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Home My WebLink AboutE2020-0088 - Permits0 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Jab Address: 4645 CAMDEN DR Bldg: 1 Floor: Suite: Description of Work: ELEC PANEL UPGRADE 400 AMPS Inspector Area: 5 Legal Description: N TR 3357 LOT 127 Owner: MAI MICHAEL THANG Contractor: Address: 4645 CAMDEN DR Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:02/13/2020 Lic Expire: Bus Lic: Processed By: Lic Exp Date: EFFICIENCY ELECTRIC 1221 E BEECHWOOD ST #95 SANTA ANA CA 92705 714-337-7651 1002586 04/30/2021 ST30051905 07/31/2020 Electrical Permit : Project No : 2784-2018 E2020-0088 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1243505 Expire : 07/24/2020 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers(HP/KVA) 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 1 Q HP/KW/KVA: 0 $0.00 Sub Panel: 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 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: 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: 0-600V over 20OA: 1 $91.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pale: 0 $0.00 Issuance Fee: O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: TOTAL Fee: $126.00 Plan Check Fee: $0.00 Fee Due at Permit Issuanc 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 $0 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 to 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). 7 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, 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 owi,er'or 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 7y 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 ell a structure that I save 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Ijg^zture of Property Owner or Authorized Agent Date ICENSED COA TRACTOR'S DECLARATION he,e5y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seion 7000) of Division 3 of the Business and /rofessions C ..n nse is in full force nd effect. / CensE Class License No Date B f' Contractor Signature ��G1 VORKERS' COMPENSATION DECLARATION 1Z IAf,NING- FAILUR=. TO ^,EC'JRE 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 'OST OF COMPENS/A,ON, bAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. herebyaffirm ucj-,, penalty of perjury one of the following declarations: J 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 th, ke{�Fo rmance of the work for which this permit is issued. Policy No. have 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 tsu nce carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # 11 certify that, in the performs a of the wor orwhich this permit is issued, I shall not employ any person in any manner so as to become subject to t workers' compensation laws of California, and agre iat, if I should become subje to the w compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. signature of Applicant 1i' ) Date 7 '/ IECLARATION REGARD G NSTRUCILO.N-LENDING AGENCY hereby affirm under penalt f perjury that there is a construction lending agency for the performance of the work for which this permit is issue Section 3097, Civil Code). ender's Name Lender's Address ly 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 tof`nter the dent+fiad property for inspection purposes. _ tignature of Property Owner or Authorized Agent ! �? --J Print Property Owner's or Authorized Agent's Name �.. �i,-f'-/ /"/L�li_'i Date ACTION DATE BY DECLARATION OF COMPLIANCE MTM CODE OF FOR OFFICE 05E ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403, PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA PERMIT CANCELLED ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS N077FICABON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL S' L'1 -'L L CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED