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Home My WebLink AboutE2015-0678 - Permitsew1�1�� City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 5 0 6 7 8 Permit Counter Phone (949)644-3288 eNLtrou�' 9 . Electrical Permit: E2015-0678 Project No: 2672-2015 Inspection Requests Phone (949)644-3255 Job Address: 20212 BAY VIEW AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/ PANEL UPGRADE Inspector Area: 3 elemiss& Legal Description: N TR 1507 LOT B Date:t/ If applicable: Owner: CHEN MIKE Address: 20212 BAY VIEW AVE NEWPORT BEACH, CA Phone: Issued Processed • • •] 0-111 Lei 0- .-• • '!. p� .in I 10 F,'� i nb x • - 1. 1 1 New Construction e1 le/Switch/Outlets A Residential R& eglOPlJ/ atm 09 �,(�,0 Multi -Family: 0 $0.00 ure . "✓ � b �1 1-2 Family: 0 $0.00 Sep Cir ork 5ta9-te 00 Low Voltage 0 X0.00 Service 0-600V up to 20OA: 1 $40.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: FEES Motorsr (HP/KVA) 0 to 1 afterg 1to10H KV I C 10 to 50 to 1� 00 HP% W/ 1�lOrk °t ted) Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Plan Check F Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Inv ,�a ffn pAdTime Clocks: 0 $0.00 Temp Power Pole: 0 0' �Sat1InW. initials:Additional Fee : $0.00 upp em rY: Plan Check Fee: $0.00 Fee Due at Permit Issuance PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION O O°O . .. . $0.°00. $00b $0100. $0.bb $0.18• $01i5. ORO $31.00 -h. 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). ❑ 1, 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legall) sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I 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 Prof ssions ode, and my license is in full force and effect.Q r / A ) License Class License No Dare I) 1 J Cont Signature/ Signature V NORKERS' COMPENSATION DECLARATION \ f-�l NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. _ hereby affirm under penalty of perjury one of the following declarations: ❑ I hve and Vic 11 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 ance 01301d✓CI=c for which this permit is issued. Policy No. ' • and WIN 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 ce carrierend policy number are: - i %of Agent ••.• certify that, in 4tTEFperformance of .it I shod tleo me suq�ect to th Policy Number Date 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 rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those/provisions. G Al ::=Date 12.0.15 3ffirms4W96denalty of perjury that there is a construction lending agency for the performance of the work for which this permit Name • Lender's Address. pysignatup,belo�, I certify to each of the following: _ I am the propefty 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 ordinances a tate laws relating to building construction. I authorize representatives of this city or countyy ej,,✓er t a v-Ipd��yntifi�TJ,'��]', ope fo Ins tion purposes. Iature of ProDertv Owner or Authorized ADent/ YG 1 �lA I t /r�. Y, �� _ ri Property Owner's or Authorizg ACTION //I \ DATE ' BY PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED OFTITLE40AND sued (Section 3097, Civil Code). Name y 11 n-0, FOR OI ❑ I SUBMI7TEDASBESTOS N071FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS M017RCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: