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Home My WebLink AboutE2022-0396 - PermitsCity of Newport Beach - Building Division *E2022-0396* 100 Civic Center Drive, Newport Beach, CA 92660 - r=» Permit Counter Phone (949)644-3288 u Job Address: 1735 IRVINE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC: UPGRADE MAIN SERVICE PANEL 200A _. Inspector Area: 3 Legal Description: NEWPORT HEIGHTS LOT 248 FOR OF LOT Owner: GLENDE AMBER Contractor: LAGUNA BEACH ELECTRIC Address: 1735 IRVINE AVE Address: 328 SAN TROPEZ CT NEWPORT BEACH, CA 92660 LAGUNA BEACH CA 92651 Phone: Phone: 949-275-3378 Con State Lic: 939805 Issued Date:07/06/2022 Lic Expire: 11/30/2023 Bus Lic: BT30079192 Processed By: Lic Exp Date: 07/31/2023 Electrical Permit: E2022-0396 Project No : Inspection Requests Phone (949)644-3255 Code Edit:2019 °•°• Worker's Compensation Insurance "`°• ° Carrier: NORGUARD INSURANCE CCSIOIi'ANY °••• Policy No:DAWC218048 •:°• °•••• Expire : 09/10/2022 •° • •®°°•• .• • • . • . FEES 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: 0 $0.00 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 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 $47.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20DA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy BackfTemp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee : $85.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $85.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday7:00 a.m, to 6:30 p.m. and Saturdayfrom 8:00 a.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 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 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 not more than five hundred dollars ($500). LJ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of a iimproved for thGpyfgose of sale). ❑ I, as owner Nf the broperty, am exclusively contracting with licensed Contractors to construct the project (Section 70 aR,4y t$ an owjler of p;operty who builds or improves thereon, and who contracts for the projects with a licensed Contra ❑ I am exerrL from Iicensure under the Contractors' State License Law for the following reason: Ay Mysignature below I acknowledge that, except for my personal residence in which I must have resided for at least of selIVstructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Cole'? available upon request when this application is submitted or at the following Web site:http://www.IE S1gr'tLre of Pr61 ty Owner or Authorized Agent "QUNSED �[ TRACTOR'S DECLARATION I pgr&Sy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700( and effect. ense Class License No Date WORRERSrCOMPENSATION DECLARATION • WARNING: FAILURE TOSgCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TOF COMPNNSAWION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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 Directo v performance of the work for which this permit is issued. Policy No. f` Udf rmhave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the insurance Carrier and policy number are: Carrier Policy Number Name of Agent ❑I certify that, in the performance of the work for which this per it is issued, I shall not employ any person in any manr that, if I should become subject workers' mpe n pr visions of Section 3700 of the Labor Code, I shall forth, ey Signature of Applicant X GLAKA I IUN KLUAKOING UUNSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for w Ider's Name Lender's Address 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. I authorize representatives of this city or county to enCr the above-i ntjfi�d propert for inspection purposes. nature of Property Owner or Authorized Agent �/ I��9/ , rPrint Property Owners or work, and the structure is not intended or offered for sale (Section 7044, )loyees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). e year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and I -V of Division 3 of the Business and Prof bns Code, nd my license is in full force 2— Contractor Signature ,LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compe sation laws of California, and agre h comply with those provisions. Z Date /{-7 I this permit is issued (Section 3097, Civil Code). Agent's Name I /f1 Date ACTION DATE BY DECLARATION OFCOMPUANCE KITH CODE OF FEDERAL REGULATIONS PART 11IOF TITLE40AND AQMD RULE 7403. ❑ 1 SUBMITTED ASBESTOS INO71FICATIONTO: ❑ EPA ❑ AQMD' ❑ ASBESTOS NOTIfICADON IS NOT APPLICABLE TO PROPOSED DEMOL710M. StGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CA Al CELLED PERMFTExTENDED PERMIT FINAL CERTlEfCATEOf OCCUPANCrISSUED V