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Home My WebLink AboutE2021-0694 - PermitsM4� City of Newport Beach - Building Division 11111111111111111111111111111 lim 1111111111111111111 Jill 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 6 9 4 Permit Counter Phone (949)644-3288 Job Address: 4675 MACARTHUR CT Bldg: 1 Floor: 16 Suite: 1600 Description of Work: COMM NEW ELEC OUTLETS (2) Inspector Area: Legal Description: P BK 196 PG 40 PAR 3 Owner: IRVINE CO Contractor: Address: 550 NEWPORT CENTER DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:10/12/2021 Lic Expire: �(e Bus Lic: Processed By: V Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over600V orIOOOA: 0 O/H to U/G 0 TOTAL Fee: Electrical Permit: E2021-0694 Project No : 2406-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 C SASCO Worker's Compensation Insurance 2750 MOORE AVENUE Carrier: TRAVELERS PROPER FULLERTON CA 92833 Policy No: UNON1616082021 714-870-0217 Expire : 05/01/2022 F-- ON 125897 A 05/31 /2023 ��,.et... ° m o BT30046326 ° oo• omm000 02/28/2022 m mmm 0 0 ° o°oc° M FEES oo m Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) ° om Receptacles/Outlets: 2 $3.50 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: m 0 $0°66° $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: m m0g 066° $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 a °mmV $L0.0y0f` Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 m0 $'J°V{1.° Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: o ° ° ° $0°66 ° $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 $0.00 Additional Fee : $65.25 Supplemental Fee: $0.00 106.75 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $106.75 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. IWNER-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 IS, 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). I, 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 pply 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 exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION 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 Profesjs i nsnsp nd m -license is in full force nd effect. icense Cl w f- z Contractor Signature icense Class License No Date - VORKERS' 04INIP04SATION DECLARATION IARNING.FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTHOUSAND DOLLARS ($100,000), IN ADDITION TO THE PUV'TW COMPEN Sl TM,- DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he reb.v affirm uralel•penalty of perjury one of the following declarations: I Thav'e and wilimaintain 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 thl trrVance of J*.vjgfg for which this permit is issued. Policy No. ae and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, 'aHce carrier and policy number are: ion 0 . . . Policy Number for the performance of the work for which this permit is issued. My workers' Date Name e*Agent � -none n ft3l'Certilly that, h Wg p*orformance of the work fof',w 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 trAt! KI rShouid become subject to thew ckd`rss, °r pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions .... ..... <� '/ Z / a , 2 Signature of Applican . Date DECLARATION REG RDING C01 TR LENDING AGENCY —� 1 hereby affirm under penalty of perjury that re is as 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 own be If. I have read this application and the information I have provi is c r act. I agree to comply with all applicable city and count or ' ante d- ws relating to building construction. I authorize representatives of this city or county fee-idenodd property -for inspecti oseS. / �V1^ /v > ( - ate /u ra L Signature of Property Owner or Authorized Agent �npert Owner's orAuthon ent's Na _. G+- 4 AC77ON DATE BY DE ARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY F RAL REGULATIONSPART51OF TITLE40AND MD RULE-9403. J SUBMITTEDASBESTOS ICATION ' TO: ❑ EPA ` El ACM D PERMIT EXPIRED PERMITCA.NCELLED PERMITEXTENDED ASBESTOSNO7119 NISNOTAPP CABLE OSED Di N PERMIT FINAL U • G'z-c) t CERTIFICATE OF SIGNA E: OCCUPANCYISSUED