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HomeMy WebLinkAboutE2020-0596 - PermitsCity of Newport Beach - Building Division 11111111111111p11111111p11111111p111111111111pil11Electrical Permit: E2020-0596 rad 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 5 9 6 Project NO: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 7 WINDSOR Bldg: 1 Floor: Suite: Description of Work: ELEC OUTLET FOR TAN KLESS W/H & FIXTURE Inspector Area: 6 Code Edit: 2019 Legal Description: N TR 10151 LOT 5 Owner: KIM JOE Contractor: Address: 7 WINDSOR Address: NEWPORT BEACH, CA 92660 0 to 1 HP/KW/KVA: Phone: Phone: REPIPE 7 Con State Lic: Issued Date:10/2212020 Lic Expire: 19326 VENTURA BLVD #201 Bus Lic: Processed By: Lic Exp Date: New Construction 0 $0.00 Sub Panel: Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: mmme.. m Receptacles/Outlets: REPIPE 7 Worker's Compensation Insurance Leo• °Oe•• m me•on� 19326 VENTURA BLVD #201 Carrier: BENCHMARK INSURANCE • • TARZANA CA 91356 Policy No: CST6013781 C C o m m 818-342-2927 Expire : 09115/2021 0 0o • < 927892 Low Voltage om m e • n mm o 01/31/2021 • oo =o BT30070567 • me m e •e• o 10/31/2021 Branch Circuit: •m m ° o°°m°o � 0-600V over 20OA: 0 c o0 O40® o Oe00CC • O New Construction 0 $0.00 Sub Panel: Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 Receptacles/Outlets: 1 $1.75 Multi -Family: 0 $0.00 Fixtures: 1 $1.75 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 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: $37.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : 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. VNER-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) action 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Aessions 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 penally of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 iroved 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 31y 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: my signaturebelow 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 I a structurrrtf15f I•heve 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 Aessions Core, 1%available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. inaiure of Proppertyy Owner or Authorized Agent Date :F.NSED CONiIZTOR'S DECLARATION slimy affirm unser penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business po Professions Code, and my license is in full force J effect. • ens6. Class • • • • • License No Date ® Contractor Signature +' ?RKERS' GOPIgPgNSATION DECLARATION RNINP. FAILURE" SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOO E H NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 9?dF COMPENSA WON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. y OM?affirm uQderaenally of perjury one of the following declarations: have and wilt matntain 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 thI orrhance of thewerk for which this permit is issued. Policy No. have and wilt MIntain 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 uitrice carrier and policy number are: rrler Policy Number Expiratibn Date me of Agent Phone # I certify that, in the pert rmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to t workers' compensation laws of California, and agree t, if I should beco s Eject tot workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi i s. __tt nature of ApplicantZZ ' C✓ CLARATION REGA CONST CTION LENDING AGENCY ;reby affirm under penally erjury that there is a construction lending agency for the performance of the work for which this permit is issued ( cti n 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 have provided is correct. I agree to comply with all applicable city and co my ordinances and state laws relating to building construction. I authorize representatives of this city or cou,'p1 o enter a above-ide Ufied property for inspection purposes. /' /1 nature of Property Owner or Authorized Agent 1r `m d - -�c\ Print Property Owner's or Authorized Agent's Name �n fi C]is �cc•�I'J Q�pte (©- Z ACTION DATE 13Y PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFfCATEOF OCCUPANCYfSSUED FEDERAL REGULATIONSPART 61 OFTITLE40AND AQMD RULE 1403. I SUBMIITEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOT7FICAT7ONIS NOT APPLICABLE TO PROPOSED DEMOUTION. SIGNATURE: