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Home My WebLink AboutE2018-0652 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive. Newport Reach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2945 CASSIA ST Bldg: 1 Floor: Suite: Description of Work: ELEC INSTL ADD'L SUB-PNL (X2018-1282) Inspector Area: 8 Legal Description: N TR 5018 LOT 81 Owner: NGUYEN NHAT Contractor: Address: 2945 CASSIA ST Address: NEWPORT BEACH CA 92660 Phone: Phone: Con State Lic: Issued Date:10101/2018 Lic Expire: Bus Lic: Proces CedyLic Exp Date 11111111111111p11111111111111111p111111111111111111Electrical Permit: E2018-0652 E 2 0 1 8 e 6 6 2 Project No : 1017-2018 TONE THAT CONSTRUCTIONS 1720 W CRESTWOOD LN ANAHEIM CA 92804 562-508-5198 932770 05/31/2019 BT30063354 05/31/2019 FEES Inspection Requests Phone (949)644-3255 1 IR Code Edit: 2016 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire : New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 0 $0.00 Temp Underground: 0 $0.00 Residential Receptacles/Outlets: 0 0 $0.00 $0.00 0 to 1 HP/KW/KVA: 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel. 1 $26.00 Multi -Family: 0 0 $0.00 $0.00 Fixtures: Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 1-2 Family: Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Service 0-600V up to 200A: 0 $0.00 Branch Circuit: 0 $0.00 0 $0.00 Plan Check Fee: Investigation Fee: ..0.03 - $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 0 $0.00 $0.00 Piggy Backffemp Power: Temp Power Pole: 0 $0.00 Issuance Fee: w0.00 Over 600V or 100 A: 0 $0.00 Time Clocks: Supplemental Fee: $10.00, O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: $36.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $36.00 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 8:00 a.m. to 6:00 p.m. rNER-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) ction 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 fpplicant 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 fessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved 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' Stale License Law does not ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell a structure that I have built as an owner -builder if it has not beenconstructed in its entirety by licensed contractors. I understand that a copy of the al 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION law, Section 7044 of the Business and Date 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 Code, and my license is in full force and effect. CC// .icense Class License No to to I "D� Co Signature NORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :DST OF COMPENSATION, 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: 7 I have and +.Y'!l r.iji.itain 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 eaermgnce of the work for which this permit is issued. Policy No. and wall 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' carrier and policy number are: Policy Number ne cf Agent _ - - - Date I certify that, in '.he performance of thew or 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 ogre than, i, I should tlewrne subject to the e-eofiip'ensatio avision f Section 3700 of the Labor Code, I shall forthwith comply with those p �� J Signature ofA ieaht ate_ /�; DEC'_`ARREGARDING CO RUCTION LENDING AGENCY I hereby affirm under penalty of rjury that there is a construction lending agency for the performance of the work for which this permit is issue tion 3097, Civil Code). Lel,oer's ,Jame Lender's Address By a.y signature'�elaw. 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 a fate I s-rWating building construction. I authorize representatives or c unty to enter the - ant' Ilf'ed prope for inspection purposes. I -� Signature of Property Owner Author' A ent Print Property Owner's or Auth ized nt's Name J/— t o r, (� � ,�-O /j /Zri ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FEDERAL REGULATIONS PART BS OF TITL.E40AND AQMD RULE 1403. I SUBMITFED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NONFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE: FOR OFFICE USE ONLY — PERMIT EXPIRED PERMIT CANCELLED P€RMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED