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Home My WebLink AboutE2021-0483 - Permitsd1%vrokUG". City of Newport Beach - Building Division IIIII IIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 4 8 3 Permit Counter Phone (949)644-3288, Job Address: 2337 LA LINDA PL Bldg: 1 Floor: Suite: Description of Work: SFR NEW 70 AMP PANEL FOR LAUNDRY ROOM (X2021-1280) Inspector Area: 3 Legal Description: P BK 12 PG 14 PAR 1 Owner: JOHANSSON JOHN Address: 2337 LA LINDA PL NEWPORT BEACH, CA 92660 Phone: Issued Date:08/16/2021 / Processed By: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to 1 0 $0.00 TOTAL Fee: $67.00 Contractor: BURKHART BROTHERS CONSTR Address: 12 BALBOA COVES NEWPORT BEACH CA 92663 Phone: 949-375-6725 Con State Lic: 905510 Lic Expire: 1013112021 Bus Lic: BT30026859 Lic Exp Date: 03/31/2022 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 Electrical Permit: E2021-0483 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 M *, Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS/�,° ^ Policy No: SWC1325229 V Expire : 0210112022 r 0° ^ 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 Plan Check Fee : Temp Underground: 0 $0.00 Sub Panel: 1 $29.00 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 Fee Due at Permit Issuance : $67.00 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. OWNER -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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). ❑ 1, 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legally sell 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 Professions Cooe, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 'Signature of P,aperly Owner or Authorized Agent Date II ICENSED CONTRACTOR'S DECLARATION ,I hareb/ 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 land effect. Li,ense Class License No Date 0$1/ /2a/ Contractor Signature IiWORKERS' COMPENSATION DECLARATION WARNING: FAILURE 'fO 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 (.Sr OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Le;Cty affirm under penalty of perjury one of the following declarations: 1 have and wii, 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 thI 1 Ti nnance of the work for which this permit is issued. Policy No. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatior i urance 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 t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date d3P�/6/0021 CLARATION REGARDING CONSTRUCTION LENDING AGEN ereby affirm under penalty of perjury that there is a construction lending age cy-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 owners 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 ent7the above-ident&d property for inspection pum95e, ACTION DATE 8Y DEC TION OF COMPLIANCE y✓lT CODE OF FOR OFFICE USE ONLY FE RAL REGULATIONSPART61 OFTITLE40AND A DRULEN03. PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ASBESTOS NOTIFICATION IS NOT APPLICABLUO ROPOSEDDEMOUTION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SI ATURE: /��