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Home My WebLink AboutX2021-0143 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 415 NEWPORT CENTER DR Bldg: 1 Floor: Description of Work: COMM - ADD 2 pW7�L,� Inspector Area .: Legal Description Owner IRVII Address: 11.1-I IRVII Phone: Issued Date:02/1! Processed By: II�IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II Project Electrical Permit: E2021-0143 Inspection Requests Phone (949)644-3255 4f applicable: ❑ 80% o{ ❑ 100%�rs"idz 9 s> CAd tr�to CEN LLtpovwm�.N Worker's Comp 7342 BOURBON LN Carrier: NO LA PALM 3 Policy No: B 1 Expire : 02/1 Von , t i .; 3 re. T 9Mif 'fZ 74305 Lic Exp Date: 02/28/2022 1 i t Insurance 1349 s ELDLscard Ian 6�- FE S r�` New Constructio Residential R cepp#�l {Switch/Outlets {work'4111 C'9/Outlets: 2 $3.50 ua{teCi M i / i t§fbrmers (HPAVA) 0 1 HP/KW/KVA: 0 Imp to $0.00 Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0____-_SaAm---•-- b Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0__-_$O=-----16-ta'S0 /FIP7RGil KVA:— 0 $0.0 0 $0.00 Nate. __ ��Qa`ge� ltlals 0 $0.00 Service Signs ___ __.----Gver`tDG-MP KK /W KV/A: 0 _ ,PA � cord Mgmt Fee: $0.00 0-600V up to 20OA: __- 0__ _J$0 n2_.__._--Branch- w : 0 Plan Check Fee: $0,00 0-600V over 20OA: 0 l Q, ux.9,- » otmAd 0 $0.00 Piggy Backlremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A:"0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $40.50 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $40.50 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hot rs: Monday - Friday 7.00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. O ¢ ¢ 9 O 4 ¢ n.: • • ¢¢ mo a c£c • ¢c •m •m� a o ¢co cca a o 0 0 ¢ c e a ¢ ¢ c; c ¢ • Jo ¢ ¢o• o00 • • •• •• u• WJ ext?%` -t(.` Utta 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). 3 1, 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, 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 legalll ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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 Professions Code, and my license is in full force nd effect. icense Class License No gatg Liz Contractor Signatur — VORKERS' COMPENSATION DECLARATION v 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 the e ormance of the work for which this permit is issued. Policy No. 21 sve 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' compensatior Isur nce carrier and policy number are: Policy Number Expiration Date of Agent 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 agree I. if I should become subjec the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. nature of Applicant :. r Date nl CLARATION REGAING CONSTRUCTION LENDING AGENCY DJT :reby affirm under n ty 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). Ider's Name Lender's Address 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 enterjhe above-idenf ' property for inspection purposes. ACTION DATE t BY DECLARATION OF COMPLIANCE MTH CODE OF FOROFRCEUSEONLY FEDERAL REGULJTIONSPART61 OFTITLE49AND • RULE i4A:A B• i S(JBAItjTEIbASBE5T05 NODFlCATION TO: • '❑ E�0. A�iMD ASBESTOS NOTIRCA170HIS NOT APPLICABLE TO • PROPOS'EP.OQ tOUTION. • • • . �r • PERMIT EXPIRED 3- 7- Zd Z Z. �I �� i�� - . PERMIT CANCELLED : . : PERMITEYTENDED PERMIT FINAL CERTiFICATEOF • � OCCUPANCYfSSUED • sJIG[