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Home My WebLink AboutE2019-0339 - PermitsCity of Newport Beach - Building DivisionIIIIIIIIIIIIIIIIIIII'llllllllllllllllllll'I II Electrical Permit: E2019-0339 ` 100 Civic Center Drive, Newport Beach, CA 92660 P Project No: Permit Counter Phone (949)644-3288 cw sup' Inspection Requests Phone (949)644-3255 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 Job Address: 359 SAN MIGUEL DR Bldg: 1 Floor: 1 Suite: 110 - '°,,, • ° Description of Work: ELEC BRANCH CIRCUIT $0.00 Branch Circuit: • . •. $38.00 Each Add Circuit: 0 $0.00 o ° o Inspector Area: 7 Additional Fee: Code Edit: 2016 Supplemental Fee: Legal Description: P BK 25 PG 1 PAR 1 $0.00 Fee Due at Permit Issuance: • e `, Owner: EASTLUND PROPERTIES LLC Contractor: MR ELECTRIC Worker's Compensation Insurance ° •° Address: PO BOX 9888 Address: 22961 LA CADENA DR Carrier: HARTFORD INSURANCE •' e e a°e NEWPORT BEACH, CA 92658 LAGUNA HILLS CA 92660 Policy No: 41 WECBR9769 ®° ° • a ^ , ° ` ` °" Phone: Phone: 714-984-3941 Expire : 06/25/2019 ®° ° e. , • e Con State Lic: 999026 ° ° ° e •• , , , Issued Date:05/23/2019 Lic Expire: 12/31/2020 e e Bus Lic: BT30067638 Processed By: �C_N - Lic Exp Date: 05/31/2020 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 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: $73.00 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: 1 $38.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 FEES 0 $0.00 Motors/Transformers (HP/KVA) 0 $0.00 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 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: $73.00 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. OWNER -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) (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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, '°.°. PPY property 9 P Y P P property, • Busines�a•af18 �ofessions Code: The Contractors' State License Law does not I to an owner ofwho, through employees' or personal effort, builds or improves theProvided that the ° ° • • improvemeRttare 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 Ira rovedlAo tft purpose of sale). I, as ewn&bf 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). C7 I am exemUfftom licensure under the Contractors' State License Law for the following reason: By my sigrfature blow 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 legalh e selPa structure that 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°CAde° Is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. •Igneture of Aroperty Owner or Authorized Agent Date • L4CENSED C5NT.RACTOR'S DECLARATION �... o ;Iffty aftirVunde -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 7000) of Division 3 of the Business nd Professions Code, and my license is in full force and effect. ° ° t l.iceiRse Class • • _ : License No Date �-7 '�" Contractor Signal re RKERS'•MOIbENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: El 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 th p ormance of the work for which this permit is issued. Policy No. hhaye 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' compensatioi insurance carrier and policy number are: Carrier Policy Number Expiration Date me of Agent vnone F certify that, in the pert rmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject o the workers' compensation laws of California, and afire I, if I should becomes lett to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' ions. nature of Applicant .��/.r/ —�—��` D e CLARATION REGARDING CONSTRUCTION LENDING AGENCY rreby affirm underenalty 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 PrLender'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 rdinances and state laws relating to building construction. I authorize representatives of this city or county to nter the above -identified property for inspection purposes. 11\\ y /% _ nature of Property Owner or Authorized Agent .2✓� �/' Print Property Owner's or Authorized Agent's Name L✓R L - i+ f 3AII MC -i er Dale 5 �3 -19 ACTION DATE BY DECLARATION OF COMPLINCEMIITN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 01 OF TM F40AND AQMORUL€1403. PERMITEXPIRED ❑ I SUBMITTEDASBESTOS N071FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NO'(IITCABONIS NOT APPLICABLE TO PROPOSEDDEMOLITIOM PERMITFINAL jp-/7 CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED