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Home My WebLink AboutE2019-0771 - PermitswiY# City of Newport Beach - Building DivisionIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive: Newport Beach, CA 92660 E 2 0 1 9 0 7 7 1 .. Permit Counter Phone (949)644-3288 A Job Address: 24 FAYENCE Bldg: 1 Floor: Suite: Description of Work: ELEC PANEL UPGRADE 200 AMPS W/ 225 AMP BUS Inspector Area: Legal Description: Owner: PEARLMAN CHARLES & NADIYA Contractor: Address: 24 FAYENCE Address: NEWPORT BEACH, CA 92657 o Phone: 310-528.4466 Phone: 0 Con State Lie: Issued Date:11/18/2019 Lie Expire: $0.00 Bus Lie: Processed By: Lie Exp Date: CA ELECTRICAL SOLAR INSTALLERS 1048 IRVINE AV NEWPORT BEACH CA 92660 855-346-3888 1038437 04/30/2020 BT30069480 10/31/2020 New Construction • e Receptacle/Switch/Outlets Residential o Carrier: STATE FUND Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 m m 0 $0.00 Low Voltage 0 $0.00 Service ° $0.00 Signs 0 $0.00 0-600V up to 20OA: 1 $45.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 0/H to U/G 0 $0.00 Additional Fee : 0 0 $0.00 TOTAL Fee: $119.15 Supplemental Fee: Plan Electrical Permit: E2019-0771 Project No : 2260-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2016 1NSF",ECT U0 R FEES • e Worker's Compensation Insurance • o Carrier: STATE FUND • ee°°° Policy No: 9262153 a ..... • „ Expire : 10/09/2020 1 to 10 HP/KIN/KVA: 0 $0.00 Sub Panel: 0 $0.00 m m 0 $0.00 meeem• e o $0.00 o ° $0.00 0 $0.00 •• o 0 $0.00 ° m • cmmmn $0.00 m• . o Plan Check Fee: °••°° $39.15 m 0 $0.00 Investigation Fee: m•••°° $0.00 0 0 o u $0.00 000000 0 0 FEES 0 om o Motors/Transformers(HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1 to 10 HP/KIN/KVA: 0 $0.00 Sub Panel: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $39.15 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee: $0.00 Fee Due at Permit Issuance: $119.15 PERMITS EXPIRE 980 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. INER-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) action 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 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 Ifessions 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 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 )rovements 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 )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 )ly to an owner. of property who builds orimproves 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: 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 legal) 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 �fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Prb0dVQwner or Authorized Agent . Dat jl�VFED CONTR4,CTOR'S DECLARATION arebpaffirm Bnderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit • Section 7000) of Division 3 of the Business a d Prof dons Code, and my license is in full force I effect. %Il eClass ' License No Date �S Ie Contractor.Signatur )RKlERS' 6b�NSATION DECLARATION INTI : FAILURE TO SE&RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 'NE HONORED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT OF COMPENSATIONr DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -re byaffirm under penalty of perjury one of the following declarations: �J J :;me and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the brmince of$Iteylygrr for which this permit is issued. Policy No. .have 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' compensation yagda carrieyVd policy number are: Tier "" Policy Number Expiration Date ne of Agent .o' Phone # certify that, in the perforafance of thework for wh h 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 agree if I should become s_ub)!ect S thetworker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionjsiij nature of Applicall-,i .,� /'"" - --- Date CI ARATInIUrRFf:ARITI 13NGCTRI ICTIr1N I FNr11Nr. Ar-0FNCy ;reby affirm under,prj6alty ofPdrjury 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 /;Z Lender's Address my signature Blow, 1 certify to -each of the following: I am the property owner or authorized to act on the property owner's behalf. 1 I have read this application and the information I have provided 's come (� b1Y15 I agree to comply with all applicable city and county Vt and ate laws relating to building construction. I authorize representatives of this city or county to e -identified property for inspection purposes.= Knature of Pronertv Owner or Authorized ADent .:.-.�- - - - Print Prooertv Owner's or Authorized Agent's Name' le,Dste _j ) ACTION DATE l/ BY ueuslrwrlviw air a.ulwruwva.c vnrn wuc air rvn vrn e,� we vrv�a FEDERAL REGULATIONSPART 61 OFTITLE40AND AQMDRULE9403. PERMITEXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATX)N TO: ❑ EPA PERMITCANCELLED ❑ AQMD PERMIT EXTENDED ASBESTOS PROPOSED DEMOLITION.T3QNI5 NOT APPLICABLE TO PERMITFINAL (i �( / CERURCATEOF SIGNATURE: OCCUPANCYISSUED