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Home My WebLink AboutE2019-0302 - Permitsw City of Newport Beach- Building Division p`) ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 7vnY'A� Job Address: 20052 CYPRESS ST Bldg: 1 Floor: Suite: Description of Work: ELECT PIGGY BACK (X2018-3144) Inspector Area: 8 Legal Description: TR 706 LOT 180 NELY1/2 Owner: WEBBER MATT Contractor: Address: 20052 CYPRESS ST Address: NEWPORT BEACH, CA 92660 $0.00 Phone: 949-793-1653 Phone: 0 Con State Lie: Issued Date:05/14/2019 Lie Expire: 0 Bus Lie: Processed By( / Lie 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 IIIII�IIIIIIIIIIIII�III�III�IIIIIIIIIII II Electrical Permit: E2019-0302 E 2 9 1 9 0 3 0 Project No: 0991-2018 RL CONSTRUCTION 719 E BUFFALO" SANTA ANA CA 92706 949-396-4841 558404 07/31/2019 BT30062694 03/31/2020 Inspection Requests Phone (949)644-3255 I A T11111 ma Yg' Code Edit. 2016 "', Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1896615 Expire : 06/01/2019 FEES Receptacle/Switch/Outlets O®Hp0 • Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 50 to 100 HP/KW/KVA: Low Voltage 0 $0.00 0 Signs $0.00 Plan Check Fee: $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee: $0.00 48.00 _ _ Plan Inspection Requests Phone (949)644-3255 I A T11111 ma Yg' Code Edit. 2016 "', Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1896615 Expire : 06/01/2019 FEES ••m• O®Hp0 • 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 Back/Temp Power: 1 $38.00 Temp Power Pole: 0 $0.00 am.�9 ••m• O®Hp0 • m•9e9 Temp Underground: ., 0 pd00^ Sub Panel: e e o omm 00000c 20.00-o • • • m . •o m $0.00 Plan Check Fee: m $0.00 O 9 Oe4 Issuance Fee: 49 4 • O $10.00 G0094♦ O O 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• O®Hp0 • m•9e9 Temp Underground: ., 0 pd00^ Sub Panel: 11°1m"9 m• 0�j 20.00-o oo,SiOe`0 $a.00 - Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $0.00 Supplemental Fee: $10.00 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. 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). ❑ 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). 13 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 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.htmi. 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 Bu ness and Professions Coc nd li en a is in full force and effect. �,/ /� .�J/j�;, License Class .... License No '77z'Y�Yi at/ C/—P7 Conlracto nature NORKERS' COMPENSATION DECLARATION ✓ MWAIIN4FAILUREV"SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DOST OF COMPENIA.TIbli ithMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undgr penalty of perjury one of the following declarations: it I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the 1 rrfl�rlce of Cn$VFo�k for which this permit is issued. Policy No. heave and wNI•mgintain 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' compensation ns rance carrier anbpolicy number are: Policy Number Expiration Date ggrgfy th t, in the performance of the work fo Jlich t per Issu�61�Eman �Brn�manna �Dbec,e subjectttheId bgCOrpa Subjectthe worker 'pe n Ionsose prov' ions. .... /y natur of A plicant D 7 7 T CLA N REGARR ING CONSTRUCTION LENDING AGLAII Y Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (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 have provided is correct. I agree to comply with all applicable ci,t1' and county ordinance �S5 ting to building construction. I authorize representatives of t' c'ty or cou er the ve ' for inspection purposes. �/ nature of Property Owner or Ault" ri d Agent —� Print Property Owner's or Authorized Agent's �me /�7C'�'�� `�� Date ACTION DATE BY DECLARATION OFCOMPUANCEtMTNCODEOF FOR OFFICE US£ONLY FEDERAL REGULATIONSPART Bi TITLE40AND AQMDRULE9403. PERMIT€XPIRED ❑ ISUBMFFTEDASBESTOSN)T1FICATIONTO. ❑ EPA ❑ AQMD PERMITCANCELL€D PERMITEXTENDED ❑ ASBESTOS MOIIHCA170AIIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT,FINAL a CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED