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HomeMy WebLinkAboutE2020-0500 - Permits1�tr� City of Newport Beach - Building Division d 100 Civic Center Drive, Newport Beach, CA 92660 •, Permit Counter Phone (949)644-3288 Job Address: 2909 SILVER LN Bldg: 1 Floor: Suite: Description of Work: ELEC -UPGRADE MAIN PANEL 225 AMP Inspector Area: Legal Description: 3 N TR 3068 LOT 20 Owner: UENO MITSUO Contractor: Address: 2909 SILVER LN Address: NEWPORT BEACH, CA 92660 0 $0.00 Phone: Phone: 0 Con State Lic: Issued Date:10/16/2020 Lic Expire: $0.00 Bus Lic: Processed By: is Exp Date: IIIuIIIIIIIIIIIIIIIIIIIIIJill II11IIIIIIIIIIIIIIIII1I IIIPectic :l 694 Permit: E2020-0500 VIBE SOLAR 1206 COMMERCE CENTER DR #103 LANCASTER CA 93534 661-485-5000 1036012 02/28/2022 BT30072964 09/30/3021 New Construction seas ° Receptacle/Switch/Outlets Residential 0 $0.00 Worker's Compensation Insurance 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 e°aooc a o c 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 1 $94.00 Each Add Circuit: 0 $0.00 Over 600V or10o0A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee: $131.00 Plan Inspection Requests Phone (949)644-3255 I U I Code Edit: 2019 ° a saes°° ° FEES seas ° Motors/Transformers (HP/KVA) 0 $0.00 Worker's Compensation Insurance 0 $0.00 1 to 10 HP/KW/KVA: 0 ° Carrier: STATE FUND 0 $0.00 Policy No: 9260248 0 $0.00 Expire : 09/05/2021 0 $0.00 ma ° e°aooc a o c c e o 000c coococ ° � a ° ooco ooco FEES 0 $0.00 Sub Panel: Motors/Transformers (HP/KVA) 0 $0.00 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/remp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Check Fee: 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 Due at Permit Issuance: $131.00 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. rNER-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) ction 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' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and cessions 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 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, ,iness 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 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 ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). I am exempt fwm licensure under the Contractors' State License Law for the following reason: may 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 .a structure-tM 1 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 flssionstude.is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. hVture of Prpperty Owner or Authorized Agent Dale TENSED GONT,RACTOR'S DECLARATION reby affimPdrRf@=penalty of perjury that I am licensed under provisions of Chapter 9 (commencing i Section 7000) of Division 3 of the Business and afessions Code, and my license is in full force 6 ffect. vise Clasfe . License No Dat Contractor Signature _ VKERSI COMPENSATION DECLARATION !0141G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG EO THOUSAND DOLLARS ($700,000), IN ADDITION TO THE T OF COMPEftAIibJ, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rely affirm wider -penalty of perjury one of the following declarations: ,I,Ifave arW*%Wl 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 thl 'ormance OMNI Ovork for which this permit is issued. Policy No. 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 IT4nce carrier and policy number are: Policy Number Date me of Agent n lune certify that, in the perfor nce 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 I, if I should become ct to the work compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Prov ions. nature of Applicant 221 ULU Da CLARATION REGA DING T LENDING AGENCY )reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec' 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 I have provided is correct. I agree to comply with all applicable city and county 9rdinances and state laws relating to building construction. I authorize representatives of this city or countyter th aboy�e�Identified property for inspection purposes. mature of Pmnertv Owner or Authorized ADent11�0 t�-P Print Property Owner's or Authorized Agent's Na 22 107(7 D O ( 6 11 ACTION DATE --,-BY FEDERAL REGULATIONSPART61 OF T1TLE40AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOIIHCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL CERTIRCATEOF OCCUPANCYISSUED