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Home My WebLink AboutE2021-0588 - Permits�°a1f City of Newport Beach - Building Division G� 100 Civic Center Drive, Newport Beach, CA 92660 - - Permit Counter Phone (949)644-3288 �r �'�xraaiv�`iN Job Address: 208 36TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC SERVICE UPGRADE 200A X2021-0539 Inspector Area: 1 Legal Description: LAKE TR BILK 135 LOT 5 Owner: 208 36TH STREET LLC Contractor: Address: 2962 JUNIPER AVE Address: CENTRAL POINT, OR 97502 Phone: 541-660-9495 Phone: Con State Lie: Issued Date:09/15/2021 Lie Expire: R 1 Bus Lie: Processed By: LJ e„ -Lie Exp Date: OWNER/BLDR THOMPSON KATIE O/B New Construction Receptacle/Switch/Outlet Residential Receptacles/Outlets: 0 Multi -Family: 0 $0.00 Fixtures: 0 1-2 Family: 0 $0.00 Sep Circuits: 0 Low Voltage 0 Service Signs 0-600V up to 20OA: 1 $47.00 Branch Circuit: 0 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 O/H to U/G 0 $0.00 Additional Fee : AL Fee: Electrical Permit: E2021-0588 Project No: 0495-2021 Inspection Requests Phone (949)644-3255 .eem e e mesa Code Edit:2019 • Be eme000 m e • • . ° • Worker's Compensation Insurance o°••% e Carrier: o°o ee • eem ° Policy No: •°®• a emmno Expire: •®mco • eu • moomco m • m . e omamoo ® .memmm • ° mmm.° s FEES Motors/Transformers (HP/KVA) $0.00 0 to 1 HP/KW/KVA: 0 $0.00 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 $0.00 $0.00 Piggy Back/Temp Power: 0 $0.00 $0.00 Temp Power Pole: 0 $0.00 $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: $38.00 Supplemental Fee: $0.00 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. ILDER 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) Iction 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 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 �fessions 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 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, siness 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 movements 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 moved for the purpose of sale). I, as owner-df M property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly to an oevrles Qiproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). .lain exemj*fro"licensure under the Contractors' State License Law for the following reason: my%ignaturs, 1111 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 legal aPVructure thr3t I have built as an owner -builder if it has of been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and "sions Code, is available upon request when IN app' tion is submitted t-t4ie-faI wmlS gWeb site'hftp:7/www.leginfo.ca.gov/calaw.htmi. nRlure of PWXJreIRy Owner or Authorized Agent Date ,WSED CONTRACTOR'S DECLARATION Ir�py affirmilil er�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 is in full force Class License No ERS' QOWeNSATION DECLARATION Date Contractor Signature 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 rOMPENS41NON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. affirm CAM penalty of perjury one of the following declarations: I 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 'ormance of the work for which this permit is issued. Policy No. 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' compens. trance carrier and policy number are: Policy Number of Agent Date certify 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby 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). 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 o �ntrJtr above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent.A roperty Owner's or Authorized Agent's Name Date AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TI7LE40 AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITFEDASBESTOS NOTFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL p ZZ ,j CERTIFICATEOF OCCUPANCYISSUED SIGNATURE:.