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Home My WebLink AboutE2019-0846 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II a rww I'rr�r 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 8 4 6 N ` site n Permit Counter Phone (949)644-3288 rSi3 <lu Job Address: 1100 CORELLA Bldg: 1 Floor: Suite: Description of Work: ELEC *BLDG 13* REPLACE DISCONNECTS (H2O19-0802) UNITS 1100-1110 Inspector Area: 8 Legal Description: N TR 12309 LOT 4 Owner: IAC AT JAMBOREE LLC Contractor: U M AIR INC Address: PO BOX 2450 Address: 12211 WOODRUFF AVE NEWPORT BEACH CA 92658 DOWNEY CA 90241 Phone: Phone: 562-413-1235 Con State Lie: 1050013 Issued Date:12/16/ Lie Expire: 0212812021 Bus Lie: BT30061455 Processed By: Lie Exp Date: 12131/2019 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over600V or10D0A: 0 O/H to U/G 0 Fee : Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee : $0.00 251.00 Plan Electrical Permit: E2019-0846 Project No: Inspection Requests Phone (949)644-3255 Code Edit: 2016 I N S r EC-3-� Worker's Compensation Insurance Carrier: NATIONAL LIABILITY Policy No: A9WC045079 - Expire : 09/13/2020 - ` `' i 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 Check Piggy BackrTemp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Temp Underground: 0' $6.00 Sub Panel: $ $216.uu 9' $0.uu 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 ie at Permit issuance: $251.00 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. 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 a,, _jcant for the 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 Busindss and Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 improvements 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). ❑ 1 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 legall'. 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 ( cing with Section 7000) of Division 3 of the Business and Professions de, and my license is in full force and effect. /- q License Class License No ate Z2-/ature NORi ERS' COMPr'NSATION DECLARATION NARNING: FAILURE 1'0 SE;URE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereoy affirm under penalty of perjury one of the following declarations: I h&ve and will mwntain 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 th -7rfonnance of kho xork for which this permit is issued. Policy No. ;+,1 have and will rheintain 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' compensatiol nssbt@nce carder'and policy number are: ;a, Far _ t _ _ _ _ Policy Number Expiration Date �(arr Qf Agent Phone # :11' crsrtify that; 1n Ike performance of the work for which this 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 agree hat, if I should tiecome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. / >i of Applicant _\Date 1ECLARA NG CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this ender's Name Lender's Address y my signature below, I certify to each of 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 and county ordinances and state laws relating to building construction. I authorize representatives of this city or county t jlter the ove-identified property for inspection purposes. ignature of Property 0—wnarpr Authorized Agent - Print PmDerty Owner's or Aufh^m, (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE WTN FEDERAL REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403. ❑ I SUBMITED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PROPOSED DEMOLLTIOASBESTOS 7FIC NON IS NOT APPLICABLE TO SIGNATURE., FOR OFRCE U5E ONLY PERMIT EXP'RED PERMIT CANCELLED PERMIT EXTENDED PERMIT RNAL CERTIFICATEOF OCCUPANCYkSSUED A-7-& -4- T t.4 '7 .0 e._r, ;-