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Home My WebLink AboutE2019-0672 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II Electrical Permit: E2019-0672 't 100 Civic Center Drive, Newport Beech, CA 92660 E 2 0 1 9 0 6 7 2 Project No Permit Counter Phone (949)644-3288 0„ FEES "a,rrFy`vy.' - Inspection Requests Phone (949)644-3255 Job Address: 642 TUSTIN AVE Bldg: 1 Floor: Suite: New Construction Description of Work: ELEC/CHANGE OUT (E) SERVICE PANEL TO 100 AMP Receptacle/Switch/Outlets Inspector Area: I- Code Edit: 2016 Legal Description: FIRST ADD TO NEWPORT HEIGHTS BLK 36 LOT 11 r Receptacles/Outlets: Owner: BRADLEY J B LISOTTO Contractor: CLEAR VIEW BUILDERS Worker's Compensation Insurance 0 to 1 HP/KW/KVA: Address: 546 TUSTIN AVE Address: 2033 E 3RD ST 1J Carrier: STATE COMP INS FUND co NEWPORT BEACH, CA 92663 LONG BEACH CA 90814 Policy No: 9255232 `® Phone: Phone: 310-956-5965 Expire : 06/06/2020 Fixtures: Con State Lic: 899333 $0.00 1 to 10 HP/KW/KVA: Issued Date:10/02/2019 Lic Expire: 06/30/2021 $0.00 Sub Panel: JW"Bus Lic: BT30065872 $0.00' 1-2 Family: Processed By: Lic Exp Date: 01/31/2020 $0.00 Sep Circuits: 0 $0.00 M 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. V.. i a� l •V O C W ®Yi VfY „J• J i •iY YV FEES e 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: 0 $0.00' 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: 1 $45.00 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 100oA: 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: $80.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $80.00 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. V.. i a� l •V O C W ®Yi VfY „J• J i •iY YV 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). ❑ 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, 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 improved 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 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed undoLprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod nd my license is in full for e and effect.�C �l License Class License No V (� '7 1 Date [lam Contractor Signatur WORKERS' COMPENSATION DECLARATION 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. _ I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 pert ance of the work for which this permit is issued. Policy No. - - I have and will main 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' compensatio insurance carrier nd p pcy number are;., Date lame of Agent 1""". n 3 certify that, in the performance of the %,SELfaf which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre' rat, if 1 should become sub_tecj. to the ya mpensation pro ' ' of Section 3700 of the Labor Code, I shall forthwith comply with those Dprovisions. ignature of Applicant C/%1J / ar�tll� ls' / 2 IECLARATION REGARD44G CYWZUCTION LENDING AGENCY 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). 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. Ihave read this application and the information I have provided is correct. 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 county to enter a -Iden d property for i—�spectposes. ,..,,.,r,,.e ,.r c....,va„ n—nor .,r A„ rHr,ri7i Ancof m rooertv Owner's or Authorized Apent's Nor+ ` mate ACTION] DATE BY DECLARATION OF COMPLIANCEMTH CODE OF I FOR OFFICE USE ONLY FEDE901, REGULATIONS PART 61 OF TITLE40AND JILE 14M PERMITCANCELLED EPA` • • - i PERME3(TEXT£NDEQ ❑ AQML1 ASBESTOS NOTIRCAIIONiS NOT. APPLICABLE TO PERMITFINAL 112 PRQPQ$pWMOLIT10N. •.. r O CUPANCY 3SOEQ