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Home My WebLink AboutE2019-0007 - PermitsCity of Newport Beach - Building Division I 111p 1111 Jill 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 0 0 7 Permit Counter Phone (949)644-3288 Job Address: 4 VIA AMBRA Bldg: 1 Floor: Description of Work: ELECIADD SUB PANEL X2018-0561 Inspector Area: 6 Legal Description: Electrical Permit: E2019-0007 Project No: 0462-2018 Inspection Requests Phone (949)644-3255 UU j p� J Code Edit: 2016 mz 21� L�fi to 11"1., 11 10m: W L KIT', 7'Rt�. OP" Owner: MING IA(NG HAN Coffractoks 9T . ��T!,& 7r I Address: 6427 OLDEN WES AVE Ad 01 ss: N CITY "l TE LE CITY CA 91 80 I I kja� _$Akb4ARIEL, §A4 Phone: Phone: 626-757-7583 Con State Lic: 916093 F0 J�k Issued Date:01iO4/2 Lic Exeire: 04/3012019 Processed Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9060601 Expire : 07101/2019 Bus ATWD�3111�11 F --N ye Plan Lic Ex IA 0 n ork s t t N kno worrk sttalrted) TOTAL Fee: $36.00 Plan Check 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. o o DDeD $PTO, - $26.00 sy!w - $0!F10, - $0.00 $0.00 $0.00 $0.00 $10.00 FEES Now Construction ReC"OptaCIGISViftLhtE)UtiOtS-------MOtGW.CrraASI=OZS4HPLKYAJ- Residential Receptacles/Outlets: 0 $0.00 0 to 1 HPIKW/KVA: 0 $0.00 Temp Un ergrounc Multi -Family: 0 $0.00 Fixtures-------G--40-.00-----4-tcL4Zli2LKWYYA.0 UMP). ii;iflt,§p10 Panel: VJC� 1-2 Family: 0 $0.00 Sep $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 Tu Service Signs Over 100 HP/KWIKVA: 0 $0.00 Record Mgmt Fee: 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy BackfFemp Power: 0 $0.00 Investigation Fee: Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: TOTAL Fee: $36.00 Plan Check 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. o o DDeD $PTO, - $26.00 sy!w - $0!F10, - $0.00 $0.00 $0.00 $0.00 $10.00 DECLARA I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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). 111, 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 ofthe 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 i full force and effect.—� License Class .... License No Date ctor Signature IMORK.ERS' COMPENSATION DECLARATION NARNIIICA FAILUR�SQ $F.�jIARnEAGES AS PROVIDED FOR IN N COVERAGE GE ISUNLAWFUL, AND F THE LABOR CODE, LL SUBJECT T, AND ATTOR EY'S FEES. RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF�COMPENSHIM [1 .11erel%affirm under penalty of perjury one of the following declarations: I*have and wilt Trfa11'ntain 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 once ofihework for which this permit is issued. Policy No. a e and AR t*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' compensatiol _u _ae carrier afltlpolicy number are: 5 Policy Number Date .qprtiily 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 to the workers' compensation laws of California, and agree OJ }hould hec'o;ne.subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat CLARATION REG NG CONSTRUCTION LENDING AGENCY Ireby affirm under 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). 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 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 er the above -identified property for inspection purposes. }� mature of Property Owner or Authorized Agent rint Property Owner's or Authorized Agent's Name M-,� C lL [ ACTION OWE BY DECLARATION OF COMPLIANCEMTH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART&1 OF TITLE40AND PERMITEXPIRED AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: PERMITCANC€LLED ❑ EPA P£RMFTEXTENDED ❑ AQMD ❑ ASBESTOS NOTTFICATIONIS NOT APPLICABLE TO PERMIT FINAL PROPOSEDDEMOUTION. CERTIHCATE OF OCCUPANCYISSDED SIGNATURE: r-4-(