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Home My WebLink AboutE2019-0385 - Permits,wc�r City of Newport Beach - Building Division 100 Civic Centeri5rive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 _ Job Address: 222 30TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT Inspector Area: 1 Legal Description`. LAKE TR BILK 129 LOT 10 II�IEIII�2 01I�I��I�II�VI03II�I�I8 III II Owner: SALHOTRAAJAY Contractor: OWNER/BLDR Address: PO BOX 19809 Address: DENZER RICHARD W YUCCA VALLEY CA 92286 SEE X2019-1448 Phone: Phone: New Construction Con State Lic: O/B Issued Date:06/06/2019 Lic Expire: tto Bus Lic: Residential Processed By: Lic Exp Date: eeumo Electrical Permit: E2019-0385 Project No: 0686-2019 Inspection Requests Phone (949)644-3255 ommemo m e c m mmmmmm m i. m cmmmee m mm m m m m mmmo moms FEES Code Edit: 2016 New Construction • • a Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) tto Residential •eme eeumo Worker's Compensation Insurance e m • e• e m c ° Carrier: $0.00 Temp Underground: •• ° Policy No: Expire : Multi -Family: oeoo ° • • ° Fixtures: 0 m m o mmmoc 0 $0.00 Sub Panel 1 $26.00 1-2 Family: m mm.m° ommemo m e c m mmmmmm m i. m cmmmee m mm m m m m mmmo moms 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. FEES 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 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel 1 $26.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 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: 0 $0.00 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 :$61.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $61.00 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. VNER-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) Iction 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 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 Ifessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, einess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Proved for the purpose of sale). as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt flo"licensure under the Contractors' State License Law for the following reason: my signature 6Glow.1 acknowledge that, except r personal r sidence in which I must have resided for at least one year prior to completion of the improvements covers by this permit, I cannot legal LS %%*ture th4 (, b�ve built as an owner-builde i4 s onstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 044 of th Business and rfessions Code, is available upon request whe this I' I bmm or at the following Web site:http://www.leginfo.ca.gov/calaw.html. aatu$e of Property owner or Authorized Age Da :E918VD CONiRACTOR'S DECLARA ION areby6 affirm ugcf&t6galty of perjury that I m licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force I affect. .... N .... License No COMPENSATION DECLARATION Date Contractor Signature 3NINGS: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 1$100,0001, IN ADDITION TO THE ;fdk .y,..MPENSA1gON, D.%MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rreby Affirm uAd'e "Jalty of perjury one of the following declarations: ....0 1 have and WIN mail$tain 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 iormance of I%woefor 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' compensatioi urance carrier and policy number are: Tier .'A Policy Number Expiration Date me of Agent Phone # certify that, in tPDINSTRU "TION permit is is d, I shall not employ any person in any manner so as to become subject t?Pie workers' compensation laws of California, and agre I, if 1 should becmpgn prov' ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provia nature of ApplicDat , lr! I 10(- CLARATION RAGENCY Ireby affirm undjury 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, 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 h ve p v d i correct. I agree to comply with all applicable city and C n tate laws ating to building construction. I authorize representatives of this city or county r t o 1 entifi roperty for inspection purposes. ��,„ �nN }y—;, 6 nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name N'y"11�/ EW ate r✓ ACTION DATE BY DECLARATION OF COMPLIANCE IMT HCODEOF I FOR OFRCE 7 ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND PERMITEXPfRED AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS M077FICATIONTO: PERMIT CANCELLED ❑ EPA PERMITEXTENDED ❑ AQMO ❑ ASBESTOS M077RCATIONIS NOT APPLICABLE TO PERMITFINAL —a,$' — { PROPOSED DEMOLITION. CERTTICAT€OF OCCUPANCYISSUED SIGNATURE: