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Home My WebLink AboutE2021-0376 - Permitscity of NeW ort Beach - Building Division 100 Civic Center Dnlve, Newport Beach, CA 92660 v.. Permit Counter Phope (949)644-3288 Job Address: 500 NEWPORT CENTER DR Bldg: 1 Floor: 4 Description of Work: ELEC OUTLET IN KITCHEN Inspector Area: 7 Legal Description: IRVINE SUB LOT BILK 93 POR OF BLK Owner: IRVINE CO Contractor: Address: 500 NEWPORT CENTER DR Address: NEWPORT BEACH, CA 92660 $0.00 Phone: Phone: \ Con State Lie: Issued Date:06/22/2021 Lie Expire: yy 0 Bus Lie: Processed By: 1 Lic Exp Date: New Construction Residential 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 or1000A: 0 $0.00 O/H to U/G 0 $0.00 Suite: 40Q *E2021-0376* DYNAMIC ELECTRICAL SOLUTIONS CO 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH CA 92649 714-907-3325 978307 01131/2023 BT30073547 11/30/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 1 $1.75 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 °O0O°° Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : eo ° $0.00 Electrical Permit: E2021-0376 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 0 $0.00 Sub Panel: Motors/Transformers (HP/KVA) e000 0 to 1 HP/KW/KVA: 0 e e000 e ° 0 $0.00 °O0O°° 0 e000 0 Worker's Compensation Insurance $0.00 Over 100 HP/KW/KVA: Carrier: PREFERRED EMPLOYERS INS e $0.00 eo ° Policy No: WKN1534178 Expire : 04/08/2022 ° ° C e o 0 0 • °ee°e� o° 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 Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $1.52 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. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) ((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 Businep�d- 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 or not 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 (_) 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signatu&s!6dId% 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 tT9Tl•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 IProfftions Code,4% available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. $ignjture of R•rop@jV*Owner or Authorized Agent Date L?Qr NSED CQNTRACTOR'S DECLARATION hereby affirm ylndgrpenalty of perjury that I am licensed under provisions of Chapter 9 (commencin wi Section 7000) of Division 3 of the Business and Pr fe Bions Code, and my license is in full force and eSfe •••• • pW� LidehseClass License No Date Z2 ZI Contractor Signature IL mo" UtIiiRKERS••C011PENSATION DECLARATION MAING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 0 H NO O THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ea91hDF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirp?uldel 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 EPFormanca otW9.vor1k for which this permit is issued. Policy No. ave 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 g6urmice carrier and policy number are: me of Agent _ I certify that, in the It. if I should bacon (nature of AoDlican Policy Number Expiration Date Phone # Ice of 14e work for which this permit is issued, I shall not employ any person in any manner so as to become subject tth workers' compensation laws of California, and to th prJ prs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis4nj CLARATION REGAFdD/NG�RUCTION LENDING AGENCY weby affirm under pe lty of peq - that there is a construction lending agency for the performance of the work for which this permit is issued 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 informatioER is correct. I agree to comply with all applicable city and c and state laws relating to building construction. I authorize representatives of this city or counove-identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam 3097, Civil Code). (� ew" ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF T17LE40 AND AQMD RULE 1403. PERMI€EXPIRED ❑ I SUBMITTEDASBESTOS NO77FICATION TO: ❑ EPA ❑ AOMD PERMIT CANCELLED PERMITEXTENDED PROPOSED DEMOUTION.ASBESTOS RONISNOTAPPLICASLEFO PERMIT FINAL ._Z3_ 7,( CERTIFICATEOF OCCUPANCYfSSUED SIGNATURE: zw m w w co f ❑ app �i a u� �.. LL r sl yF ro E g � EE E w N� Z Cs% 5a ox? g 9 Z yZ la=ma / 8 N (R _ • zw m w w co f ❑ app �i a u� �.. LL r sl yF ® N Z CV 9 Z m zw m w w co f ❑ app �i a u� �.. LL r sl yF