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Home My WebLink AboutE2019-0268 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Electrical Permit E2019-0268 e•m a oeeo o 100 Civic Center Drive' s Newport Beachomy CA 8366e0 • e E 2 0 1 9 0 2 6 9 project No: 0991-2018 q, Permit Counter Phone,(949)644-32W ::: • ® , "� � e e•• o o e o. e o eee e. • •. oo•o• Inspection Requests Phone (949)644-3255 Job Address: 20052 CYPRESS $T, Qidg: %Fbof." Suite: e, Description of Work: ELEC -100 AMPSUBPANELe • • ... •. Inspector Area: 8 Legal Description: TR 706 LOT 180 NELY1/2 Owner: WEBBER MATT Contractor: Address: 20052 CYPRESS ST Address: NEWPORT BEACH, CA 92660 Phone: 949-793-1653 Phone: Con State Lic: Issued Date:05/03/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 TOTAL Fee: Code Edit: 2016 RL CONSTRUCTION Worker's Compensation Insurance 719 E BUFFALO AV Carrier: STATE FUND SANTA ANA CA 92706 Policy No: 1896615 949-395.4841 Expire : 06/01/2019 558404 t_ 07/31/2019 �3;1 BT30062694 _' k Gari' 03/31/2020 1 i 14 Plan Check Fee: 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. .00 FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel`. 1 $26.00 $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 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 Plan Check Fee: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. .00 OWNER -BUILDER DECLARATION •• ••• •• •• ••• I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated b®lou bythe oheckmerk(s)J Ravaplaced next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, o:re$air ady $tr4t4e,•priDr fp its:ssuance, 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 (Chapt@r 9 "mrAencing with-Secli0n7000) 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and file struotu$e io net intenr%d 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 emplo)iae§' orbersbndljeffod, ltuil8s grifhpto4s 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'tbP. Oyvtlpr-BulVVCwRlr9ve thiardepof proving that it was not built or - ffim 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 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). I 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 ith Section 7000) of Division 3 of the Business and Professions C009FOand a Is in full force and effect. /` License Class License No at - Contractor Signatu'e 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 ONEHU DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 31 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 erf ante of the work for which this permit is issued. Policy No. I ve 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' compensatio insura ce carrier and policy number are: r Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work for ch this it issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre that, if I should become su ' e workers' pensa ' isions Section 3700 of the Labor Code, 1 shall forthwith. comply with those provir§`Io/ns. Signature of Applicant Date V 7 ~� DECLARATION REGA Ift CONSTRUCTION LENDING AGEW& 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 corr t. I agree to comply with all applicable city and county ordinances an s g to uilding construction. I authorize representatives of this city or county�4 a abo ' e e r e inspection purposes. ` �2 Signature of Property Owner or Authorized A ent Print PropertyOwner's or Authorized Agent's Name ; Date ACTION DATE BY QE ARATION OFC PGANCEtMTfl CD➢ 'DF FOR OFFICE USE ONLY FEDERAL REGULATIONS PAFtF81 QFTt7LE4UAN➢ PERMIT EXPIRED AQMD.R➢LE 1403. ❑fSftBiWtTTEDA56ESTOSNO7IFlC4TlONTQ: PERMtTCANCEttED ❑ EPA PERM(TfXTENDED ❑ AQtN➢ ASBESTOS NQRFfCATtQNIS NOTAPPftCA&..E TO PERMlTF1NA[ , PROPOSEDDEMQUTIQN. CERTifiCATE OF o OCCUPANCYFSSUED SIGNATURE: