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Home My WebLink AboutE2017-0528 - Permits„h„$ - City of Newport Beach - Building Division 11111111111p1p111111111p1p1111111111111111111Jil 11 Electrical Permit: E2017-0528 �*' 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 7 0 5 2 8 k Project No: 0673-2017 �. 'a �,, Permit Counter Phone (949)644-3288 , ) s� `��,.+�' Inspection Requests Phone (949)644-3255 Job Address: 2127 VISTA ENTRADA Bldg: 1 Floor: Suite: Description of Work: ELEC/UPGRADE SERVICE PANEL TO 200 AMP Inspector 8 P Code Edit: 2016 Legal Description: TR 5878 (L.L.84.214031)PRR 25 Owner: MCKENNA INVESTMENTS LLC Contractor: TREVTOR CONSTRUCTION Worker's Compensation Insurance4 q Address: 2127 VISTA ENTRADA Address: 3409 MACARTHUR Carrier: EMPLOYEE SERVICE GROU` NEWPORT BEACH, CA 92660 SANTA ANA CA 92704 Policy No: WC0168243 Phone: 949-300-0084 Phone: 714-113-5345 Expire : 04/01/2018 Con State Lic: 811538 Issued Date:10/10/2017 Lic Expire: 08131/2018 Bus Lic: BT30047423 Processed By: V Lic Exp Date: 06/30/2018 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: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 1 $41.00 Branch Circuit: 0 $0.00 0-600V over20OA: 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 TOTAL 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 Plan Check Fee: 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: $33.00 Supplemental Fee: $0.00 e at Permit Issuance : $74.00 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 CJ m e m mo,m mm4 m •ms 4 m c cem mm c m, m m so c mo , e e a.mm �.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 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). ❑ 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 legallt 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.html. 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 Ppefessjo Cod nd my license is in full force and effect. }} License Class License No Date L � -��O - I Contractor Signal !r«� WORKERS' COMPENSATION DECLARATION J 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 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th formance of the work for which this permit is issued. Policy No. I have and will intsft 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' compensatio insurance carrier a olicy number Carrier yX A oli N bar Expiration Date Name of Agent Phone # I certify that, in the performance of th 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 agre that, if I should become subje th@ rkers' ompensation -provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % Signature of Applicant Date I o r DECLARATION REGA C NSTRUCTION LENDING AGENCY I hereby affirm under p nalty 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). 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 to - dentified property for inspection purposes. n Signature of Property Owner or Authorized A ent - Print Property Owner's or Authorized Agent's Name u �- Dat DATE BY DECL.4RATIONOF COMPLIANCE WITNCODE OF FOR OFFICE USE ONLY ACTION FEDERAL REGULATIONS PART 61 OFTIILE40AND Ojytj OLE 14033.. • PERMITEXPIRED fSUBiMV,{TVD438ESTbS,td07iFICATION TO: • t •EIRM• :. • : : % PERMIT CANCELLED • • U AQ'Cfb • PERMIT EXTENDED ❑ ASBESTOS N077RCA770NIS NOTAPPLICABLE TO PROPOSEDDEMOUT/ON. • • • • • • ' .. . ` • PERMITFINAt a C 7ER77RCATE OF OCCUPANCYISSUEO 51QNATUfTEb y