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Home My WebLink AboutE2021-0698 - Permits��xwl)ok City of Newport. Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ,p n'+tiyfl�tiatz Job Address: 219 COLLINS AVE Bldg: 1 Floor: Suite: Description of Work: SFR PANEL UPGRADE 200 AMP Inspector Area: 2 Legal Description: BALBOA ISLAND RESUB SEC 1 BLK 12 LOT 3 Owner: BURKE Address: 219 COLLINS AVE NEWPORT BEACH, CA 92662 Phone: Issued Date:10114/2021, / Processed Bv: 4Vj *E2021-0698* Contractor: WALLACE ELECTRICAL SERVICES Address: 1325 E DANA PLACE ORANGE, CA 92866 Phone: 714-244-5556 Con State Lic: 1022876 Lic Expire: 01/31/2023 Bus Lic: BT30076941 Lic Exp Date: 10/31/2022 Electrical Permit: E2021-0698 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019p� 0 S! Worker's Compensation Insurance Carrier: OAK RIVER INS Policy No: WAWC114316 >> Expire : 10/25/2021 0. a, 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 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp 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 - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. LDER 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 :he 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 3rofessions 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 Tot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 '.mprovements 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). ❑ 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 licensure 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://w .leginfo.ca.gov/calaw.html. Signature of Property.0wner or Authorized Agent Date LICENSED GU'4rPACTOR'S DECLARATION I 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 Professio od ,and my license is in full force LC l0//f� �/ Contractor Signature License Class Cll License No Date ass � INQpKERS' COMPENSATION DECLARATION PARNr1G: FAILUCE TO SESURE 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 COST 01 COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm dadtr penalty of perjury one of the following declarations: 've 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 DrilTorr4ance of the work for which this permit is issued. Policy No. I Ave and will mail lain 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' compensation r, ranne carrier and policy number are: is of Agent certify that, in the performance of , if I should become Object to e lature of ApplicanX/ Policy Number Date )irk for whit Is 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 workers' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisl ns. Dal /O-/Y'Z/ I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalfL17relating I have read this application and the information I have provided ism ct I agree to comply with all applicable city and co ty ordina eland state to building construction.I authorize representatives of this city or coun/enter ve-id y for inspection purposes. / 7 'o 4- Signature of Property Owner or Authorized Agent//////,,,-,- _' �'rtnYProperty Owner's or Authorized Agent' Name ACTION DATE BY DECLARATION OF COMPLIANCE MTHCODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1401 PERMIT EXPIRED ❑ ISUBMITTED ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMiTCANCELLED PERMIT EXTENDED El ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL O—LO �2( CE,RPFi CATEOF SIGNATURE: OCCL'PANCYISSUED