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Home My WebLink AboutE2021-0393 - Permits$ City of Newport Beach - Building Division dq, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v �"�ktJillt=F''F. Job Address: 1907 DEBORAH LN Bldg: 1 Floor: Suite: Description of Work: ELEC PANEL UPGRADE 200 AMPS Inspector,Area: 3 Legal Description: N TR 1805 LOT 20 Owner: TROY MURPHY Address: 1907 DEBORAH LN NEWPORT BEACH, CA Contractor: O W N E R/ B L D R Address: Phone: 314-620-6057 Phone Con State Lic: O/B Issued Date:07/01/2021 Y� Lic Expire: n y Bus Lic: Processed By:_ � �� YCLic Exp Date: 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 Service Low Voltage 0 $0.00 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 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee: $85.00 Plan *E2021-0393* Electrical Permit: E2021-0393 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier : Policy No: Expire : 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: 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. 0 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $38.00 $0.00 NNER-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 it the checture, prior 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 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 ofessions 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 ,t more than five hundred dollars ($500). all of or (� portions I, as owner of the property, or my employees with wages as their sole compensation, will do L) of ithe work, and the structure is not intended r offered for sale (Section d tha 44, isiness 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, aso owner of -the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044�I, Business and Professions Code: The Contractors' State License Law doea s not tply4e on ownor of4Nwerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). j m es licensure under the Contractors' State License Law for the following reason: ymy 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 pe mit, I cannot legall A a structure that l"ve built as an owner -build if t has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofthe/ Business and rE�eslions Codes is available upon request when is appli on is submitted or at the following Web site:http://vnvw.leginfo.ca.gov/calaw.html. Daly ignatare of Property Owner or Authorized Agent C a ICEMED CQP.TP.1CTOR'S DECLARATI N he�bg'affirm under pe'halty of perjury that I am licensed under rovisio Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is in full force V.eJf&l;tDate Contractor Signature icense Class • • • License No ✓PRfSERS' COMPENSATION DECLARATION ARNING!FAILURE TO SE•CERE 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 O%TT IOp COMPENSA%Ii *MAGES AS PROVIDED FOR IN SECTION 3706 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 bf 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. the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio I have and will maintain workers' compensation insurance, as required by Section 3700 of i rsurance carrier and policy number are: :arrlPr Policy Number Expiration Date �on me of Agent I certify that, in the perfor ante of the work for which this permit is issued, I shall not employ any person in any I, if I should become ject to a worke c m n provisions of Section 3700 of the Labor Code, I shall (nature of Applicant,T Z;LARAI IUN KM1AIFUI l VN- 1 RV ireby affirm under penalty o rjury th there i a c struction lending agency for Lender's Address of the work for [der's Name 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 cou ty dinances and state laws relating to building construction. I authorize representatives of this city or county nter t ve ed-property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's AC77ON I DATE FINAL so as to become subject to the workers' compensation laws of California, and agree 1 comply with those provisions Date Z 1 this permit is issued (Sects n 3097, Civil Code). OF TITLE40 AND ❑ I SUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AOMD ❑ ASB€STOSNO71FCA77ONISNOT APPLICABLE TO PROPOSED D€MOLITION- sit OCCUPANCYISSUED SIGNATURE: