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Home My WebLink AboutE2022-0107 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ` Permit Counter Phone (949)644-3288 r V t'�GIi911F�th Job Address: 2339 PORT CARLISLE PL Bldg: 1 Floor: Suite: Description of Work: PANEL UPGRADE 400 AMPS Inspector Area: Legal Description: 6 N TR 7845 LOT 72 Owner: MDG REAL ESTATE LLC Contractor: Address: 2339 PORT CARLISLE PL Address: NEWPORT BEACH, CA 92660 Phone: 714-904-4734 Phone: Con State Lie: Issued Date:02/2212022 Lie Expire: C Bus Lic: Processed By: V Lie Exp Date: `E2022-0107` Electrical Permit : E2022-0107 Project No : 1535-2020 K D G CONSTRUCTION MNGEMNT 1 POST SUITE 200 IRVINE CA 92618 714-904-4734 928591 02/2812023 BT30074364 02/28/2022 FEES Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: EXEMPT Policy No: no employees Expire : New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 0 $0.00 Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 0 $0.00 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 1 $47.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0,00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back[Temp Power: 0 $0.00 Investigation Fee: $38.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: TOTAL Fee: $85.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $85.00 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. R-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indi ated 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, dem fish, 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 L iw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Secti n 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 (_) all of or (_) portions of t Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through I improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor I am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature hel,v' I acknowledge that, except for my personal residence in which I must have resided for at least one y sell a structure tnat I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un F'rofessiins Code, is available upon request when this application is submitted or at the following Web site:http://www.legin ,"ignatur_ of Prcpert;, CCNner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION { hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o and effect. 3 Liccnse --lass License No Date WORKERS' CGMpZNSATION DECLARATION NARNING. FAILURE I SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL' Gos r OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ne,eoy affirm under penalty of perjury one of the following declarations: I have and wll mai'.Itain a certificate of consent to self -insure for workers' compensation, 'ormance of t1b,3 wc•k for which this permit is issued. Policy No. have and will`roainfain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the Trance carrier and policy number are: tier Policy Number ne of Agent issued by the Director of certify that, in the performs of the work f which this permit is issued, I shall not employ any person in any manner E ,if -I should become jubj9A to th9,wc1kerrk' cpIppensation provisions of Section 3700 of the Labor Code, I shall forthwith nature of Applicant ✓ CLARATION REGA I N ENDING AGENCY Ireby affirm underpe ally f perju t is a construction lending agency for the performance of the work for which Ider's Name Lender's Address my signature below, ach 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 prg�i �' Oct. I agree to comply with all applicable city and county eBmances n st to laws relating to building construction. I authorize representatives of this city or cou t mer a a e-i tified property for inspection purposes. nature of Property Owner or Authorized Agent, Print Property Owner's or Aut work, and the structure is not intended or offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Icalaw.html. Date 'ision 3 of the Business and Professions d and q'license is in full force Contractor Signatur AND CIVIL FINES UP TO ONE HUN ED T OUSL DOLLARS ($100,000), IN ADDITION TO THE ustrial Relations as provided for by Section 3700 of the Labor Code, for the of the work for which this permit is issued. My workers' Date as to become subject to the workers' compensation laws of California, and agre rmply with those provi'�-1 /� Date ' A '�°Y d! c- is permit is issued (Section Civil Code). ACTION DATE 8' DECLARATION OF COMPLIANCE MTh FEDERAL REGULATIONSPART @1 OF AOMD RUL E 1403, ❑ I SUBMITTED ASBESTOS NOTIFIC ❑ EPA ❑ AQMD ElASBESTOS N077FICA770N IS NOT PROPOSED DEMOLITION. SIGNATURE: CODE Or ' ITLE40 AND ITION TO:. APPLICABLE TO M FOR OFFICE USE ONLY PERPo7fT EXPIRED PER'O7T CANCELLED PERR+IITEXTEN'DED PERMIT FINAL .20 tots CERTIFICATE OF OCCUPANCYISSUED