HomeMy WebLinkAboutE2018-0685 - Permitsvt%rgr City of Newport Beach - Building Division
. ' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3286
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Job Address: 448 ISABELLA TER Bldg: 1 Floor: Suite:
Description of Work: ELEC/UPGRADE (E) SERVICE TO 200 AMP
Inspector Area: 5
Legal Description: N TR 1237 LOT 151
Owner: AJANG ATAROD/ATAROD KIT YING Contractor:
Address: 448 ISABELLA TER
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
FEES
Con State Lie:
Issued Date:10/17/2018
Lie Expire:
Carrier: EXEMPT -NO EMPLOYEES
Bus Lie:
Processed By: CA6Lic
Exp Date:
II �IIIII�VIII0 III�II II I I I0�u� 6 III II
CA INTELLIGENT SOLUTIONS
PO BOX 6143
LAGUNA NIGUEL CA 92607
949-294-1993
1000148
01/31/2019
BT30064836
10/31/2019
Electrical Permit: E2O18-0685
Project No :
Inspection Requests Phone (949)644-3255
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.
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Code Edit: 2016
FEES
MA
Worker's Compensation Insurance
Carrier: EXEMPT -NO EMPLOYEES
Policy No:
Expire
Receptacle/Switch/Outlets
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.
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FEES
New Construction
Receptacle/Switch/Outlets
Motors/Transformers (HPIKVA)
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 20DA:
1
$43.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
0-600V over 200A:
0
$0.00
Each Add Circuit:
0
$0.00
Piggy Backrremp Power:
0
$0.00
Investigation Fee:
$0.00
Over 600V or 1000A:
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:
$78.00
Plan Check
Fee: $0.00
Fee Due at Permit Issuance:
$78.00
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.
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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) 1 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 U 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
im 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)..
❑ 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 aLthe 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 ProfessionrCod@, a my tic se is in full force
and effect. i ��aqr/' n/r
License Class C j License No I /% m / Lk� Date — Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑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 lh
oe1�ormance of the pkork for which this permit is issued. Policy No.
have and willm iilin workers' mpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
urance carrier and cy numbs r ��ss
crier �ol bar Expiration Date
Ile of Agent Phone #
certify that, in the performance of the,work far which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
I. if I should become supject to the vir kers;c�mpensati pr%v'��� Section 3700 of the Labor Code, I shall forthwith comply with those praotvisi is.
nature of Applicant X 1/0 1 D9fa
CLARATION REG DIM CON TRUCT ON LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issuEri (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 city and county ordinance and state lawselating to building construction.
1 authorize representatives of this city or county to enter the ove-ideptified gf,�pedy for inspection purposes.
11Signature of Property Owner or Authorized Agentl0 /fY d�lAii/ I /chi I ZI Print Property Owner's or Authorized Agent's Named / l /YI !Y U L�"V V 1 Dattsl I�
AEON
DATE By
DECLARATION OF COMPLI NCEIKITHCODEOF
FOR OFFICE USE ONLY
FEDERAL REG"TIONSPAIU61 OFTITLE40AND
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PERMITEXP7REQ
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