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Home My WebLink AboutE2022-0166 - Permitswr•c,�F City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2022-0166 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 1 6 6 Project No : 0695-2022 Permit Counter Phone (949)644-3288 _ _ !� V n n+"° � �,,,.••�'� Inspection Requests Phone (949)644-3255 Job Address: 431 ISABELLA TER Bldg: 1 Floor: Suite: � ✓ `)G� 0jo tel Description of Work: SFR ELEC FOR AUTOMATIC FENCE Inspector Area: 5� Code Edit: 019 �3 Q" Legal Description: TR 1237 �`p tp Vdh Owner: J00N NANCY Co ct� O Worker's Compe ation_ Insurance �>>> Address: 43 ISAB�LF•�A1rbE E iti4ddi�.r?, Carrier: NE PO CH, Policy No: Phone: 310- 6-7677 3 :;"#° 5.-, Expire Con State Lic Issued Date 03/17 022 Lic E ByLi� �t t Processed By= xp e: toe oC� Sta`�2 i FEES + New ConstructiWOO Receptacle/S ��i t Motor r er /KVA�y,,a, ° '"'• ' Residential Rec /O�tS: 1 $1.75 0 t�• O'S�.00 ;K-' Temp Underground: 0 $1 Multi -Family: *;,� $0. 0 00 to /KW/KVA: Sub Panel: 0 $1 1-2 Family: 0 Circ 't�dC� 0 � to 50 HP/K $0.00 0 $1 19�ittat�e 50 to 1 / 0 $0.00 0 $1 Service a, no, er 1 W/KVA: 0 $0.00 Record Mgmt Fee: $1 0-600V up to 20OA: " 0 $0.00 Br Plan Check Fee: $' 0-600V over 20OA: �0 0.00 0.0 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $1 Over 600V or 1000A: Q. 0� e 0 .00 Temp Power Pole: 0 $0.00 Issuance Fee: $31 0/H to U/G 0 $ .� ee : $0.00 Supplemental Fee: $1 TOTAL Fee`<!$41. 7 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $41.27 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. WNER-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) 3ection'1J31.5, 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 ie 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 rofessions 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 Dt mora 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, kusmessown Professions Code: The Contracto s' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the grope ty, provided that the ve 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 e e pose of sale). ner 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 pply to owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractcrrs' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason. y my signature below I acknowle haF-exr�pk-a�ra'ynaur�ra� ''S ^ we resided..fgr title==t nn v ar prior to comps do ' he i. covered by this permit, I cannot legall all a structure that I have built as n owner 4TNT' 't has noybeen s rutted in it entiret by licensed contractors. I understand that a copy of the applicable law, ecY�§in 70 4 of the B mass and rofessions Cod s available upon regstp lic n is Itf>ad �/at Ilog Web site:http://www.leginfo.ca.gov/calaw.html. xi ignature of P`rc,,)Brrt, Owner or Authorizer i t lo: D' Ir,I=n,SED CONT.RACTOR'S DECLAR hereby affirm'unUer penalty of perjury that I am licensed u rovslons of Chapter 9 (commencing with Section 70(�9 - p,�y n 3 of,Ah- gy�I and Profess o Cq {, a d my license is in full force id e:fect. r S LJ �SJ�� ®r LJ I UU �o refund ices^e Class License t,Y�d' Date - Contractor Signature IORKERS' CC\Sf GNSATION DECLARATION t� i�Jf (�I'?'} I ARS R'G: FAILURE TO SECURE WORKERS' COIEIPENSA-TIO&COVERAGE IS UNLAWFUL, AND SHALL SUBJECTANEMPLOYER TO CRIMI PeNALTIEI CINL U JAN IZ LLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ye I hereby affirm wider penalty of perjury Ilowing declarations ,.� I heve and will maintain a certific of c '.t to If -insure for workers compensation issued by the Director of Industrial Relations as provided for by ctiofyE.`3700 of the Labor Code, for th oerrormance of the work for whlcrithis rml ed.Policy No. t hzva and will maintain workers' A0ensatlorr'. insurance, as required by S9 3700 of4he-Labor Code, for the performance of the work for which this per it sued. My workers' compensatio In4nrance carrier and policy number are: � S - A,. f 'Carrier 'i; � Policy Number n '-��:�. m r Expiration Date Name of Agent 2 r11-, ' --' -...__ _ Phone # I certify that, in the performant3�'+ for which this permit Is Issued I shall not employ any �persori rd"i aiiyarlap44rier so as to become sublenL•t4`S�fe°vti�c -kersgc0 perLs$t!on laws of California, and afire that, if I should Deco s ' ct t ers c mpensntion provisions of Section 3700 of the Labo.T Code, I shall forthwlt . camply with thoseprov, Signature of Applica t�— DECLARATION RE DI NSTRUCTION LENDING AGENCY _. '+:.. 'T I hereby affirm under enalty of perjy, thipt there is a construction lending agency for the performance of the work for of 1� his ps�rrlR rs Issued p n 3097, Civil de) Lender's Name i®:.p. Lender's Address By my signature below, I certify to each of the following: -- -- — --""'—-`------7— _ , ^� ! k° I am the property owner or authorized to act on the property owner's behalf. I have read this application and the in pima— m Iof n TTiave rov3ed-ls correct.- - - ----- - -- I agree to comply with all ap - anees -ands state laws -relating -to -building construction; I authorize representatives of this city or co t t ove-identified property for inspection purposes. Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Nam 1 [I Date ACTION DATE BY DECLARATION OFCOMPLIANCE KgTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 51 OF TITLE 40 AND QMD RULE 1403. PERMITEXPIRED !y' y� ❑ I SUBMITTED ASBESTOS NORFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N071FICA77ON IS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTI FICATE OF SIGNATURE: OCCUPANCYISSUED