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Home My WebLink AboutE2021-0307 - Permits�w ryy City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 w, ?, Pest Counter Phone (949)644-3288 111111111111111111111111111111111 ill Elect I Permit: E2021-03070 3 01No: Job Address: 545 SAN NICOLAS DR Bldg: 1 Floor: Suite: Description of Work: ELEC ADD CONVENIENCE OUTLET IN TELEPHONE CLOSET @ PARKING STRUCTURE PLAN ATTACHED Inspector Area Legal Description: Owner: IRVINE CO Contractor: Address: 500 NEWPORT CENTER DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:05/1 /2 21 Lic Expire: Processed By: L i Bus Lic: Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 DYNAMIC ELECTRICAL SOLUTIONS CO 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH CA 92649 714-907-3325 978307 01/31/2023 BT30073547 11/30/2021 Inspection Requests Phone (949)644-3255 ammm Code Edit: 2019 w e o o y°`sg • e • c 6 m m0 0 m Worker's Compensation Insurance Carrier: PREFERRED EMPLOYERS.,".:• .m Policy No: WKN1534178 e•soc Expire :0410812022 1"• •m V f C . a ® s ameom� fi0090p O G m omnia 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. FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 1 $1.75 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 $0.00 Signs Branch Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Circuit: 0 $0.00 Plan Check Fee: $1.52 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 40.27 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $40.27 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. YVRCR-BUIL mu der penalty fperj 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 a l2 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 rsres fits applicant for ie 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 ($500). ] I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). .... I, as owner -of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not .. . pply loan owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 9' tar; exempt fro rn. licensure under the Contractors' State License Law for the following reason: W mysignature beI acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally low elft �Ructure thAt I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofessions Coy �yi$ available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date lgpat'uce of Properfy dwner or Authorized Agent IC6WSED CONTRACTOR'S DECLARATION ItdT2lTt,affirm el4de4 �i�nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th Business and Profe Bions Code, and my license is in full force Rdeffect. issrue.Class � License No Dat II Z. � Contr4r ignature YORKERS' OQpIPPJJSATION DECLARATION IARNi`➢Gl FAILURE II0 SEC�IRE 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 gS78EL'OMPEN,�jTj(j{J.gAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 th �Jormance of the work for which this permit is issued. Policy No. knave 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' compensatioi rsurance carrier and policy number are: !Arriwr Policy Number Expiration Date ne 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 workers' compensation laws of California, and agre, t, if I should become subject to o ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Si ns. not re of pplicant ._-- Cp5/tJ¢� CLA - GARDING CIPNqTRUCTIDN LENDING AGENCY weby affirm under penalty of p ry 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 correct. I agree to comply with all applicable city and county ordi es and state laws relating to building construction. I authorize representatives of this city or county to a to t 3 o ' 'ad -property for inspection purposes. \ 6�� * A Q nature of Propertv Owner or Autfjeriz€r�Vgent Print Property Owner's or A vied Agenss 3 `_ W ACDON PERMIT BY FEDERAL REGULATIONSPART 09 OF TI7LE40 AND AQMD RULE 9407. ❑ I SUBMITTEDASBESTOS NODFICATION TO:. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICA TION IS NOT APPLICABLE TO PROPOSED DEMOLITION. LtnrrnwrcvrI I —11SIGNATURE. OCCUPANCYISSUED