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Home My WebLink AboutE2020-0483 - Permits(9) City of ewport Beach - Building Division 100 Civic Ce [er Drive, Newport Beach, CA 92660 Permit Count r Phone (949)644-3288 Job Address: 100 CIVIC C Description of Work: COMM Inspector Area: 7 Legal Description: Owner: CITY OF NEWPC Address: 100 CIVIC CENT NEWPORT BEAT Phone: Issued Date:09/23/2020 Processed Bv: New Construction Residential t Bldg: 1 Floor: Suite: - OUTLETS/SEPARATE CIRCUITS (COMMUNITY ROOM) BEACH CA 92660 Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20GA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee *E2020-0483* Electrical Permit: H-2020-0483 Project No : 1630-2020 Contractor: ELECTRO SYSTEMS ELECTRIC INC Address: 16932 GOTHARD STREET UNIT I HUNTINGTON BEACH CA 92647 Phone: 7141848-5646 Con State Lic: 522049 Lic Expire: 06/30/2022 Bus Lic: BT30072995 Lic Exp Date: 09/30/2021 Receptac I e/Switch/Outlets Receptacles/Outlets: 5 $8.75 Fixtures: 0 $0.00 Sep Circuits: 3 $21.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: ($92.63) Inspection Requests Phone (9 t9)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: ACCREDITED SURETY Policy No: 1ATCA96006470 Expire: 11/28/2020 FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Plan Check Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Undergrounc: °0 Sub Panel: � -0 0 0 Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due 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. a', O OJ $0.03, $0.00 $0.00 $0.00 $25.88 $0.00 $37.00 $0.00 OWNER -BUILDER DECLARATION I: hereby aft m. 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 it( (Section 7031.!. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair anystructure, prior toits issuance, als requires the ap, the permit to fil a signed statement that he or she Is licensed pursuant to the provisions of the Cantractors' State License Law (Chapter9 (commencing with Section 7000) of D:: ision 3 of the Su Professions Cc le) 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 : ?plicant to a civil not more than i ve hundred dollars ($500). 111, 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 frr sale (Section 7 Business and F rofessions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the : 'operty, provided improvements ::re not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Buirderwiii have the burden of. prow ,g that it was nor improved forth -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' StitsLicense Law t apply toan owr er of property who builds or improves thereon. and who.contmcts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). ❑ 1 am examr t from licensure under the Contractors' State License Law for the following reason: By my slgnalun, below 1 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 •v this permit. I c sella structure hat 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 7C (4 of the Busine! Professions Cc le, Is available upon requestwhen this application is submitted or at the following Web site:hnpJAwm•:leginfo.m.govt alaw.htmi. Signa'cc of Pr.,perty Owner or Authorized Agent Date LICENSED C JNTRACTOR'S DECLARATION heiebv dffiim ender penalty of perjury that I am licensed under provisions oyCh ter 9.(wmmencing with Section 70 of Division of the Business and Profes ' ns Code ar s license is. it and effect Lic:nseClass [_/O License No /� 7 !n (l pate/q/'trZ Contractor Signalu�A� N6RKERS COMPENSATION DECLARATION / T" r` L/— VAR ING N US t TO SECURE WORKERS• COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA'S IE , IN ADr 9OST C rCOM: eN 7ATION, DAMAGES AS PROVIDED FOR IN SECTION aT00 OF THE LABOR COM INTEREST, AND ATTORNEY'$ FEES. hersh:, �ffrn nder penalty of perjury one of the following declarations: 27 }t a a.,d mill maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 37C 7 of the Labor C ler�forr ance of the work for which this permit is issued. Policy No. zli�ve ' rndrill maintain workers' compensation insurance, as required by. Section 3700 orthe Labor Code, forthe:. performance. of the work for which this permit is Issue l,.My workers' c asufcr ;e)wrrir r and Dollcv numher Arn- serf Agent VPL„-YU/�(j certify that, :n the performance or the if I should reconne subject to he o ialureof Appicant_ 77 / olicy Number I A b C A, 1,1y6 G G LL L 6 Expiration Dale Phone # this permit is issued, I,shall.not employ any person in manner.so as to become subject to the workers' compen abo i. laws of Californ alfon prow.. ns of Section 3700:ofthe Labor Code, I shall forthwith comply with those provisions. q Date_ G GENCY treby atnrn ender 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 Code). Idefs Name Lender's;Address my signatur. below, I.certify to each of the following: I am the prr,perty 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 c )mply with all applicable city and wun�ybrdlnances and stale laws relating to building construction. I authorize epresentatives of this city or county enter the above -identified property for Inspection purposes. / nature of Pr, party Owner orAulhorized ADent .J_. .....___._.,._._ .- .. - PERMITEXPIRE: EO BY REGULATIONS PART 61 OF TITLE .vLrF.i4o-BnBEST05 NOTIFlICATION:IS NOT APPLICABLE TO CERTIFICATE OF `/ ., FOR OFFICE: USE: ONLY Date