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Home My WebLink AboutE2019-0522 - Permits9./� City of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2019-0522 '! 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 5 2 2 Project No: 1731-2019 Permit Counter Phone (949)644-3288 °�,r,�y-�y,�" Inspection Requests Phone (949)644-3255 Job Address: 3810 COAST HWY E Bldg: 1 Floor: Suite: Description of Work: COMM -PANELS UPGRADE. (1) 100 AMP, (4) 70 AMP Inspector Area: 7 Legal Description: TR 673 LOT 50 BLK B ALL -INC POR ABAN ALLEY ADJ- -EX HWY-(AND ALL Owner: KUISH BRAD Contractor: HUNTINGTON BEACH ELECTRIC INC Address: Address: 17632 METZLER LN #213 Service 0 HUNTINGTON BEACH CA 92647 Phone: Phone: 714-264-9522 0-600V over20OA: Con State Lie: 1009482 Issued Date:08 /0112 01 9 ,r "-1%y\ Lie Expire: 06/30/2021 O/H to U/G Bus Lie: BT30067411 Processed By: Lie Exp Date: 0513112020 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 5 $215.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0600 TOTAL Fee: $437.05 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9206143 Expire : 02/28/2020 FEES 0 $0.00 Sub Panel: 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 Backlremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: INSPECTOR Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $187.05 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 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. •m omo 000 0 e m m ¢ < o o m o c om e c o e o o m o 0 0 0 0 o eo co 0 0 0 ° me oom o o m<o m 0 c o oom o 0 0 • c c c c c o 0 o s om m m •• o o e e e o o e co moo o c o0 00 000 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 im roved 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 doe.. 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof sioe� ns Code, and my license is in full force and effect. C—�]�i,�,'_ License Class License No Date �1� 1 Contractor Signal lufeV�� WORKERS' COMPENSATION DECLARATION t WARNING: 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 ($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: IoI 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 rmance of the work for which this permit is issued. Policy No. 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' Policy Number Date ame of Agent vnone s I certify that, in the performance 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 that, if I should become subject t the wgkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p visions(. _ Signature of Applic nt V�— to DECLARATION R D G NSTRUCTION LENDING AGENCY I hereby affirm under penalty 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). 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 correct. )(, INP i I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or couiny t enter the abpvvee-identified property for inspection purposes. I i �' �If 9' Sionature of Prooertv Owner or Authorized ADent V C ]lV Print Property Owner's or Authorized Agent's Name v Date // I ACTION I DATE PERMITEXPIR€D YCRIYP/! 4 V• • • • • • • •.• PERMIT EXTENDED. • • PERMITFINAL ', 30 CERTIFICATEOF OCCLPANCYISSLED•:• ••• ••• ••• i • i•• •• •• • • ••• •• BIP UL4LAH AVID Ur l:ViNYUA1YbC•VI I O 6VVG Vr FEDERAL REGULATIONSPART 01 OFTITLE40AND AQMORULE1403. I SUBUTTEDASBESTOS NOT7FICATION TO: 0 EPA 0 AQMD ASBESTOS N077RCA710MIS NOT APPLICABLE TO tvZ PROPOSEDDEMOIITION. SIGNATURE: