. I SUBWTTED ASBESTOS NOTIFICATION TO: PERMITCANCELLED ❑ EPA PER 11TEMTENDED ❑ AQUD ❑ ASBESTOS N017RCARONIS NOT APPLICABLE TO PER 1ITFINAL _ PROPOSEDDEMIOLITIOM. CERTIRCAT€ OF OCCUPANCYISSUED SIGNATURE: