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Home My WebLink AboutE2021-0347 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288I/ L �' Job Address: 18 CORMORANT CIR Bldg: 1 Floor: Suite: Description of Work: SFR ELEC SUBPANEL (X2020-2179) Inspector Area: 3 Legal Description: N TR 12529 LOT 9 � S coo-MN&IV) } U( Owner: VOSS MELANIE& MICHAEL Contractor: OWNER/BLDR Address: 18 CORMORANT CIR Address: AUTH AGENT NEWPORT BEACH, CA 92660 0 PAT SIMONIAN Phone: Phone: $0.00 0-600V over20OA: Con State Lic: O/B Issued Date:05/27/2021 Lic Expire: $0.00 Bus Lic: Processed By: �� 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 or1oo0A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $65.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : m $0.00 Electrical Permit: E2021-0347 Project No : 1753-2020 Inspection Requests Phone (949)644-3255 FEES z Code Edit: 0 Temp Underground: 0 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Worker's Compensation Insurance MOO • m Carrier V: e•o•oo Policy No: 0 e m Expire m Plan Check Fee: o . m 00 m o . • n Investigation Fee: •o 0 $0.00 �J • o em eeeoo o e mmmoo Supplemental Fee: ee •m 000moo m o e m se • o m o FEES •e•mos 0 Motors/Transformers (HP/KVA) Temp Underground: 0 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 Plan Check Fee : 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. •e•mos 0 •••e Temp Underground: 0 $0.00 Sub Panel: 1 $28.00 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. )WNER-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 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 he 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 )rofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or ed for the purpose of sale). asowner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not I y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor purs nt to the Contractors' State License Law). I am exempt from licensure under the Contractors' at License Law for the followi reason: 3y my signature below I acknowledge that, except for y p Sona' residence in which 1 Wust have resided for at least one year prio to completion of the improvements covered by this permit, I cannot legally ;ell a structure Ilibuilt as an owner builder' it not been constructe in its #htirety by licensed contractors. I understai that a copy of the applicable law, Section444.Qf the Business and )rofessions Code. 2Vailable upon request wh ation•1 submitte r fo owing Web site: htt :// leginfo.ca.g /calaw.html. Signature of Property Owner or Authorized Ag IMMSED dOATRACTOR'S DECLA TION &rej)y affirmilndgr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force mfl.eg6ct. .1censeClass • •• License No Date Contractor Signature ' Oflj ERS' COfl44NSATION DECLARATION -IARNING: FAILU$TQSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :L)SfdF�COMPEIf$Q,T[ON, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. H22Ey affirm under penalty of perjury one of the following declarations: �h eve and will Pt�imain 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 xmance o{tka wo for which this permit is issued. Policy No. NA and WO fpairjtain 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' compensa rance carrier and policy number are: Policy Number of Agent Date 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. ignature of Applicant Date DECLARATION REGARDING 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 y my signature below, I certify to each of the following: I am the property owner or authorized to on the property owner's behalf. I have read this application and the int of n I ha provided is cortect. I agree to comply with all appliPable ' y an count rdinances and state laws relating o building construction. I authorize representatives of his o o n t nter the above -identified property f r inspection purposes. innafure of PmnR.rf V Owner nr Arun d .� Ailirn�ti, i /7v _ Print Prooertv Owner's or Auth AC77ON DATE By uct.r_slrw I rvry yr i.vrvrrusxrvt.c vvr r n uvvc yr FEDERAL REGULATIONS PART 61 OFT17LE40AND AOMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: PERMIT CANCELLED ❑ EPA PERMIT EXTENDED ❑ AQMD E] ASBESTOS NOT APPLICABLE TO PERMITFINAL -fr.%% / PROPOSED DEMOLITON.RONtS OCCUPANCYISSUED SIGNATURE. I