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Home My WebLink AboutE2021-0248 - PermitsCity of Newport Beach - Building Division m 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone (949)644-3288 Job Address: 240 MORNING CANYON RD Bldg: 1 Floor: Description of Work: ELEC/(2) DISCONNECTS (H2O21-0247) Inspector Area: 5 Legal Description: N TR 1116 LOT 88 Owner: FATEMEH/ZIARI Contractor: Address: 240 MORNING CANYON RD Address: VORONA DEL MAR CA 92625 Phone: Phone: Con State Lie: Issued Date:04/09/2021 Lie Expire: Bus Lie: Processed By: wi, Lie Exp Date: Suite: ECONO AIR 555 VANGUARD BREA, CA 92821 714-695-6661 445220 02/28/2022 BT30064026 08/31/2021 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 2 $14.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Fee : $51.00 IIIIIIII�IIIIIIIIIIIII�IIIIIIIIII II Electrical Permit: E2021-0248 E 2 0 2 1 0 2 4 e Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: SERVICE AMERICAN Policy No: SAMTWC0041100 Expire : 1010112021 FEES Motors/Transformers (HPIKVA) 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 Piggy Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Check Fee : Temp Underground Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: at Permit Issuance : 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. .00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $37.00 $0.00 DWNER-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) (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 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 Business 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 U 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 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://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 (commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date � °) Z I Contractor Signature _ WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE 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 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN p ormance of the work for which this permit is issued. Policy No. have and will p�intain 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' compensatior insurance carrier a olicv number aFn ,.,. Expiration Date of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject totheworkers' compensation laws of California, and agre that, if I should become su ' ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr>. ovis ns. Signature of Applicant /7 DECLARATION REGA G CONS ION LENDING AGENCY I hereby affirm under p alty of ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 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 to nter the above-i ' led property for inspection purposes. �// Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name " t*# ACRON DATE BY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY FEO€RAL REGULATIONS PART 61 OF TITLE40 AND AQUD RULE 1403. PERA41T EXPIRED _ _ ❑ I EUBMITTFOASRES `OS NOTIFICATION TO: [ EFA 0 AQMO PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATIONIS MOT APPLICABLE TO PROPOSEOD€MOUTNIN. PERMIT FINAL L(—,14 CERTIFICATEOF SIGI:ATURE: OCCUPANCYtSSUED