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Home My WebLink AboutE2020-0564 - Permits (2)City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 4203 SEASHORE DR Bldg: 1 Floor: Suite: Description of Work: ELEC/(2) SUB -PANEL, (1) EV CHARGER Inspector Area: 1 Legal Description: THIRD ADD TO NEWPORT BEACH BLK 42 LOT 2 Illla►iiuii►�iiiui►��0uuu�uu�0uu►5►uu6►u�4�Nllll ElectProjecNa l Permit: E2020-0564 Owner: LARSON PROPERTIES LP Contractor: AARON ELECTRIC Address: 1542 FOOTHILL BLVD Address: 382 E 16TH ST SANTA ANA, CA 92705 COSTA MESA CA 92627 Phone: Phone: 949-355-9147 Issued Date:10/13/2020 Con State Lie: Lie Expire: 966512 10/31/2021 Bus Lie: BT30062679 Processed By: r'tl" Lic Exp Date: 06/30/2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 C-0 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: Expire M New Construction Residential Receptacle/Switch/Outlets FEES Motors/Transformers (HP/KVA) Multi -Family: 0 $0.00 Receptacles/Outlets: Fixtures: 1 0 $1.75 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 1 to 10 HP/KW/KVA: 10 to 50 HP/KW/KVA: 0 0 $0.00 $0.00 Sub Panel: 1 $28.00 Service Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 0 $0.00 $0.00 0-600V up to 20DA: 0 $0.00 Signs Branch Circuit: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600N over 200A: Over 600V or 1 o00A: 0 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Plan Check Fee: Investigation Fee: $0.00 $0.00 O/H to U/G 0 $0.00 Time Clocks: Additional Fee: 0 $0.00 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 Supplemental Fee: $0.00 TOTAL Fee : $73.75 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $73.75 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. s o o'o 0 0 °a sa WNER-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) ;action 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 �e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from Iicensure 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 A more than five hundred dollars ($500). ] I, 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, usiness 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 iprovements 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 ;proved 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 pply 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 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: y 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 legall ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by Iicansed contractors. I! understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/celaw.html. Date ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION 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 Profs ons y license is in full force nd effect. /�Q I� Contractor Signatu icense Class License No Da VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE{JALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E�00,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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, ,erformance of the work for which this permit is issued. Policy No. !, 71 have 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' compensatiol isurance carrier and policy number are: 'artier Policy Number Expiration Date A of Agent certify that, in the 1 , if I should becom permit is issued, I shall not employ any person in any i provisions of Section 3700 of the Labor Code, I shall ignature of Applicant It DECLARATION REG DI G NST CTIO LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for wl Ender's Name Lender's Address iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners h 1 have read this application and the information 1 have pro ded is c e I agree to comply with all applicable city and county o ' nces an st s relating to building construction. I authorize representatives of this city or coun a dproperty for inspection purposes. ;Innahlre of Prooertv Owner or Authorized Agent Print Propert Owners of so as to become subject to the workers' compensation laws of California, and agre h comply with those provisions. Dat�•X/� ZQ� h this permit is issued (Section 3097, Civil Code). ACTION DATE BY ur_..�nsn...«.., .,....... __...-..-... FEDERAL REGULATIONS PART 61 OF TITLE40AND , �ERMITEXPIRED AQMD RULE 1403. ❑ I SUBMiTTEUA6BV5jOS NMFICAttoN TfT., [3 EPA zERMITCANCELLED ❑ AQ D • ' ' •� •" '•• DERMITEXTENDED ❑ ASBESTOS NOTIFICATIONISNOTAPPLICABL.ETO PERMITFINAL L — PROPOSED DEMOLITION. •^, •• CERTIFICATE DE o^++ o•o ^e a os c +^ , e SIGNATURE: OCCIIPANCYISSUED ' ^ ' ^ • ° �; co