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Home My WebLink AboutE2021-0519 - Permitsh, City of Newport Beach - Building Division 11ill1111111111111111p11111111111p1111111111111111 JillElectrical Permit: E2021-0519 ' kd 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 5 1 9 ? Project No : 2355-2020 tw,.. Permit Counter Phone (949)644-3288 ga. _: Inspection Requests Phone (949)644-3255 Job Address: 24 RUE SAINT CLOUD Bldg: 1 Floor: Suite: Description of Work: MFR UPGRADE (E) PANEL 200 AMP & ADD NEW SUBPANEL IN GARAGE (X2021-1696) Inspector Area: 4 Code Edit: 2019 Legal Description: N TR 7519 LOT 42 Owner: MC DONALD CHRISTOPHER Contractor: RICK DORN CONST Worker's Compensation Insurance Address: 24 RUE SAINT CLOUD Address: P O BOX 10047 Carrier: STATE COMP INS. NEWPORT BEACH CA 92660 WESTMINSTER CA 92685 Policy No: 9269144 .... Phone: Phone: 714-585-7322 Expire : 02/15/2022 Con State Lic: 357535 Issued Date:09/01/2021 Lic Expire: 05/31/2023 Bus Lic: BT30074323 .°°°', Processed By: Lic Exp Date: 02128/2022 °°" . . New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 1 $47.00 0-600V over20DA: 0 $0.00 Over 600V or 10DOA: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: Branch Circuit: 0 $0.00 Plan Check Fee: Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: Additional Fee: $0.00 Supplemental Fee: Plan Check Fee : 1 $29.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $38.00 $0.00 Fee Due at Permit Issuance: $114.00 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. 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 iot more than five hundred dollars ($500). i❑ 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 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 CCMTF%ACTOR'S DECLARATION j hereby affirm utiEeapenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code A myiiee se is in full force and effect. •• O� License Class'. . License No Date Z ��l Contractor Signature WORf4ERS' COMPENSATION DECLARATION ✓DARNIN.G: FAILUR6EF TOCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SDBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OP TOO NDREO HOUSAND DOLLARS ($700,000), IN ADDITION TO THE GUST C F.COMPE%A.TION (DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. I het -by affirm under penalty of perjury one of the following declarations: 12I 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 the mance of the work for which this permit is issued. Policy No. aae 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' compensation surance cameo and policy number are: C••••• arrier. • • Policy Number Expiration Date Name .••• Name of Agent a • Phone # ❑I certify that, in the performance of the work f 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 agree that, if I should become subject to the wor s' co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant / Date hereby affirm under pepait5rof 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 Lenders 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 ordinances and st , s relating to building construction. I authorize representatives of this city or county to enter the abo e d property for inspection purposes. linnature of Pmnertv Owner or Authorized Agent f _ Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMDRULE9403. PERMITEXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO:: ❑ EPA ❑ AQMD PERMIT CANCELLED PERM{TEXTENDED ❑ ASBESTOS NO-RRCA77ON IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMIT FINAL 2'L CERPFICATEOF SIGNATURE: OCCUPANCYISSUED