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Home My WebLink AboutE2019-0791 - Permitsaca City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIILIIIIIIIIIIIII III Electrical Permit: E2019-0791 o 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 7 9 1 Project No H -� k Permit Counter Phone (949)644-3288 0"a;r,�.,* Inspection Requests Phone (949)644-3255 Job Address: 1721 TRADEWINDS LN Bldg: 1 Floor: Suite:I' L ' I RICAL t METALLIC T U !:'. !�:t Description of Work: ELEC REMOVE/REPLACE CONDUIT ON FLAT ROOF (EMT) IS NOT ALLOVAED M= 3 Inspector Area: 3 Legal Description: N TR 3082 LOT 20 Owner: LE ANDREW Contractor: Address: 1721 TRADEWINDS LN Address: NEWPORT BEACH, CA 92660 0 to 1 H P/KW/KVA: Phone: Phone: 0 Con State Lie: Issued Date:11/26/2019 Lie Expire: $0.00 Bus Lie: Processed By: o� � Lic Exp Date: EXTERIOR Aa r„S CA 1 i(),,4:, R 3 BUILDERS 11 CAPRICORN DR LADERA RANCH CA 714-330-2240 936205 08/31/2021 BT30066407 01/31/2020 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential 0 to 1 H P/KW/KVA: 0 Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 $0.00 Investigation Fee: Low Voltage 0 $0.00 Service $35.00 Signs Supplemental Fee: 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Plan Code Edit: 2016 I M5 P ECTO R Worker's Compensation Insurance Carrier: NORGUARD INS CO 92694 Policy No: RTWC980632 Expire : 08/03/2020 FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel: 0 to 1 H P/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 oeee% •°Ooor� e • o ° ee • o o•000 , , me•000 eseeee ° ° 0 o ° o Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: 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. 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). ❑ 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 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). ..• 11I am exempt.frd..tn licensure under the Contractors' State License Law for the following reason: Bytry 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 self alstructdr@ That t 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://v ww.leginfo.ca.gov/calaw.htmi. SiggAturof Prope�rtyy Owner or Authorized Agent Date LIC�NSED.CORl7�ACTOR'S DECLARATION Thereby affirm'ultde� penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business and Prof Bions Code, and my ansa is in full force and effect. � q LTc@flse Clasa • • • • License No Date ' r 0�� `� Contractor Signature WOkKERS' COMPENSATION DECLARATION Irgd)IriG: FAILUR! T�QQ $$U RE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON UNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF CO MPET1SQlTOTI. DAM AGES AS PROVIDED FOR IN SECTION J706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I .hereby affirm t"er penalty of perjury one of the following declarations: 3 f have aniT 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 7eyl0mance of the work 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' compensatior Isu ce carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the perfor ante of thew which this per it is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree iat, if I should become sU Iect to thew rs' com nsatio fovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' ns. Iignature of Applicant IECLARATION REG DING NSTR N LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issu d (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the pro arty owner's behalf. I have read this application and the information I have rovided is correct. I agree to comply with all applicable city and county rdi nces a d state laws relating to building construction. ///''' I authorize representatives of this city or county t n the o e -Identified property for inspection purposes, �� a GJ Unnature of Prnnertv Owner or Authorized Acent /l Print Property Owner's or Authorized Agent's Na I `' l (`� �'e! -S ate / / ACTION DATE RY DECLARATION OF COMPLIANCEYYITN CODE OF FOR OFFICE USEtY FEDERAL REGULATIONS PART 61 OF T17LE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCA.NCELLEO PERMITEXTENDED ❑ ASBESTOS NO7IFICAIIONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMITFIN.4.t (q 202D CERTIRCATE OF SIGNATURE: OCCUPANCYISSUED