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Home My WebLink AboutE2019-0365 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1724 TRADEWINDS LN Bldg: 1 Floor: Su Description of Work: ELEC SUBPANEL & 200 AMP PANEL C/O inspector Area: Legal Description: 3 N TR 3082 LOT 74 IIIIIII IIIIVIIIVIII�III IIII Illfll llllllllll lull IIIIIIII Owner: HOLLERN MICHAEL TERRENCE Contractor: SANDOVAL J C ELECTRIC Address: 1724 TRADEWINDS LN Address: 15561 CARRINGTON NEWPORT BEACH, CA 92660 Phone: LA MIRADA CA90638 Phone: Issued Date:06/04/2019 Con State Lia Lic Expire: Processed B Bus Lic: By: Lic Exp Dater 471254 03/31/2021 BT30067569 06/30/2020 New Construction Motors/Transformers (HP/KVA) Receptacle/Switch/Outlets Residential Multi -Family: 0 0 $0.00 Receptacles/Outlets: 0 $0.00 1-2 Family: 0 $0.00 $0.00 Fixtures: Sep Circuits: 0 $0.00 ease 6 0 emao 0 $0.00 Service O C COOeC t; Insurance Low Voltage 0 $0.00 0-600V up to 20DA: 1 $43.00 Signs Branch Circuit: 0 $0.00 0-600V over 20OA: Over 600V or 1000A: 0 $0.00 Each Add Circuit: 0 $0.00 0/H to U/G 0 0 $0.00 $0.00 Time Clocks: 0 $0.00 0o c Additional Fee: $0.00 TOTAL Fee: $104.00 boom o _. Electrical Permit: E2019-0365 Project No: Inspection Requests Phone (949)6443255 FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Code Edit: 201 IN 'Y A 'es! "^.tea � � � ``-� `zs.. 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 ✓ (a ease 6 0 emao Worker's Compensation 6000 O C COOeC t; Insurance Carrier: EXEMPT Policy No: oe Expire azure U66'C A 6 O 0o c o cacao boom o m 060J0 o COE6CG a aa6ocm 6 0 0 � J ooumao . C3JC FEES Motors/Transformers (HP/KVA) 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: Sub Panel Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: -- " fee Due at P 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. 0 $0.00 1 $26.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 NER-BUILDER DECLARATION or count that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for I hereby affirm .DER DE 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) der ction 7031.5, Business and Professions Code: Any city Y 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 fessions 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 penally of 44, more than five hundred dollars ($500). portions of the work, and the structure is not intended or offered for sale (Section,provided that hat the I, as owner of the property, or my employees with wages as their sole compensation, will dor o all of or () siness 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, p 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), 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 )ly 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 from licensure under the Contractors' State License Law for the following reason: of thea applicable law, Section 7044 of the Business and my signature from 4Wql 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 legal) ensed II a structure thj��l fla4e built as an owner -builder if it hasnot es submittedeorin its entirel at the following Web site http://cwww.legin o.ca.gov/calaw.html. pp Date "fessions Code, is available upon request when this applicationg jnature of PnmpeityUNner or Authorized Agent lic a is in I force CENSED CONTRACTOR'S DECLARATION efP•tly'affirm undbr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sectiotnc7000) of Division 3 of the Business a - ro Bions de,�an y `d effect. •••••� 7 „�� Date I �! Contractor Signatur. J ,onse.Class ... • I O License No THE �.gjIKERS' 03MJPENSATION DECLARATION r%RNIfift'FAILUR9ATP;SCUR AGES A9 PROVIDED FOR TIN SECTION ION COVE708IOF THE VLABOR CODE, INTEREST,AND ATTORNEY'S FEES. IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO E TIP r4dUYaffirm urLder penalty of perjury one of the following declarations: 1 I have and will mentain 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 'rPo?rR3nce of tyewar�C for which this permit is issued. Policy No. �... . . . l have and f tl lwor of n 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' compensa to surance carrier and policy number are: Expiration Date arrier Policy Number Phone;F a is of Agent C that, in the perfor . of the work,,,f444,,,r w ' this p it is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and ogre rat, I should become sub' ct tot a worms' c8m nsatio rovisio Section 3700 of the Labor Code, I shall forthwith comply with those pDraovi ons. _r 20 , 'signature of Applicant hereby (firm REGAR G NSTRUCTION is DING AGENC hereby affirm under pe ally of perjury that there is a construction lending agency for performance Address of the work for which this permit is issue (Section 3097, Civil Code). .ender's Name iy 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. 1i I agree to comply with all applicable city and count ordinance s ' st 'e law elatm f tglbgilect on purposes. �U� i0 T SC3✓IC�DlP0. ` afe J — 1 authorize representatives of this city or county county r t a ve- Ified Print Property Owner's or Authorized Agent s Nan e. ��Y A BY ART61utrftEc411AIV1 FUERALREGULATIONSPART XPfRED XP ii`I AQMDRULE 1403. NOTI=•KATION O ❑ fSUBMITTEDASBESTGS 13 EPA ANCELLED [3 AQMD NIS NOT APPLlCABtE TO NOTIRCAIIO t€NDED [3 ASBESTOS PROPOSEDDEMOUT/ON. "INAL ftTF OF SIGNATURE: OCCUPANCYISSUED