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Home My WebLink AboutE2021-0253 - Permits„ City of Newport Beach - Building Division *E2021-0253* Electrical Permit: E2021-0253 �+ 100 Civic Center Drive, Newport Beach, CA 92660 .r% Project No : 1641-2020 ', Permit Counter Phone (949)644-3286 ae lR a'�i)rr tl Inspection Requests Phone (949)644-3255 Job Address: 2402 UNIVERSITY DR Bldg: 1 Floor: Suite: Description of Work: ELEC PANEL UPGRADE 200 AMPS Inspector Area: 3 Legal Description: TR 4444 LOT 12 TOGETHER WITH AN UND 1/33 INT IN LOT 34 Owner: WILLET RANDY Contractor: Address: 3398 GIOVANNI WAY Address: DUBLIN CA 94568 Phone: 9251330-5963 Phone: Con State Lie: Issued Date:04/12/2021 Lie Expire: New Construction Bus Lie: Processed By:_ Lie Exp Date: ARMORA CONSTRUCTION 24711 ATHENA MISSION VIEJO CA 925-330-5963 859515 05/31/2021 BT30074488 03/31/2022 Code Edit: 2019 0 FEES 0ono ° DOO1 °� New Construction oOpo ° f Worker's Compensation Insurance o ° Carrier: BENCHMARK INS Residential Policy No: CST5019057 .... Receptacles/Outlets: Expire : 04/24/2021 c"o 0 to 1 HP/KW/KVA: 0 $0.00 n 0 p 0°OJO 0 0o n goo 000 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 000000 o ° ao°u� TOTAL Fee: Plan Check Fee : 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. FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HPIKVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 MOB 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: 1 $46.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20DA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp 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: $37.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: Plan Check Fee : 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 Lawforthe 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-Builderwill have the burden of proving that it was not built or Improved for the purpose of sale). 1, 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). I am exeTPfAft 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 q Itructurekhak I have built as an owner -builder if it has not been constructed in Its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and %rofesGions Cod®.iaavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date LIC,FlgSED CONTRACTOR'S DECLARATION I hen1by affirm under Penalty of perjury that I am licensed under provisions of Chapter 9 (commencin wi h Section 7000) of Division 3 of the Business. nd Profes ' Code, and my lice a is in full force .and effect. c 'License Class. • ': License No A�� S Date Contractor Signature WaR,r•ERS' Cb1VIP�NSATION DECLARATION __r_ ANT WARNING: FAILURE T6 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS I$1 0,000), IN ADDITION TO THE WANING: 0311-d*OMPENSATION! DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Merebyaffirm under penally of perjury one of the following declarations: "TI" BPa and yvjll,w stain 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 the petf6Hance of the worn for which this permit is issued. Policy No. I 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' urance carrier and policy number are: Policy Number of Agent Date I certify that, in the perfo mance 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 it, if I should becom su .act to the rkerscompensation provis' sof Section 3700 of the Labor Cade, I shall forthwith comply with those proviso s. a mature of Applicant Date /I t/ /V /42Q/ !CLARATION REGA I RUCTION LENDIN AGCY r-- I/ I ereby affirm under penalty of perjury that there is a constructs n lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rider'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 law relating to building construction. /� I authorize representatives of this city or countt7dant a above -Iden ifie roperty for inspection purposes. , // (nature of Property Owner or Authorized Agent Y �"r y® i,4A . Print Property Owner's or Authorized Agent's Name B�if%/D 1 Z"6 Dat ACT70M DA IF BY DECLARA TIOAI OF COMPLIANCE tMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TIR€40 AND AQMD RULE 1463. PERMIT EXPIRED ❑ f SUBMLTTEOASUESTOS NORFICATIONTO: ❑ EPA ❑ AQMO PERMITCANCELLED PERAALTEXTENDED ASBESTOS HOURCARCIV IS NOT APPLICABLE TO PROPOSED DEMOLITION PERMIT FINAL .'L CERTIFICATEOF SIGNATURE: OCCUPANCYfSSUED