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Home My WebLink AboutE2019-0837 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 8 3 7 *, Permit Counter Phone (949)644-3288 C��CdRx58't'ro Job Address: 521 BEGONIA AVE Bldg: 1 Floor: Suite: Description of Work: ELEC -OVERHEAD TO UNDERGROUND Inspector Area: 5 Legal Description: CORONA DEL MAR LOT 21 BILK 529(AND NELY 12 FT LOT 19 BILK 529 Owner: NBJ HOLDINGS LLC Contractor: Address: 521 BEGONIA AV Address: CDM CA 92625 0 to 1 HP/KW/KVA: Phone: Phone: 0 Con State Lic: Issued Date:12/10/2019 Lic Expire: $0.00 Bus Lic: Processed By: Lic Exp Date: ROWE JOHN ELECTRIC 9422 MOKIHANA DRIVE HUNTINGTON BEACH CA 92646 714-968-3608 768892 10/31/2021 BT02060504 05/31/2020 New Construction 0 $0.00 Sub Panel: Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 2 $90.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 0/H to U/G 1 $45.00 Additional Fee: $0.00 TOTAL Fee: $170.00 Plan Electrical Permit: E2019-0837 Project No Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: OAK RIVER INS CO Policy No: ROWC019946 Expire : 10/01/2020 FEES 0 $0.00 Sub Panel: 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 fa ' Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 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 Issuance: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Constr ocfoon HQgrs.,,VVnday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. `° o OWNER -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 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 Im roved for the purpose of sale). 1, 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 legally 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.htmi. 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 Pr f s s Code, and my license is in full force and effect. (� /cI Contractor Si License Class License No Date � gnature n WORKERS' COMPENSATION DECLARATION 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 11have 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 591)4mance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date is of Agent Phone # 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date Date IECLARATION REGAR ING CONSTRUCTION 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 ed is correct. I agree to comply with all applicable city and coun ordin ces and state elating to building construction. ' I authorize representatives of this city or counWlo enter a above= ified property for inspection purposes. :innature of Pmnerty Owner nr Authorized ADen Print Prooertv Owner's or Authorized ADent's Name. ACTION DATE BY UCLLAlfrA riVIY Vf"L.UI{9YLiHIYI,C WIit)l-VUC Vf • •. /.•• t:: tl.t FEDERAL REGULATIONS PART 61 OF TITLE40AIQQ AQMDRULE1403. : • ❑ I SUBMITTED ASBESTOS NOTIFICATION TO:.. ❑ EPA ❑ AQMD . : .. . • : : . : .. .•: PERMITEXPIRED PERMITGANCELLED PERMITEXTENDED BESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. �:� �. :�� :�• PERMITFINAt .�• .�. CERTIFICATEOF • • • • . • • . SIGNATURE: OCCUPANCYISSUEDTT ••• •• •• • • .•• •• J2101t5