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Home My WebLink AboutE2020-0102 - Permits" City of Newport Beach -Building Division IIIIIII�II�III�11II�IIIIIIIIIIIIIIII�IIIIIIll El'_�� icai Permit: E2020-0102 100 Civic Center Drive; Newport Beach, CA 92660 Project NO Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 4627 BRIGHTON RD Bldg: 1 Floor. Suite: Description of Work: ELEC REPLACE 1200 AMP SERVICE PLAN ATTACHED I N %S#� L Code Edit: 2019 Inspector Area: 5 Legal Description: TRACT NO 3357 LOTS 144145 & 146 Owner: NORTH AMERICAN REALTY LLC Contractor: SASCO Worker's Compensation Insurance Carder: TRAVELERS PROPERTY ° e Address: 4343 VON KARMAN AVE #3RD Address: 2750 MOORE AVENUE FULLERTON CA 92833 Policy No: UBON161081925D ° o NEWPORT BEACH CA 92660 Phone: 714-870-0217 Expire: 05/01/2020 ° Phone: Con State Lic: 125897 °o 0 Issued Date:02/19/ 020 Lic Expire: 05/31/2021 Bus Lic: BT30 463 BT30046326 Processed By: Lic Exp Date: U J J A a o°Rao 0 c�ioo FEES °® .,a000. New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: ° ° ° 0 $0.00 Residential Receptacles/Outlets: 0 $0.00 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 Multi -Family: 0 $0.00 0 $0.00 Fixtures: Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 $0.00 1-2 Family: Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 0 $0.00 $0.00 Record Mgmt Fee: $0.00 Service Signs Over 100 HP/KW/KVA: Plan Check Fee: $158.34 0-600V up to 20OA: 0 $0.00 Branch Circuit: Each Add Circuit: 0 $0.00 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 0-600V over 20OA: 0 $0.00 Over 600V or 1000A: 1 $182.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: Supplemental Fee: $35.00 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $375.34 TOTAL Fee: $375.34 pERMITS EXPIRE 180 DAYS AFTER ISSUANCE DP LAST VALID INSPECTION Construction Hours: Monday - Friday 7.00 a.m. to 6:30 a.m. and Saturday from : ears, to : 0 P.M. OWNER -BUILDER DECLARATION — 1 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 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 dDilars ($500). EI, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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). Ih m h: 1 ni ❑ 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). ❑ I am exempt from jicensure 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 legally 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.govlcalaw.htm1. Signature of Propl?,rty Owner orAuthorized Agent Date LICENSED CG'-NT'RACTOR'S DECLARATION I hereby wffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines s and Pro sio Code and my license is in full force and effea`. License Class ° ° License No 2` i Z,CS Cont r for Signature %K'OF2etcRS' COMPENSATION DECLARATION - f WARNING, FAILUREZT!1fiFfLQE 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 ce S"rOF COMPENSATION, DfiMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm unez: penalty of perjury one of the following declarations: 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 the ormaoce of the work for;yyhiGh this permit is issued. Policy No. T FaveFand will ma rituin 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' compensatio r'< wise carrier and policy number are: f ( r n 3arr Policy Number Expiration Date Vame of Agent Phone # :11 certify that, in the performance of the work for 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 a re :hat, if I show become) siubjec t workers�Dmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 9 2,_ iq-ZQ ItI,L.AKArIUN KLI INa; GONSTRU LENDING AGENCY hereby affirm unde nafty of perjury h ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name f Lender's Address y my signature below, l certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. have read this applicationand the information I have provided is correct. agree to comply with alf" applicabie city and county ordinances and state laws relating to building construction. authorize represertatihs is city or county to r tlhabovej4ntified property for inspection purposes. Applicant nature of *I— Print Property Owners or Authorized is Name ACUOM DATE PEf r't<IIT PLRE PFI'WITC4NCRLE: PEIMWITO(TENDED 11, I 1 PERI~MT FINAL - CERTfFfC TE >OCCUPANCY L�SUED FEDERAL REGULATIONSPART &1OF77TLE AND A MD` RULE 1403. SUBMITfEt7ASBESTOS M07IFICATION T€7. EPA ❑ AQMD ❑ :ASBESTOS #1iOT7IRCA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE; f FOR OFFICE USECENLY 7Z.rl5'Za