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Home My WebLink AboutE2021-0424 - PermitsCity of Newport Beach - Building Division `r k 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 4 yI. Job Address: 4239 UPTOWN NEWPORT DR Bldg: 1 Floor: Suite: Description of Work: ELEC- TEMP POWER FOR LIFTS/ELEVATORS. (7) 100 AMP DISCONNECTS Inspector Area: 7 Legal Description: N TR 7953 LOT 2 Owner: PARKHOUSE RESIDENCES, LLC Contractor: TEMP POWER SYSTEMS Address: 2 PARK PLACE #700 Address: 625 S FEE ANA ST IRVINE CA 92614 PLACENTIA CA 92807 Phone: 949/417-4462 Phone: 714-719-9549 Con State Lic: 696713 Issued Date:07/15/2021 Lic Expire: 10/31/2022 Bus Lic: BT30035529 Processed By: Lic Exp Date: 07/30/2022 New Construction Residential Multi -Family: 1-2 Family: Service Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 7 $49.00 Low Voltage 0 $0.00 Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Fee : Electrical Permit: E2021-0424 Project No : 1461-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STARSTONE NAT'L INS CO Policy No: T20201127 Expire : 10/0112021 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 BackfTemp Power: 0 $0.00 Temp Power Pole: 1 $41.00 Check Fee : LCIOR Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $78.30 Investigation Fee: $0.00 Issuance Fee: $38.00 Supplemental Fee: $0.00 e at Permit Issuance : $206.30 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 L) all of or L) portions of the work, and the structure is not intended or offered fa, 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-Builderwill have the burden of proving that it was not built or improved 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 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 legal) 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Professions Cod and my license is in full force and effect. /7 License Class License No Date r� �/ Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE D THOUSAND DOLLARS ($10D,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 pe ormance of the work for which this permit is issued. Policy No. ve 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' compensatio ins ante carrier and policy number are: arrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the for which t ' mit is issued, I shall not employ any person in any manner so as to become subject to the workers'' c mpe7Z_ ation laws of California, and agre that, if I should become subject to th orkers' co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.� Signature of Applica Dated DECLARATION RE N CTION LENDING AGENCY I hereby affirm under pen fury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the fallowing: 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 ordinanc state laws rela' 'ng construction. I authorize representatives of this city or county to e e above- property for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name Date 4� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OFAFOR OFFICE USE ONLY FEDERAL REGULATIONS PART b10F TITLE40 ND AtZMD RULE 9403. PERMIT EXPfRED ❑ I SUBMITTED ASBESTOS NOTIFICATION T0: ❑ EPA ❑ QOMD PERA4lTCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFlCATIONlS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL � �Z CERTdFFCQTEOF SIGNATURE: OCCUPANCYISSUFD