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Home My WebLink AboutE2021-0654 - PermitsCity of Newport Beach - Building Division *E2021--0654* Electrical Permit: E2021-0654 .� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - Project No : 2304-2021 Inspection Requests Phone (949)644-3255 Job Address. 1221 COAST HWY W Bldg. 1 Floor: Suite: NSPEOR Description of Work: COMM ELEC/RE-WIRE (E) DOCK'S' Inspector Area: 7 Legal Description: IRVINE SUB BILK 54 LOT 171 POR OF LOT Owner: BALBOA BAY RESORT Contractor: Address: 1221 COAST HWY W Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:01/03/2022 Lic Expire: Bus Lic: Processed By:- f�_Lic Exp Date: Code Edit: 2019 M K ELECTRIC Worker's Compensation Insurance 9451 BRYNMAR DR Carrier: STATE COMP VILLA PARK CA 92861 Policy No: 9202920 7141600-8416 Expire : 01/12/2022 757763 01/31/2023 BT30055457 06/30/2022 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:•OC Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: • '0 $OaOG 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: 0 $0.00 Branch Circuit: 1 $41.00 Plan Check Fee: $160.95 0-600V over 20OA: 0 $0.00 Each Add Circuit: 16 $144.00 Piggy BackfTemp 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 : $383.95 Plan Check Fee : $383.95 Fee Due at Permit Issuance : $0.00 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. 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 applicab a items) ;action 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 e 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 Ilcensure 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 3t 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 Tprovements 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 iproved 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 pply 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). ] 1 am exempt from licensure under the Contractors' State License Law for the following reason: y 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 sit 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http:lMiww.leginfo.ca.govicziaw.hbul. Date ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm PnyAr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing th io 7 00) of Division 3 of the BusinessXdP,,.e,fessions Codand my license is in full force nd Lffecl- icerse Clas- C — ZoLicense No 7t�(ODate Contractor SignatuVCRKERS' COMPENSATION DECLARATIONIr P'JING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALLSUBJECT AN EMPLO T CRIMINALPENALTIESANDCNILFlNESUPTOONHOUSAND DOLLARB (SIE0.000), rN ADOrTION TO THE OSr OF COMPE.SA.IJN, DAMAGES AS PROVIDED FOR IN SECTION 3nS OF THE LABOR CODE INTEREST, AND ATTORNEY s FEES. hereby affirm u.i:JLr penalty of perjury one of the following declarations: J I have 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 thl erfomanceufthu work for which this permit is issued. Policy No. 91 have and will maintain 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' compensatoor �shr,L nce caru�psUncy-�nu� b3et arT's.: � -ems✓ Policy Nq��f Expiration Date :artier S'.o umber nL of Agent _ _ Phone q _ certify that, in the perform nce of the work for which this permit Is issued, 1 shall not , if should become�subj� to the workgrs' compensation provisions of Section 3701 Tature of Applican hereby affirm under peoikof perjury that there is a construction lending agency for the .enders Name Lent ly my signature beiow, I certify to each or the following: I am the property 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 comply with all applicable city an cou ordinances and state laws relatir I authorize representatives of this cIUlV tj enter 5aabove-ide " er"Eyy Tature of Property Owner or Authorized A ACTION DATE PERMITEXPIRED PERMITCArYCELLED PERMrrEXTENDED PERW RNAL - I CEIMF(CATEOF OCCUPANCYLSSUED BY any person in any manner so as to become subject. to t Isworkers' compensation laws of Calffomia, and agre, Labor Code, I shall forthwith comply with those pro i s. Date mance of the work for which this permit is issued ( e n 3097, Civil Code). Address to building construction. )r inspection purposes. Print Pronertv Owners or AQMD RULE 1403. ❑ ISUBMITTEDASBESTOS NO71FICA77014 TO: ❑ EPA ❑ AQMO ❑ ASBESTOS NOTIFTCAIIOMJS NOTAPPLICABL.E TO PROPOSED DEMOLITION. SIGNATURE: