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Home My WebLink AboutE2019-0430 - Permitsv x City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II Electrical Permit: E2019-0430 100 Civic Center Drive, Newport Beach, .X CA 92660 E 2 0 1 9 0 4 3 0 Project No; 2858-2017 Service Permit Counter Phone (949)644-3288 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 v4�rs�a O/H to U/G 0 Inspection Requests Phone (949)644-3255 Job Address: 2229 CLIFF DR Bldg: 1 Floor: Suite: $0.00 Description of Work: ELEC/SUB-PANEL Inspector Area: 2 Code Edit: 2016 Legal Description: TR 919 LOT A NWLY 110 FT SELY 475 FT NIFLY 150 FT D p Owner: COOK RUSSELL Contractor: BOYER T COMPANY Worker's Compensation Insurance r3 Address: 2229 CLIFF DR Address: 1656 BABCOCK ST Carrier: CYPRESS INS NEWPORT BEACH, CA 92663 _OSTA MESA CA 92627 Policy No: TBWC015637 ya/ Phone: Phone: ' 2,1-642-2431 Expire : 01/01/2020 , Con State Lic: 5E6902 Issuedbate:06/21/2019 Lic Expire: 051,3"12021 Bus Lic: BT91107285 Processed By: Z Lic Exp Date: 05/SV2120 . 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 over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $36.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 MOO 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) 0 to 1 H"'/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 51, to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: Temp Underground: Sub Panel Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30401. Ato Satgr fay from 8:00 a.m. to 6:00 p.m. ! D cC D • f G D m• c D ! YG Y l�lD 4 4L eG _ V4G .YO �Gf 6 44D 4®� 0 $0.00 1 $26.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 )WNER-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 he 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 Irofessions 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 iot more than five hundred dollars ($500). a`i; as owner of the property, or my employees with wages as their sole compensation, will do L) 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 nprovemenls 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 n 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 Ipply 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). ] I 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 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 f the Business and Irofessions Code, is available upon request when this i ation is sikonitted prAthe following Web site:http://www.leginfo.ca.gov/calaw.html. 2' l tignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under p palty fperjury that I am licens d under pro i -of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi od 1d my license is in full force nd effect. ) icense Class License No Da -Contractor Signatur02 VORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 the ea ormance of the work for which this permit is issued. Policy No. pl have and willai t@@in 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 Isurance carrier an poly number aho-, :arrier —, 1 it I^nA IicydNurta r -n _ Expiration Date of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the works mpensation laws of California, and agree I, if I should become subjegt to the erpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions nature of Applicant Xl _� Data\r /_LJl f4 CLARATION REG RDId-- G60NSTRUCTI NDING AGENCY / Ireby affirm under penalty of perjury that ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CiVi 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 ordin�Daesand state laws relating to building construction. I authorize representatives of this city or county to eek bo dentified property for inspection purposes. ` l L "� nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Y /Y� -tYaFp AC77ON DATE EY DECLARATION OF COMPLIANCEWITH CODEOF FOROFFICE SEONLY •• • • FEBI�E4L•RCGUL4AQn F(1RT61 OF TITLE 40 AND RULi4403.,.. P€RMITi9CPIREDAQMddbd ❑ 1WJ*f1FED AS®EST(JS NONFICATION TO: Jfl EIPA •• PERMIT£ANCELL€D • ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS NOIIRC4170MIS NOTAPPLICABL.E TO •TRPP0_JEQDEJIil0LMCN• . . . • e PERMITFINAL CERTIFICAT€OF s . OCCUPANCYISSU.EO