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Home My WebLink AboutE2021-0666 - Permits3 City of Newport Beach - BuildingDivision *E2021 ILI 100 Civic Center Drive, Newport Beach, CA 92660 70666 Electrical Permit: E2021-0666 Permit Counter Phone 949 644-3288 Project No R D O C G O a 1 i Inspection Requests Phone (949)643295" ° ao.o ° IrECTOR Job Address: 28 MORRO BAY DR Bldg: 1 Floor: Suite: o ° ° ^ ° ° o ` ° ° Description of Work: SFR ELECTRICAL SERVICE UPGRADE 225A AND 90A SUBPANEL.(NO ADDITIONAL CIRCUITS) 4°J 0000 * O 9 O O a Inspector Area: 6 OOO JO Code Edit: 2019 .� O O `9J•• 00 Legal Description: N TR 7386 LOT 65 ° ®® e cocoa* Owner: LE TIMOTHY Address: 28 MORRO BAY. DR Contractor: SHEETS CONTRACTING INC 000eo* Worker's Compensation Insurance ° * y � ° y CORONA DEL MAR, CA 92625 Address: 2800 S MAIN ST, UNIT C Carrier: INSURANCE CO OF THE WEST Phone: SANTA ANA CA 92707 Policy No: WSA5033837103 Phone: 949-735-7257 Expire: 12/01/2021 Con State Lic: 705956 Issued Date:10/04/2021 Lic Expire: 04/3012023 Bus Lic: BT30027096 Processed By: Lic Exp Date: 03/31/2022 New Construction FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Multi -Family: 0 $0.00 Receptacles/Outlets: Fixtures: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 1 to 10 HP/KW/KVA: 0 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $0.00 Service Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 0 $0.00 0 0-600V up to 20OA: 0 $0.00 Signs Branch Circuit: Over 100 HP/KW/KVA: 0 0 $0.00 $0.00 Record Mgmt Fee: ]1$383.0 0-600V over 20OA: 1 $97.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 Plan Check Fee: $0.00 Investigation Fee: Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: Additional Fee: $0.00 Supplemental Fee: TOTAL Fee: $164.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $16 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. DWNER-BUILDER DECLARATION e item(s) I hereby affrm under penalty of perjury that I An exempt county that requires a pterm tate lto construct, alter, cense Law for e improve, )demindicated olish, or repair any structnre,rprsor toats ssuandceealso requires the iappl cant for (Section 7031.t `J uslrress and Professions Code. y y the permit to file., a S ned statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section subjects of Division 3 of the Business an P' ofesolons Code) oer .hat he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7D31.5 by any applicant for a permit subjects the applicant to a elver penalty of r,_ot more than five hundred dollars ($500). C' ",ras 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, that ds or improves the Arcs Business and ? ref 66t ins Gode: The Contractors' or for sale. State If, License Law the building or improvement sner soldfproperty who, through within one year of completion, loyees' or the Owneersonal r-Builder effort, II have the burden of proving t that itpwasdnodt built ore ;mprovGments are not intended o improved for th��;pose of Sale). I as owner offcl e grope wham o builds exclusively contra thereon, h licen wsed ho contracts for the projects with pa licensed Contractor pursuant to the Contractors' State License roject (Section 7044, Business and Professions Code: The Contractors' State License Law does no `j�.i�' apply to an ownerof property I ar exempt`fromcens'ure under the Contractors' State License Law for the following reason: Fpra�ss,z3ions ll mysignature <oo6ke knouilt ie ane that, except for my r f i has not been constructed hi itsl mushy by Icensed contractosesided for at least � I uhave r ndersttand that a cne year prior to opy of the appl"able awtSection 044tof the Buhis lsinesnanndnot egai a Se thao&, I tay Coe,is a4ailable',upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Property Ownet or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty loft perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an fessions Code a license is in full force and effect IMT5(6 Date t®� �� Contractor Signature License Class rg License No x WORKERS' COMPEiIVSATION DECLARATION WARNING: FAILURE TO SECU SATI K N COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10Q,000), IN ADDITION TO THE COST OF COMPENSATIONATTORNEYS AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNES FEES. I hereby affirm under penalty of perjury one of the following declarations: I ❑to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for t I have and will maintain a certificate of consent performance of the work for which this permit is issued. Policy No. ❑I have and will malnitainiworkers' 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 insurance carder and policy number are: 6t Expiration Date 17—/ 1®Z I Carriers �°�ot Policy Number I1LlS� 3 � 103 Phone # Name of Agent Ell certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agreE that, if I should become subject to the workers' com visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date ci Z Signature of Applicant DECLARATION REGARDING CON ION LENDING AGENCY I hereby affirm under1 penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address Lenders Name By my signature belo I certify to each of the following: I am the property owner, of authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. 1 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 enter the e-i roperty for inspection purposes. X �� 1. Date Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name t ry£� J USE { �[ i Fo f3E .� EE &iS L: IVL f AiOi FEDERAL REGfiLATliiISPART OF TtTLE41AIP€3 t�{,� Eyr'�3 �y �5 AQMD RULE q}EgOS }jONFp/+j[ 9p+y T : E. e� ;!:T C rFCEia_i.i % 0 EPA 0 AQM PEi D TE�� DED 0 ASBESTOS N07IRCA77ONiS NOTAPPL1CABLETC# RAV pRoposEDDEMOLITION PERMIT FINAL�Z b CE,F?-R1C-A E0F SIGNATURE.