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HomeMy WebLinkAboutE2022-0395 - Permits�a>:.tazl'oy City of Newport Beach - Building Division `E2022-0395` ti 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1 GENEVE Bldg: 1 Floor: Suite: Description of Work: ELEC: UPGRADE MAIN SERVICE PANEL TO 400A (X2021-0636) Inspector Area: 6 Legal Description: N TR 9862 LOT 10 Owner: BOOTH MICHEAL Address: 1 GENEVE Phone: NEWPORT BEACH, CA 92660 Issued Date: Processed New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0-600V over 20OA: Over600V or1000A: 0/H to u/G 0 0 0 1 0 0 Contractor: PACIFIC CREST ELECTRIC Address: 1706 WEST OCEANFRONT NEWPORT BEACH CA 92663 Phone: 949-751-9990 Con State Lic: 902464 Lic Expire: 08/31/2023 Bus Lic: BT30023597 Lic Exp Date: 07/31/2023 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 Branch Circuit: 0 $0.00 $97.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee: $0.00 Electrical Permit: E2022-0395 Project No : 0581-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire : 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: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at 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. 0 0 0 0 35.00 ®009et° ° ° ° �j7 e e a'O $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $38.00 $0.00 NER-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 it the checture, prior I have placed next to the applicable item(s) ;lion 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 'essions 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 ro all of rt w portions of the work, and the structure is not intended r offered for sale (Section d 44, that iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds a improves the property, provided that the rovements 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 roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section racto Business and Professions Code: The Contractors' State License Law does no ,ly 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 reasoncovered by this permit, I cannot legally : 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 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 Ifessions Go" Ii available upon request when this application is submitted or at the following Web site:http:/Ar .leginfo.ca.gov/calaw.html. Date nature of P%oenx®wner or Authorized Agent ;,FMED CONTRACTOR'S DECLARATION -reby of lrm: ndenpenalty 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 J effect. Qme Class License No Date Contractor Signature �' �"' e DRKERS'.C(5 .ENSATION DECLARATION RNFNG: FAILURP TG SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO TH .DF COMP .NSAWQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. grgby affirm undes penalty of perjury one of the following declarations: 1.1.4ave and All 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 th rforfiance pN'the "rk for which this permit is issued. Policy No. It Cleve and wil 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' compensatio ausance carrier III" policy number are: Expiration Date ,,,,e, •* • Policy Number DR cos Name 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 comply become subject to the workers' compensation laws of California, and agree at., if I should become sub' o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date N Signature of Applicant DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency forLthe ender's Address of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name 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. � 7rO/ z7 I authorize representatives of this city or county to��nter the above -identified property for inspection purposes. Date G Print Property Owners or Authorized Agent's Name TE GAurt.�nrw., ... T#TLE90AND ACT10N 6Y FEDERAL REGULATIONSPART51 OF ' FINAL ❑ I SUBMITTEDASBESTOS NODFICATION' TO: ❑ EPA ❑ AQMfI Tf[I ASBESTOS MOTtACAOMIS NOT APPLICABLE TO PROPOSEDDEMOLFTION, OCCUPANCYISSUED SIGNATURE: