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HomeMy WebLinkAboutE2022-0127 - PermitsCity of Newport Beach - Building Division {. 100 Civic Center Drive, Newport Beach, CA 92660 ;j Permit Counter Phone (949)644-3288 Job Address: 1947 PORT CARDIFF PL Bldg: 1 Floor: Sui Description of Work: ELEC - 200 AMP SERVICE UPGRADE Inspector Area: 4 Legal Description: N TR 6623 LOT 37 Owner: MCCORMICK STEPHEN & KIM Contractor: Address: 1947 PORT CARDIFF PL Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date: Lic Expire: Bus Lic: Processed By: Lic Exp Date: II�E�u� �II0II012l�l7 II EVOLUTION ENERGY 9102 FIRESTONE BLVD SUITE G DOWNEY, CA 90241 (562)923-0110 944493 08/31/2022 BT30078264 03/31 /2023 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: 1 $47.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or I OOOA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Plan Electrical Permit: E2022-0127 Project No : 0526-2022 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9146301 Expire : 10/27/2022 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 �r. Fla 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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : $85.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Ho ors : Mo nday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. O 000 00 O O O J 00 00G G V O O Ou O B p O O O O AGO UVV 0 ® B9 ••�•a• 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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). ❑ 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 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). ❑ I 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 legal) 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.html. 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 Lion 000) of Division 3 of the Business and Professions C de, and my license is in full force and effect. t� l� (� % 1— License Class yJ C �� License No 1 / Date I 2' 2 Contractor Signature L— WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I have 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 th rjpQrtormance of the work for which this permit is issued. Policy No. ve 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' compensatio s rance carrier and policy member are: r7 Carrier 37- U -ice �� Policy Number �� / ( Expiration Date /27 2C Name of Agent Phone # ❑1 certify that, in the performance of the wodArwhich 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 agre Sat, if I should becomeant subjectrfq the�er ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Date provisions. 2/ DECLARATION REGAL C��O))NSTRUCTISN ILMN—DING—AGENCY I 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). Lenders Name Lender's Address By 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 ordiripnces and state laws relating to building construction. I authorize representatives of this city or cou t�t ent eahove-identified property for inspection purposes./)Z Signature of Property Owner or Authorized Agen "� Print Property Owners or Authorized Agent's Name Date / ACRQiY HATE BY DECLARATION QECOMPLIANCE VNTHCODE OF �•� FOR OFFICE USE OAR Y FEDERAL REGULATIQNSl:ART6SQF T371F40siND ••. AQRdD Rt/LE 14ti3. • ; : � • • • • • PERMtTEXPIRED • ❑ tSU81l4iTTEDASBESTCS NQIRfl£Aj�M jO; . ❑ EPA • • • • • • ❑ AOMD • • • PERMIT CANCELLEL7 PERMtTEXTENDEO ❑ ASBESTOS NQTtf7CAT10NISNQTAPPi1CA8LETQ PROPOSED DEMOLITION. •.• • • • ••. e • • • • • • •e PERMITfiNAf -ZZ CERIIFICATEQF SfGNATURE:e' OCCUPANCYlSSQED 000 oe ooe e•