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Home My WebLink AboutE2019-0635 - Permitsvt, City of Newport Beach Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ttgt��hgw Job Address: 1703 PLAZA DEL SUR Bldg: 1 Floor: Suite: Description of Work: ELEC MAIN PANEL UPGRADE 400 AMPS Inspector Area: 1 Legal Description: N TR 518 BLK K LOT 31 Owner: STONEWOOD LUXURY HOMES LLC Contractor: OWNER/BLDR Address: 22 LARCHWOOD Address: AUTH AGENT: IRIVINE CA 92602 BARRY SHERER Phone: Phone: 626-483.5096 Con State Lie: O/B Issued Date:09/18/2019 Lie Expire: Bus Lie: Processed By: L v \ Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 1 $91.00 Over 600V or1000A: 0 $0.00 0/H to U/G 0 $0.00 TOTAL Fee: Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Q111111111111111p1111111111111111111p11111111it Electrical Permit: E2019-0635 E 2 0 1 9 0 6 3 5 Project No : 2087-2018 Inspection Requests Phone (949)644-3255 Code Edit: 2016 w r eee m e e em•• e e• o Worker's Compensation Insurance e e ° °••�� •eee ° Carrier Policy No: Expire: NO CONSTRUCTION -NOISE .. o ee • ° e mm000 ON THE IE�KEN[J FEES 0 $0.00 Motors/Transformers (HP/KVA) 0 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 Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 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 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. ER -BUILDER 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). ❑ 1, 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 1ozoved 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 7pply;e.en 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❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature be ow 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, 1 cannotlegally '!sell a structure��iat Ylave built as an owner -builder Vhas not btitibW-c strutted in its entirety b I' ntrAZ:torg� I understand that a copy of the applicable law, Section 7044 of the Business and 'Professions CoRdtM available upon request when t�rls aRgplicdffon Is itted o t-the-fallowmg Web site:http://www.leginfo.ca.gov/calaw.htmi. C, 'Sig Jire of Prepejty;Owner or Authorized Agent / % Date LICENSED � N `PRACTOR'S DECLARAT46N (%edgy affirm under penalty of perjury that I arVlicensed 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 '.andOOffect. , 6icense Class- • • •' • License No Date Contractor Signature WORKERS' CJO�rI,W�P'eENSATION DECLARATION WARNIN$Q: FAILUft1v�FSURE 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 rC.00;9 COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. l pgrpDy affirm unaer penalty of perjury one of the following declarations: ®TI have and4fl"ECmain 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 'pgrtchrvia nce of the worr C for which this permit is issued. Policy No. ®I.112ve and 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 and policy number are: (Carrier Policy Number Expiration Date '(Name of Agent Phone # ❑1 certify that, in the perfdmance 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 wgrkers' compensation laws of California, and agre( that, if I should become G w cicer, s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./ Signature of Applicant C Date DECLARATION REG#yIRDING CONSTRUCTION LENDING AGENCY I hereby affirm under,(enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S ction 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 or�6ances and state laws relating to building construction. I authorize representatives of this city or county to entry the Identified property for inspection purposes. 3innafum of Prnnerfv Owner nr Aufharized Aaent i ��---^�-- Print Prooertv Owners or Authorized Agent's Name J� ✓✓ 4i� Dq e / V ACTION DATE BY uca.r.s rlulr ur a umrumiv. . rrsmn � c a i FEDERAL REGULAT/ONSPART 61 OF TITLE40AMD XPiRED AQMDRULE1403. ❑ 1SUBMITTED ASBESTOS NO71FICATIONTO. ANCELLED ❑ EPA XTENDED ❑ AQMD ❑ ASBESTOS N07IRCA710MIS NOTAPPLtCABLE TO lNAL PROPOSED DEMOLITION. OCCUPANCYISSUED SIGNATURE;