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Home My WebLink AboutE2019-0649 - Permitswr, City of Newport Beach - Building: Division .100 Civic Center Drive, Newport Beach, CA 921180 F t Permit Counter Phone (949)644-3288 Job Address: 404 FULLERTON AVE Bldg: 1 Floor: Suite: Description of Work: ELEC -100 AMP SUB PANEL (IN GARAGE) Inspector Area: 2 Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 29 LOT 2 II�IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II PElectrical o ect No :Permit:09 iE019-0649 t Owner: KEELING GREG Contractor: TRI -POINTE CONSTRUCTION INC Address: 404 FULLERTON AVE Address: 1603 LONGHORN WAY NEWPORT BEACH, CA 92663 0 NORCO CA 92860 Phone: 949-278-6643 Phone: 951-232-5804 Service Con State Lic: 1026781 Issued Date:09/25/2019 Lic Expire: 05/31/2021 0-600V over20OA: 0 Bus Lic. BT30063799 Processed By: Lic Exp Date: 09/30/2020 New Construction 0 $0.00 Residential 0 $0.00 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: Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 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 $0.00 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: NORGUARD Policy No: TRWC913600 Expire : 07/10/2020 FEES 0 $0.00 Motors/Transformers (HP/KVA) Sub Panel: 1 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/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Fee Temp Underground: 0 $0.00 Sub Panel: 1 $27.00 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 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION U� 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. Oy V4p 9 pp ppb pR0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below byy 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 (_) all of or U 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 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 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 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and FIT essions Code, and y license is in full force nd effect. icense Class License No Date �" Contractor Signature YORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS ($100,000), 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: 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 IN erformance of the work for which this permit is issued. Policy No. ]I 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 Isurance carrier and policy number are: :arrier Policy Number Expiration Date is a of Agent Phone # �I ertify that, in the Performa ce 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 agree IS if I should becom ubj ct t the orker ompens ton prove Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � dgnature of Applicant � GL _ Date IECLARATION REG D G//C NSTRUCTION LENDING AGENCY hereby affirm under penalty df perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Lection Civil Code). ender's Name Lender's Address y 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 rdinances and state laws relating to building construction. I authorize representatives of this city or cou t iter t aq a-id�r ti 'ed p perty for inspection purposes. n Ii nature of Property Owner or Authorized Agent 1 / / Print PropertyOwner's or Authorized Agent's Name U I "1� �xi l C t }{ rct Date ACT70N DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULA77ONS PART 61 OF 777L.E40AND � � � . _ • • PERMIT EXPIRED AQMD RULE 1403. . • • • • . I SUBMITTED ASBESTOS NOTIFICATION TO: • ; •' . . •' - P€RMITCANCELLED ❑ EPA . + • • , + P€RM(TEX7 ENDED D AQMD . •.. ❑ ASBESTOS NORRCARONIS NOF APPLICABLE TO PERMIT FINAL - 5- PROPOSEDDEMOLITION. • .•• • CERTIRCATE OF • '+' ' SIGNATURE: OCCUPANCYISSUED • •' • • • • :.. ' r