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Home My WebLink AboutE2020-0307 - Permitst City of Newport Beach - Building Division _ IIIIIIIIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIII III J't 100 Civic Center Drive, Newport Beach, CA 92660 E 2 9 2 0 0 3 0 7 Permit Counter Phone (949)644-3288 Job Address: 3900 INLET ISLE DR Bldg: 1 Floor: Suite: Description of Work: ELEC -50 AMP CAR CHARGER, 200 AMP SERVICE UPGRADE Inspector Area: 4 Legal Description: N TR 6425 LOT 48 Owner: REINES MICHAEL B Contractor: Address: 3900 INLET ISLE DR Address: CORONA DEL MAR, CA 92925 $0.00 Phone: Phone: $0.00 Con State Lic: Issued Date:06/23/2020 Lic Expire: 0-600V over 20OA: 0 Bus Lic: Processed By: 0 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: 1 $45.00 0-600V over 20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $81.00 AARON ELECTRIC 382 E 16TH ST COSTA MESA CA 92627 '949-355-9147 966512 10/31/2021 BT30062679 06/30/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 1 $1.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Plan Check Electrical Permit: E2020-0307 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: W/C EXEMPT Policy No: Expire : FEES 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/remp 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. Issuance: EUq B 0 0 0 0 .00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 v w JrJu E � C4. fO� pP Op LG C u Y� q 0OC q C qe0 •y �®9 4 6 B � na � Issuance: EUq B 0 0 0 0 .00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable item(s) lection 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 IS, 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 'rofessions 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 of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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: ly 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 ell a structure that 1 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof ion d my license is in full force iG effect. '�qq J nd effect. Class License No Date �QGr.Contraclor SignabQitf,�� i YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE OST 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: 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 th erformance of the work for which this permit is issued. Policy No. 71 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' compensatiol Isurance carrier and policy number are: Number Date I ertify that, in the performan of the work r !ph 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 Tat if I should become subjec work r c pensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Da �0'LCTJ )ECLARATION REGPkbfNG NS RUCTION LENDING AGENCY hereby affirm 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). .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 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 ordi nces nd a laws relating to building construction. I authorize representatives of this city or county to nt e- a If' property for inspection purposes. nnnature of Pronertv Owner or Authorized AGent ).r Print Property Owner's or Authorized Agent's Name A'rDi'j /j �{/�(r, Date �� ACTION DATE BY GCI.LHRH!/v/M VI-Lv1Wl-un1.4�..e .. FEDERAL REGULATIONS PART 01 OF TIILE40AND AQMD RULE 1403. • P€RMJT€XP7R €D •.• �' .� ❑ ISUBMITTEDASBESTOSNORFICATIONTO: ❑ EPA ❑ AQMD • P€RMITCANCELLEO • • �_I� �; • • . • • • • •• PERMITEXTENOED ° • ••• ❑ ASBESTOS M017RC4770NIS IYOTAPPLICA13LE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL p — a j — -.:;oo /�— /L� CERTIRCATEOF • �•• :•• • ` OCCUPANCYISSUED I •. �• .•