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Home My WebLink AboutE2020-0285 - Permitsr't City of Newport Beach - Building Division d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2107 VISTA ENTRADA Bldg: 1 Floor: Suite: Description of Work: ELEC/OUTLETS/FIXTURES (NOT TOUCHING COMMON WALL) Inspector Area: 8 Legal Description: TR 5878 (L.L.84-214031) PAR 17 Owner: HESS RENEE Contractor: Address: 2107 VISTA ENTRADA Address: NEWPORT BEACH, CA 92660 Phone: Issued New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: 111111111111111111111111111111111111111p11111111111Electrical Permit: E2020-0285 E 2 0 2 0 0 2 8 5 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 OWNER/BLDR Worker's Compensation Insurance Carrier: Policy No: Expire O/B Receptacle/Switch/Outlets Receptacles/Outlets: 50 $50.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 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 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 0000 ° e o e m o eo 0 e 0 %°omm°. o Temp Underground: a ° �0 $QS00o ° Sub Panel ` X $0.00 0 so.w - Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $50.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due 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. OWNER -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 (_) 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 tPPr,,y! ved for the purpose of sale). 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 to an owner "of property who builds or improves thereon, and who contr r the projects with a licensed Contractor pursuant to the Contractors' State License Law). m exempt from licensure under the ContraJthpp to License La or the fo owing reason: By my signature below I acknowledge that, excepersonal resi ence in I ust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot leg II) sell a structure that I have built as an owner-buildof been o strut din Its a tIre ty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the B iness d Professions Code, is available upon request wheati n' itte or the I wing Web site:http�egi—nro.ca.gov/calaw.htmi. o.ca.gov/calaw.html. ' Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am licensed Lm er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my lice se is in b11 f rce and effect. License Class .... License No Date Contractor Signature NORISERS' CONIRENSATION DECLARATION AARRIRQQ: FAILUyR��••Ifp�1SEfL URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OP�COMPEf�jSAf10N. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. , flere%affirm under penalty of perjury one of the following declarations: and AT jigi llntain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for :e oithe work for which this permit is issued. Policy No. b;ve and 4M nadlitain-workers' compensation by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' • / 1 Policy Nur$b$r \ Expiration Date agent, • "I Phone # that, in the�performa c of th qrr f r h is pe mil' iss , I s all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree could becomasubject the or' lion pr vi Ions f Sect' n 00 of the Labor Code, I shall forthwith comply with those provisions, � 9 1 of Applicant Date >0 / t J% NCO CLARATION REGPRDMG (YkONS7UCTION LENDING AGENCY 11, � 1, 1 -reby affirm under penalty of that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the/ I have read this application and the information I h I agree to comply with all applicable city and count I authorize representatives of this city or county to owner's to building construction. for ir^ection purposes. Name AC77ON DATE DECLARATION OF COMPLIANCE MTH CODE Of= FOR OFRCE USE ONLY j FEDERAL REGULATIONS PART 67 0E TITLE 40AND AQMORULE1403. G PERMITEXP/R€D ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD PERMITCANCELLED P€RMITEXTENDED ❑ ASBESTOS NOTIRCATION/S NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL 3 4a a.. C CEPURCATE OF' OCCUPANCYISSUED SIGNATURE: