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Home My WebLink AboutE2021-0028 - Permitsw City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII�II�IIIII�IIIIIIII II Electrical Permit: E2021-0028 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 0 2 8 r� Project No rw � Permit Counter Phone (949)644-3288 �'�cira,tiw+' Inspection Requests Phone (949)644-3255 Job Address: 1150 IRVINE AVE Bldg: 0 Floor: Suite: Description of Work: ELEC/OUTLET @ EXTG TRASH ENCLOSURE FOR LOW VOLTAGE SECURITY CAMERA Inspector Area: 7 Code Edit: 0 1%S3oT Legal Description: TR 4824 LOT 1 AND POR LOT 17 (P M 46-43 Owner: IRVINE CO C tractor: DU CROS ELECTRICAL CONT Vynrker's Compensationt,2821 surance ..... Address: 550 NE ENTER DR % / 7\ess�M - 2500 E IMPERIAL HWY-#201-52b' tii'" Carrier: STARNET I CO NE RT BEA CA 92660 BREA CA 92821 I' �o: B U 0 ° ° • ° ° Phone: Phone: F, r 71 688 7000 rr*1 ❑ ��U�`%o or U c i' dY0�1� . •• •�° Con. Sta,�te �JC 903"� °• ° Issued Date: �s Lic Expr a Ou($ /'022 / x ""° ° . • . ° ° =.+r ` 3J3 ti' ss. BT to who1"Yi.�... Processed By: -u �- is Exp Date: 06/30/2021 �T 11P91 N V71 oeeoo K MIA oe • o • o o• New Construction _ ' '^• Recap ac e/Sy ILh Outlets Motors/Transformers (HP/KVA) o ° ° ° • ° e Residential Receptacles/Outlets: 1 $1.75 0 to 1 HP/KW/KVA: 0 $0.00 Temp U derground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 Oe HP/KW/KVA: 0 0.00 Sub Pa I: 0 $0.00 1-2 Family: 0 $0.00 a Circuit : f,L, 0.00 0 % 0. 6p 0 $0.00 w 1 �e�1 00 00 tap 0. ® 0 $0.00 Service i s 00 P/KW/KVA 0 $pp RecoL $0.00 0-600V up to 2OOA: 0 $0.00 (gmFk ifted) 0 $0.00 M work started! Plan $0.00 0-600V over 200A: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Inves$0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issua$37.00 O/H to U/G O $0.ote: Additional Fee $A 00 — pp$0.00 TOTAL Fee: $38.75 Plan Check Fee : � 7s _ lnsp. initials. _(Fee-Bne-at-$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. EI _Oi!vi�I_1\i::L9 0,1 EC1ERIOR APPLICKFIONS / 'F7.n I hereby affirm underpenalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) Indicated below by the cheokmark(s) I have placed next to the applicable kem(s). lotion 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: previsions of the Contractors' State License Lew (Chapter 9 (commencing -with. Section 7000) of Division 3 of the Business and desslone Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a penult subjects the applicant to a Civil penalty of more than five hundred dollars ($500). - - 1, as owner of the. property, or my employees with wages as their sole compensation, will do U all of or (, porilons of the work, and theStructure i9 not intended or offered for sale (Section 7044, Illness 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 properrlLyy, provided that the Novements'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 Iroved for the purpose of safe) 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 )ly to an owner of property who builds or improves thereon, andwho contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). - I am exempt from Iloensure under the Contractors' State Lloenaelaw for the following reason: my algnaturo below 1 eeknowledpe that, except for my personal realdenca (n whichim ust have reaidedfor et least one year fo Completion of the Improvements covered by.this permit, I Cannot legally a etruoturo that I�Tave'bullt as an owner-0uild0 k k has not been oonstruoted in its entirety by Iicanaed contractors. I:onderatend that.e copy of the applicable law, Section 7044 of the Business end 4easlons Ca o,d0 available upon request when this application b submitted or at the following Web ells:http:/NAnw;lo9info.ce.govlcalaw.hfml. natlge of Pr lN9�wrrer orAuthodzad Agent Date : 3ED ggtr��ncroR DECLARATION �b`ya rtmrsnda� banally �TpeOury that 1 am licensed under provisions of Chapter g (commencingwith Seotlan 7000) of DWlelon 3 of the Business and Prof ssl ins gods, Jmy Carlos Is in full force 0soClass License No Date O ContrectorSigneture ^M )I ERS' M NSATION DECLARATION IA.Mr,: FNLU((ttSe TO §§ECURS WORKERS' COMPENSATION COVERAGE re UNLAWFUL, AND.SNALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML PINES UP TO ONE HUNDRED TH USAND DOLLARS (a1eD.e0e), IN ADDITION TO THE I OPOOMPaj!agTIC1tDAMAGESAB PROVIDED PORIN 69CTION 3Tee OFTHE LABOR CODS, INTEREST, AND ATTORNEV'S'FEEL Wy affim'6118WImSltyof perjury one of the following declarations: 1liege and wirl maintain a certificate of consent to self insure forworkee compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rt83nce Qf bbitl* for which this permit Is issued. Policy No. and whl`rnalfitain 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' compensatioi Sari . oerddraa ., II number are: �p e� � J r— Policy Number BA(144 Ili Z�2- Expimkon Date iaOfAgent _73:�C 1: ^iUSd1W'Medcz - Phone#_.2=— 2le2. certify that, in the performance of the work for which thp permit is issued, I shall not employ any person In any manner sous to become subject to workers' compensetion.laws of California, and Sore ,If I should become subject tooth wo re' ens n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. aturoofAppllcen Date/1 D/ /.�• 2) )LARATION RE IN CONE UCIn LENDING AGENCY reby affirm under penalty of perjury that there Is construction lending agency for the'perrormanoe of the work for which this permit is Issued (Section 3097, Civil Code). ises Name Lender's Address my signature below. I certiryto each of the following: I am the property owner or authorized to act on the property owner's behalf. i have road this application and the Information i have provided Is correct I agree to comply with all applicable ally and county ordinapces and to relating to building construction. 1 authorize representatives of this city or coung"nVJKe ab qd property for Inspection purposes. , AC77ON 1 DATE E3 ISUBUTI EDASB✓:S70S M71MAT(ON% EPA AQMD ASBESTOS NOIIRCA710MIS NOTAPPLICABLE TO PROPOSEDDEMOLITION. OCCUPANCYISSUED I I I I SIGMAIVRE: