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Home My WebLink AboutE2022-0286 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 840 NEWPORT CENTER DR Bldg: 1 Floor: 4 Description of Work: COMM (8) ELEC OUTLETS Inspector Area: 7 Legal Description: P BK 136 PG 22 PAR 1 Owner: IRVINE CO Contractor: Address: 550 NEWPORT CENTER DR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:05/05/2022 Lic Expire: CZT7 Bus Lic: Processed By: I -,p/ J Lic Exp Date Suite: 480 iiiiiiiiiii II Electrical Permit: E2022-0286 Project No : 1191-2022 Inspection Requests Phone (949)644-3255 Code Edit: 2019 SASCO Worker's Compensation Insurance 2750 MOORE AVENUE Carrier: TRAVELERS PROPERTY • , , FULLERTON CA 92833 Policy No: UNON1616082025K = 714-870-0217 Expire : 05101/2023 _ 125897 05/31/2023 - BT30046326 ' 02/28/2023 FEES " New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 8 $14.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $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 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 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: Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 Moo Additional Fee : $65.25 Supplemental Fee: $0.00 TOTAL Fee: $117.25 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $117.25 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 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-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). I am exempt from Iicensure 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 Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION i hereby affirm urder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business as7ess Code, and my license is in full force and effect. Li^ensn Class License No Dat' Contractor SignNORKERS'CGrv1PFNSATION DECLARATION—�� NF.RNIN'.:: FAILURE ", G 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 COS, OF COMPENca TIOY, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. �ia,eov affirm, under penalty of perjury one of the following declarations: I have and w;.l 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 -formance of t'1e wrk for which this permit is issued. Policy No. I have and wlrl 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' compensa' granee carrier and policy number are: Policy Number Expiration Date of Agent I certify that, in the performance oft 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 agre It, if I should bacon ee ubject to c f MFe)sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C_ (nature of Applicant/\ 1 G Dat� S /Z ICLARATION REGARD CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Secti n 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 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 nc and state laws relating to building construction. I —A _ J I authorize representatives of this city or county to ter bove de tified property for inspection purposes. of Owner's or Authorized Agent's Name Imo_ `f v \\ t-P Dat ACTION DATE BY DECLARATION OFCOMPLIANCE WITH CODEOF FEDERAL REGULATIONS PART 61 OF TIILE40 AND AOMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERA41T CANCELLED PERMiTEXTENDED PERMIT FINAL 7 `— CERTIFICATE CF OCCUPANCYISSUED