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Home My WebLink AboutE2019-0077 - PermitsCity of Newport Beach - Building Division *E2019-0077* Electrical Permit: E2019-0077 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1427-2017 '.. Permit Counter Phone (949)644-3288 Iaaiv.& Inspection Requests Phone (949)644-3255 Job Address: 429 ISABELLA TER Bldg: 1 Floor: Suite: Description of Work: ELEC/DISCONNECT TO A/C'S H2O19-0075 1 t Inspector Area: 5 d Code Edit: 2016 Legal Description: N TR 1237 LOT 158 Owner: 429 ISABELLA LLC Contractor: MC MURRAY KEN CONSTR Worker's Compensation Insurance Address: 429 ISABELLA TER Address: 600 DIAMOND STREET Carrier: EVEREST NATL CORONA DEF MAR, CA 92625 LAGUNA BEACH CA 92651 Policy No: 7600009958171 too. Phone:949-533-802 Phone: 949-533-8023 Expire: 10/01/2019 m a Con .State Lie: 445746 Issued ate:02/08/2019 Lie Expire: 09/30/2019 m o0 Bus Lie: BT30059066 Processe Lie Exp Date: 05/31/2019 oa"" °O ° to o FEES "m New Construction ,. Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA 0 $0.00 Temp Underground: 0 $94A. Multi -Family: 0 , $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: °°g $94OQa 1-2 Family: 0, $0.00 Sep Circuits: 3 $21.00 10 to 50 HP/KW/KVA: 0 $0.00 °m*°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: ' `0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 rr 0-600V over 200A: 0 $0.00 Each Add Circuit: 0 ' $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 100oA: 0' $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $0.00', O/H to U/G 0 ; $0.00 _ Additional Fee: $0.00 Supplemental Fee: $10.00', TOTAL Fee : $31.00_ Plan Check Fee: $0.00 Fee Due at Permit Issuance: $31.00 PERMITS EXPIRE .190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION i 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. 30" WIDE X 36" DEPTH REQUIRED FOR A/C DISCONNECTS )WNER-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 items) 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 ie 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 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 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 nproved 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 only 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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, 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm ul Qenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit ection 7000) of Division 3 of the Business and Profession code, and my license is in I force nd effect. •••••• �i �2 ,icense&lass License No Dr�OYERTO G-L• l Contractor Signature 6�AURS' OCSM0%SATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOr RS ($100,000), IN ADDITION TO THE OSTQgF EOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3'706 OF THE LABOR CODE, INTEREST, AND ATTO I�e reby affirm grRle-penalty of perjury one of the following declarations: ave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ance of yf@•v6dtl� for which this permit is issued. Policy No. . •• IS and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compelIsar carrier and policy number are: 2Frier : .: • •.. Policy Number Expiration Date RI.a�mo af•Agent Phone # JI•c@r#ify that, %Q pErfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should become subject to�thhg/�/�r�krs' compensation visionsvf'S�€ctJlary 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant% ////// // Date\ �. • IECLARATION REG4RDINGNSTRUCTION LENDING AG 7� hereby affirm under penalty o perjury that there is a construc Ion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordi s and state laws relatin to b ' skaetiorr� `Gl I authorize representatives of this city or cou t o e bElve-ide ifiW perty fOrMspection purposes. nature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name Date AC77ON DATE eBY DECLARATION OF COMPLIANCEM$TII CODEOF FOR OFRCE USEONLY - - FEDERAL REGULATIONS PART 61 OF7ITLE40AND AQMDRULE1403. PERMIT EXPIRED ❑ I SUBMITTEDASBESTOS NODFICATION TO. ❑ EPA ❑ AQMD PERMITCANC€I.LED- '" "" PERMIT€XTENDED ❑ ASBESTOS MOIIRCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIRCATE OF SIGNATURE. OCCUPANCYISSUED