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Home My WebLink AboutE2021-0227 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1707 PORT BARMOUTH PL Bldg: 1 Floor: Description of Work: ELEC SUB PANEL (X2020-2437) Inspector Area: 4 Legal Description: N TR 6622 LOT 85 Owner: MONEY CHRISTOPHERMILL Contractor: Address: 1842 PORT BARMOUTH PL Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lie: Issued Date: 912021 Lie Expire: Bus Lie: Processed By: Lie Exp Date: Suite: *E2021-0227' Electrical Permit: E2021-0227 YOUSEFY K 26541 MONTECITO LN MISSION VIEJO CA 92691 949-232-8566 871479 01/31/2023 BT30074322 02/28/2022 New Construction Receptacle/Switch/Outlets Residential 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 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Fee : Project No: 1948-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: EXEMPT Policy No: no employees Expire: FEES 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 •YY• • YIYY R R YY®aYR a `• 6 CO .oR•` • YYY:• 0 YY••. •e•a• Y Y Y Y Y Yu�Y 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. DWNER-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 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). 111, 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, 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 fromlicensure under the Contractors' State License Law for the following reason: F;y my sjgnature DA Nd 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 legall) sell"etivcture 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 Coda, is.available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. $if patAr,p of Propetty Owner or Authorized Agent Date LICENSED C0$1TRACTOR'S DECLARATION �hBjelfy.affinn IfrLdet prnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business nd Projessi ode license is in full force and effect. .l ! �, / l/ ki d afli Class . ". License No ' �aie� 3 / Z Contractor Signa re NORKERS' COIGIPENSATION DECLARATION ✓%\ COST TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE LbST 57 OFF tOMCOMPENSFnONlCAMAGES AS PROVIDED FOR IN SECTION E706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. :1%b.vaffirm untler penalty of perjury one of the following declarations: Q: have and Avilkvva itain 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 th @A&I-mance of the worn for which this permit is issued. Policy No. 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' carrier and policy number are: Agent Policy Number Expiration Date Phone # the performance oft a work for which thi 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 come subjept to workers' comp ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those,¢rovisions. _ CAVAME IECLARATION REGARDINe'CONSTRUOnOKLENDING 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). ander's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordin ces and state laws relating to building construction. I authorize representatives of✓�/this city or county t e ove- led property for inspection purposes. ff//� //�� Prinf PrnneAv rlmrner'e nr Avfhnrieed AncFf mu KA4_I t/'r' �1 �/ O t^ AC774ON DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFRCE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMDRULE1403. PERMITEXP/RED ❑ I SUBMITTEDASBEST05 NORRCATION TO: ❑ EPA ❑ AQMD PERMITC,4NCEDfD P€RMITEXTEND€D ❑ ASBESTOS NOTIRCATION IS NOT APPLICABLE TO PROPOSEDDEMOLITION. SIGNATURE PERMIT FINAL C€RTfFfCATEOF 'Q� 2-Z OCCUPANCYISSUED