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Home My WebLink AboutE2019-0457 - Permits0a1� City of Newport Beach -Building Division IIIII�IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II Electrical Permit: E2019-0457 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 4 5 7 Project No: 1476-2018 ^y _ Permit Counter Phone (949)644-3288 t'rLtrrass Inspection Requests Phone (949)644-3255 Job Address: 1520 KINGS RD Bldg: 1 Floor: Suite: Description of Work: ELEC/TO BBQ Inspector Area: 2 Legal Description: N TR 1219 BLK F LOT 3 Owner: EPC HOLDINGS 897 LLC Contractor: Address: 336 CATALINA DR Address: NEWPORT BEACH, CA 92663 $0.00 Phone: Phone: $0.00 Con State Lic: Issued Date:07/02/2019 Lic Expire: 0-600V over 20OA: Bus Lic: Processed By: ®, l ' Cr Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 , $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 Receptacle/Switch/Outlets Receptacles/Outlets: 2 $2.00 Fixtures: 0 $0.00 Sep Circuits: Code Edit: 2016 $0.00 Low Voltage 0 $0.00 Signs 0 l CALICO LANDSCAPE Worker's Compensation Insurance $0.00 27111 BEIDORM Carrier: STATE COMP. INS $0.00 MISSION VIEJO CA 92692 Policy No: 9244484 $0.00 949-235-5735 Expire: 01/19/2021 $0.00 966489 04/30/2021 BT30066046 02/28/2020 Receptacle/Switch/Outlets Receptacles/Outlets: 2 $2.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Motors/Transformers (HP/KVA) Oto 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 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental 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. a e. a mmo •6• oom i m e m o o e. e o o m o e eo G G 4 4 O• ♦4 Em E. GE'G Lf • m E4. e E Emm 30 E E r o c c o o E " c. ♦ ♦ c' m c a e 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 $12.00 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 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). 1:11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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' Slate 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 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 Business and Profes 'e e, and my license is in full force and effect. _/� q f� Y License Class Gi o�7 License No /�i'��0� Dates` 7 /C% Contractor Sign 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 DOLLAR$ (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3105 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 thr 6p rformance of the work for which this permit is issued. Policy No. l have andti aintain 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' compensatior insurance Carri ann policy numpKare:a rrier. i bar Expiration Date me of Aoen vzu> Phone # I certify that, in the performance of or r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, t, if I should become su ject t r s'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions .7% mature of Applicant Date- CLARATION REG DIN ONSTRUCTION LENDING AGENCY =rebyaffirm 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). 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 corn t. I agree to comply with all applicable city and county ordinances d' " to laws relating to building construction. I authorize representatives of this city or county t e er the f2,0 ntified property for inspection purposes. > nature of Property Owner or Authorized Agent � / iw � Print Property Owner's or Authorized Agent's Name1 Z/5'eN ACTION DATE BY DECLARATION OF COMPLIANCEWITHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART61OFTIILE40AND ° •ACg0 RUL1!gJW3. • • . PERMITEXP)RED ••C] ; SUBMHOE1514BEST0947TICATION TO. • •DEPA PERMITCA.NC€LLED • •E3 AQMDASSESTUS ' ••• P€RMITEXT€NDED NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL I CEFIRRCATEOF •• •u • • . OCCUPANCYISSUED ;S14'NA�