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Home My WebLink AboutE2020-0145 - PermitsCity of Newport Beach - Building Division 11p1111111111p11111111Jill IlIlllp1111111111p1111JillElectrical Permit: E2020-0145 J�"' 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 1 4 5 Project No: 0502-2020 �; _ Permit Counter Phone (949)644-3288 0s� "v<ras'fi'` Inspection Requests Phone (949)644-3255 Job Address: 2660 SAN MIGUEL DR Bldg: 1 Floor: Suite: Description of Work: ELEC -INSTALL 120 VOLT CIRCUIT FOR NITRO BREW MACHINE "STARBUCKS" i N S P E CT® P Inspector Area: 7 Code Edit: 2019 Legal Description: P BK 119 PG 49 PAR 1 Owner: IRVINE CO Contractor: R4 ELECTRICAL CONSTRUCTION Worker's Compensation Insurance Address: 550 NEWPORT CENTER DR Address: 30141 ANTELOPE RD #D600 Carrier: HARTFORD INSURANCE NEWPORT BEACH, CA 92660 MENIFEE CA 92584 Policy No: 72WECAA9KGV Phone: Phone: 951-206-7826 Expire : 01/01/2021 Con State Lic: 782019 Issued Date:03/10/2020 Lic Expire: 09/30/2021 . ... 10 Bus Lic: BT30071361 • • • •' .: Processed By: Lic Exp Date: 03/31/2027 • o .. o • o 0 09000• ° O p New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or 1000A: 0 O/H to U/G 0 TOTAL Fee: FEES ...•. Receptacle/Switch/Outlets Motors/Transformers(HP/KVA) . ...a Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: o D. $0.1)0 . $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: w ° �3 MOO.. $0.00 Sep Circuits: 1 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 ..0 ° $0.001, Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 ° .•a• $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: $6.09 $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: $35.00 $0.00 Additional Fee : $0.00 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. 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, 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 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). ❑ 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, 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). ❑ 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se Ion 7 00) of Division 3 of the 13iness and P dons Code nd my license is in full force and effect. ��1 /// License Class- •"•• License No Dg11� A z0 Contract ign ure /kil— ...YYY777 KQVr:PRS' COMPENSATION DECLARATION ' \ IVARNINQ FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION, AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hftpy affirm under penalty of perjury one of the following declarations: an4fti"rr$intain 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 ;e of the work for which this permit is issued. Policy No. and dNilt mUtain 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' carridrWitl policy number are: Policy Number Expiration Date performance �oo the work for which this permit is issued, I shall not employ any person in any manner so as to become sub'ect to the Ie suyjBet a workers�ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those (provisions. CLARATION REGARDING CONSTRUCTION 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 ider's Name Lender's Address my signature below, I certify to each of the followin _ I am the property owner or authorized to a he property owner's behalf. I have read this application and the informs Ion have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of thi r cou the above= d prop ntified prorty for inspection purposes. mature of Prooertv Owner or Aut ed Agent �h>•f7�h+� .� Print Property Owner's or Authorized Agent's N m ACDON DATE BY r LLAr f IUIV Ur %-vrwrusuvl r vrr rn l uvc yr FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMO RULE 1403. PERMITEXPIRED I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS AIOTIFICA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL Or- ZZ— CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED 3097, Civil Code). laws of California, and 0%41