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Home My WebLink AboutE2021-0429 - Permitswt>„� City of Newport Beach - Building Division . ' T 100 Civic Center Drive, Newpo'� A 92660 Permit Counter Phone (949 3288t JOo Hooress: bbU NtVVPUK 1 l:tN ILK UK bldg: 1 Floor 4 Description of Work: COMM - ELEC (OUTLETS) Inspector Area: 7 Legal Description: P.M. 295-33 PAR 6 FOR OF PAR Owner: IRVINE SA Contractor: Address: 550 NEWPORT CENTER DR Address: NEWPORT BEACH CA 92660 Phone: Phone: Con State Lic: Issued Date:07/19/2021 Lic Expire: Motors/Transformers (HP/KVA) Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or1000A: 0 0/H to U/G 0 TOTAL Fee: Suite: 400 ��I��♦�� Electrical Permit: E2021-0429 Project No: DYNAMIC ELECTRICAL SOLUTIONS CO 16835 ALGONQUIN ST, STE 164 HUNTINGTON BEACH CA 92649 714-907-3325 978307 01/31/2023 BT30073547 11/30/2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: PREFERRED EMPLOYERS INS Policy No: WKN1534178 Expire : 04/08/2022 . . .. . . .. ° Fee : $0.00 Fee 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. FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 2 $3.50 Oto 1 HP/KW/KVA: 0 $0.00 Temp Underground: °000 $9.Q0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: C $0.44. $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0:00 Branch Circuit: 0 $0.00 Plan Check Fee: $3.05 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 Fee : $0.00 Fee 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. 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, prL',Io 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 (commencil"!�with aZction 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). 111, 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). 111, 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 hereby affirm un�.e � penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business andfTHOUSAND Code, and my license is in full force and effect. • • License ClassLicense No Date Contractor Signature 1LUFtAISRS'cbMPt1NSATION DECLARATION WCRNINS: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUDOLLARS ($100,000), IN ADDITION TO THE COST it COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm u* d� "Talty of perjury one of the following declarations: ®i iiave 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 the ante of &h%%orlj for which this permit is issued. Policy No. 0&44e 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 is rue carrier and policy number are: �Oarrier : • • �: Policy Number Expiration Date eAify that, fi ttg if I should become of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to thew kers' compensation laws of California, and agree workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date,, -'SII -i J'i- V CLARATION REG&RDINQ' CONSTRUCTION LENDING AGENCY �reby affirm under penalty f rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certi /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. agree to comply with all applicable city and county ord' cos and state laws relating to building construction. I authorize representatives of this city or county to t above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACT701V DATE I/ BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OI FEDERAL REGULATIONS PART 51 OF T17LE40 AND AQMD RULE ?403. ❑ I SUBMITTED ASBESTOS N017FICATIONTO:. ❑ EPA ❑ AQMD PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NORRCARON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL CERTiFICATEOF OCCUPANCYISSUED M p A IO ry NCO ',O w p % - Im w. N B J 5N zv w "Vp J F ti 6 `spy o�� zo % °c c OSI dvt v D A l� O �c Oy, 't, N C 0 CZ rn G Z O (D 3 W O -n n O? N O Dm N O CD