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Home My WebLink AboutE2019-0689 - PermitsCity of Newport Beach - Building Division (VIII'IIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2019-0689 '- 100 Civic Center Drive, Newport Beach, CA 92660 1-2 Family: E 2. 0 1 9 0 6. 8 9 : Project No Permit Counter Phone (949)644-3288 - 0 $0.00 0-600V over20OA: 0 ^'d dsy, Over 600V or1000A: Inspection Requests Phone (949)644-3255. $0.00 O/H to U/G 0 Job Address: 2316 FAIRHILL DR Bldg:1 Floor: Suite: $0.00 Time Clocks: Description of Work: ELEC AIC DISCONNECT $0.00 'NSPEC� Inspector Area: 3 $0.00 Code Edit: 2016 .Legal Description:. TR 2516 LOT.B(AND POR OF LOT 9 Owner: ' QUERRIERA JOSEPH JAMES Contractor: 1ST CHOICE Worker's Compensation Insurance Address: 2316 FAIRHILL DR Address: 20371 LAKEFORESTDR STE A-5 Carrier: NORGUARD - NEWPORT BEACH, CA 92663 LAKE FOREST, CA 92630 Policy No: ONWC002759 oceo ooeoo 0 0 0 a Phone: Phone: (949) 305-6754 Expire ; 02/15/2020 Con State Lic: 1006824 Issued Date:10/16/2019 Lic Expire: 08/31/2021 .. ° �� 1n�/n\ Bus Lic: _BT30064046 Processed By: �/IfW \ Lic Exp Date: 08/31/2020 m o.. New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service Sep Circuits: 0 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: $62.00 Receptacle/Switch/Outlets Receptacles/Outlets: " 0 $0,00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 50 to 100 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $36.00 $0.00 'rrb ° 00000< ° Motors/Transformers (HP/KVA) °°000 $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 Back/Temp Power: 0 $0.00 Temp Power Pole`. 0 $0.00 Plan Check 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. ° 00000< ° Temp Underground: °°000 $0.00 Sub Panel: 1 $27.00 0 $0.00 0 $0.00 Record MgmtFee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00' Issuance Fee: $36.00 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. 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 L) 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 1t was not built or improved for the purpose of sale)-. ` 11 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 1 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 legally 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 Qwner or Authorized Agent Date LICENSED Cf W""CTOR'S DECLARATION herebyy..affirm under r eenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business and Pr e. !I se is in full force Vcfeffect. Ligensgi Class " License No Date Contractor Signature NdRMtRS' COMPENSATION DECLARATION N41RNINJi: FAILURE{4S4RE 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 3050 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �*h}ereliy affirm under penalty of perjury one of the following declarations: rl j r;fe and Will 1itintain 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 the 1eTf9rmance of the9work for which this permit is issued. Policy No. and wil: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' carrier and p6licy number are: .. . of Agent Policy Number Expiration Date Phone # JI certify that, in the perrorr nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to th workers' compensation laws of California, and agreE Eat, if I should become su/b)' ct o s' com ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio s. C ignature of Applicant / Date I 5 iECLARATION REGA ING RUCTION D AGENCY hereby affirm under p ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( action 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and coun y or i and state la g to building construction. I authorize representatives of this city i county nt ova-ide I party for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Policy ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USEONL FEDERAL REGULATIONS PART 61' OFTITLE40AIVD AQMDRULE1403. P€RMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD PERMITCANCELtED PERMIT€XTENDED ❑ ASBESTOS NOIIFICA77ONIS NOT. APPLICABLE TO PROPOSED DEMOLITION PERMITFiNAL - / — J q CERTIFtCAT€OF CICCUPANCYISSUED SIGNATURE.- IGNATURE.