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Home My WebLink AboutE2021-0691 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 200 29TH ST Bldg: 1 Floor: Suite: Description of Work: MFR ELEC OVERHEAD TO UNDERGROUND Inspector Area: Legal Description: LAKE TR ELK 128 LOT 1 Owner: ARNOLD EDWIN C Contractor: Address: 200 29TH STREET Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:10/11/2021 Lic Expire: (� Bus Lic: Processed By: k7 Lic Exp Date: *E2021-0691* B I D ELECTRIC 4550 CAMPUS DR #151 NEWPORT BEACH, CA 92660 949-903-4591 730445 12/31 /2022 BT30076892 10/31/2022 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 1 $47.00 Additional Fee : $0.00 TOTAL Fee: $85.00 pl.. Electrical Permit: E2021-0691 Project No: Inspection Requests Phone (949)644-3255 NO CONSTRUCTION NOISE Code Edit: 2019 ON THE WEEKEND Worker's Compensation Insurance Carrier, WIC EXEMPT Policy No: (NO EMPLOYEES) a �.iJ W46000 Expire G66a" 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 Fee : Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit PERMITS EXPIRE 190 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. a c ° a ° Wa a B 6 �aaava a o o- as a o 6e£wtiW �a3a a a� �moa ° a a aa° a ° ° s6> 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 $38.00 $0.00 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 U all of or (_) 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CMT� ACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C $e, and my license is in full force anciefat. •.•s x Eicense•Class ' ` License No Date X �{�-21 Contractor Signature WORkERS' COMPENSATION DECLARATION WARNING: FAILURE ZO SEC}rRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF COMPENSAI-", DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ;hereby affirm under penalty of perjury one of the following declarations: • f 811"awe and wlli 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 thI pA"Mance of thegwork for which this permit is issued. Policy No. •.•• khavc and wili 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' compensatior Insurance carriegap8 phlicy number are: Policy Number Date a -me of Agent - • rnuue « JI 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 agreE lot, if I should become subject to the worl s' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date IECLARATION 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). enders 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 owner's 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 state laws relating to building construction. 6"v- �CL y4a "y I authorize representatives of this city or county to enter the above -id Ifi P1property for inspection purposes.l(-�/ ;ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date VV ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFfCE USE ONLY FEDERAL REGULATIONS PART 51 OF TITLE40 AND AQMDRUL.E'I403. PERMITEXPIRFD ❑ I SUBMITTED ASBESTOS NORFICATION'TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT. EXTENDED ❑ ASBESTOS NOTIFICATIONIS NOTAPPLICABLETO PROPOSEDDEMOUTION. SIGNATURE: PERMITFINAL Z. CERTIFICATEOf OCCDPANCYiSSUED