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Home My WebLink AboutE2019-0724 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2019-0724 100 Civic Center Drive, Newport Beach CA 92660 II�E 2 0 1 9 0 7 2 4 Permit Counter Phone (949)644-3288 PfOJ2Ct NO "kxtiical'�s Inspection Requests Phone (949)644-3255 Job Address: 2924 CAROB ST Bldg: 1 Floor: Suite: INSPECTOR � ��® Description of Work: ELEC 150 AMP SERVICE UPGRADE Inspector Area: 8 Code Edit: 2016 i Legal Description: N TR 5018 LOT 112 Owner: WILLIAM WARDEN III Contractor: DOCTOR REMODEL Worker's Compensation Insurance Address: 2924 CAROB ST Address: 27171 SOLEDAD - Carrier: WC EXEMPT m.... % NEWPORT BEACH, CA 92660 MISSION VIEJO CA 92691 Policy No: (NO EMPLOYEES) Phone: Phone:- 949-584-5919 Expire: ° Con State Lic: 406279 ..°. IssuedDate:10/25/ 0 9 _ Lic Expire: 03/31/2021 ( ( Bus Lic: BT30034884 Processe By: Lic ExpDate: 03/31/2020 �. . c ° ° .q.dz FEES .®®.co o `° New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) _.. Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: < 0 $0.00 0 $0.00 1 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: ' 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 ': Record Mgmt Fee $0.00 0-600V up to 20OA: 1 145,00 Branch Circuit: 0 $0,00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Pee: $0.001 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.001 O/H to U/G 0 $0.00Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $80.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $80.00 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 8:00a.m. to 6:00 p.m 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 jem(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 L) 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 legall,. 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 -CgN7RACTOR'S DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Pro s ions Code, an n my license is i� n f� ull farce and effect. •.. • p\a� Uq*pase class _.' License No v 1�io Z5 Contractor Sign Lure WORKERS' COMPENSATION DECLARATION ✓I WARNING: FAILUPE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CO5j OF COMRENSPFrION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • I-%dby affirm under penalty of perjury one of the following declarations: .I•have ar*Vl ;i6,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 l;ir4w1nance of the work for which this permit is issued. Policy No. 1-1%re 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 Insurance taro&% 8 policy number are: Garrisr Policy Number Expiration Date Agent' :. Phone # y that in theperforma a of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subj ct to the workers' compensation laws of California, and agre ,hould becomejja ject a ' c workersompen�\tlon pro 1 s of Section 3700 of the Labor Code, I shall forthwith comply with those visions. of Ap..... i nt 1 � 1 —Y D to C7 ^ _T1 reby affirm unbar penally 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). der's Name'. Lender's Address Try 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 applicably� city and county o 1 nces and s to laws relating to building construction. I authorize representatives h(f tfjircity or county enl i t o above-idI rI'fied 094rty for inspection purposes. 1 , ACTION DATE By DECLARATION OF COMPLIANCEWlTH CODE DF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART61OFT17LE40AND AQMD RULE 1403. PERMITEXPIRED 1 SUBMITTED ASBESTOS MODIFICATION TO. ❑ EPA ❑ AQMD PERMIT CANCELLED IIP€RMITEXTENDED PROPOSED DDEMDLITION.ASBESTOS DflNIS NOTAPPLICABLE TO PERMITFINAL i /7-6 OF CERTtFtCATE OF OCCOPANCYISSOED SIGNATURE: