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Home My WebLink Aboute2021-0029 - Permits0 City of NewporMeIach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1448 KEY. VIEW Bldg: 1 Floor: Suite: Description of Work: ELEC -INSTALL METER (ONLY 1 ALLOWED) Inspector Area: 6 Legal Description: N TR 6152 LOT 55 Owner: MIEHE JEFFREY & SHANNON Address: 1448 KEY VIEW CORONA DEL MAR, CA 92625 Contractor: Address: Phone: 949/887-7674 Phone: Con State Lic: Issued Date:01/19/2021 Lic Expire:. Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 1 $46.00 0-600V over20OA: 0 $0.00 Over 600V or 1o00A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $83.00 *E2021-0029* Electrical Permit: E2021-0029 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 OWNER/BLDR Worker's Compensation Insurance MIEHE SHANNON Carrier : O/B AUTH ATTACHED Policy No: 949/689-8594 - Expire O/B Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 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 Temp Underground: '3� �J $0.00 Sub Panel: �0, $0.90� 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : 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. I hereby aRrm under penalty of perjury that I am exempt from Me Contractors' Stale License Law for Me reason(s) imtlicated below by the checkmark(s) I have placed next W the applicable Ilem(s) coon 7031.5, Business and Professions Code: Any city Or county that requires a permitto construct, alter, improve, demolish, or repair any structure, prior W its Issuance, also requires the appicard for permit to file a signed statement Mat he or she is licensed pursuant W the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) M Division 3 ofthe Business and iessmns Code) or that be or she is exemptfiom licensure and the basis for the alleged exemptlon. Any violation of Section 7031.5 by any applicant fora permitsubjects Me applicant to a can penalty of more than five hundred dollars MOO). I, as owner of the property, or my employees with wages as Mek sole compensation, will do U all of or (J podmns of the work, and Me structure Is net Intended or offered for sale (BROWN 70,t4, mess and Professions Cotle: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, bulls or improves the property, provided that the rmends arenthnte inded or offered far sate. If, however, the building Or impmvement IS sold within one year Of completion, the Owner gugderwiff have the burden of proving that it was not built or atl for the purpose of sale). as owner of Me property, am exclusively commotirlg with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Low does not to an owner OF property who builds or improves thereon, and who contacts for Me projects with a licensed Contractor pursuant to Me Contractors' Stale License Law). I am exempt from licensure under the ContreMors' State License Law for Me following reason: ny signaure below I acknowledge that, except far my pe al resit in whkh I m at have resided for at least one year prior to completion ofthe unproverments covered by this permit I cannot legal] a structure net I have built as an owner-0builder if a has een cemat inks rely, by licensed contractors I understand that a copy of the applicable law Section 70" of the Business and • • • • •••••• Professions Cotle, is available upon requeatwhen this appy U n is s at}h in Web sle:hNpd/www.te Info.ca.gav/cdlaw.hlml. q g Signature OF Property Owner orAuthmed Agent I,/ M�/�g Datq� l • • LICENSED CONTRACTOR'S DECLARATIOpN1 • . s • • • • • I hereby attirm underpenalty of perjuryMat I am] ¢ter sed untler provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cotleiand my license is in full force • • • • • • • • and effect t • • • License Class License No Date Contractor Signature • • • • WORKERS' COMPENSATION DECLARATION • •• • • WARNING: FAILURE TO SECURE PANDUR PCONIPENanTNN COVER .IS UNIAWFUI .0 Mott SU&IECr AN EMPLOYER TO CRIMWIL PENGLTIES AND CNR FINER UP TO ONE HUNDRED TNOUYWO 0i ($10airre, IN A001MIN TO TNf • • •••••• C•STOF CURPSANATNR, DAMANWAa PROW MR M aELMN arcs OF THE rABOR COOS, INTEREST, AND ATTORNEYS FEES. IS • • I hereby affirm under penalty of perjury one of the following declarations: s•• • • •13 I have and will maintain a certificate of consent toselicinsure for workers' compensator, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, far IN i • s • e • - • • • rmance edoof the work forwhich tthisplt le ermissued. Policy NO. IS ••• • a • s • have and wN maintain workerse compensation insurance, as required by Section 3700 of the Lobar Coda, for the performance of the worts for which this permit IN issued. My workers' mmpensati0 • Insurance carriernumber and policy numberare: • • • • • • • • • • • Cartier OaW Porky Number Phone • • •• • • Name of Agent PhonB If If • • • • • • cerlify that. in the perfamlance of the work for which this permit is Issued, I shall not employ any person in any manner so ER tobecome subject to the workers' compensation laws of Cal'domta, and agre • • • • that if I should became subject to Me worim s' compensation provisions of Section 3700 of ME Labor Code, I shall forthwith comply with those provisions. •••• ••••• • • Signature Applicant Date DECLARATT IONONREREGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of Me work for which this permit Is issued (Section 3W7, Civil Code). raters Name Lenders Address @' my signature below. I certily to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I havep.ro�vided is correct. I agree to comply with all applicable city and county gidjlinces MM! to#Delatmg to building construction. a Ilixeme representatives of this city orcounty foe e ' era a erty for inspection purposes. MIT F 17r EPA NOTIRCA710H IS NOT APPLICABLE TO r.CNUN(Aleur OCCU➢ANCYISSUED SIGNA77/RE