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Home My WebLink AboutE2019-0442 - Permits_"r'w,v y City of Newport Beach -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 h i n Permit Counter Phone (949)644-3288 �a "cAynn� Job Address: 2501 BAMBOO ST Bldg: 1 Floor: Suite: Description of Work: ELEC/SERVICE UPGRADE Inspector Area: 8 Legal Description: N TR 4893 LOT 56 111�111 11111111111111111111111111111111111111111111 111� 11Electrical Permit: E2019-0442 E 2 0 1 9 0 4 4 2 Project No : Owner: PE I JAMES Contractor: LANGNER ELECTRIC Address: Ot BA IBOOST Address: 1057 AUGUSTA CIR NE DR BEACH, CA 92660 OCEANSIDE CA 92057 Phone: 949-274- 63 Phone: 909-394-8305 Con State Lic: 1045812 Issued Dat .06126120 Lic Expire: 10/31/2020 Bus Lic: BT30067898 Processed By: Lic Exp Date: 06/30/2020 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 1 $43.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 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 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire : 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: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit 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. e 0 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 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) iection 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 is 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 n roved 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 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 licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Ccde, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent Date .;C-"1-43ED CGMY RACTOR'S DECLARATION hereby affirm ender penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Profe ns Code, and my license is in full force nd effect. °Q icehse Class License No Date --m2—/IQ / Contractor Signature r! /—t2� WRKERS' COMPENSATION DECLARATION IARNING: FAILURE T XCURE WORKERS' COMPENSAT10N 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 CET C. COMPENJAI.ON. LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I-.E-cty affirm under penalty of perjury one of the following declarations: na"e 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 thi erformdnce of the work for which this permit is issued. Policy No. A havc and wil: „iaimain 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 iSurance carrier n^r' policy number are: Policy Number Date in f Agent Phone # cart 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 agre t, if should become subject to th or ers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �j atureofApplicant Date LSl 1 f CLARATION REGA ING CO S R TION LENDING AGENCY ;reby affirm under pe alty of perjuryat there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). order'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 ordin ces and state laws relating to building construction. I authorize representatives of this city or county to enter above-' ntified property for inspection purposes. nature of Property Owner or Authorized AgenL_� iti- Print Property Ownel MAI'-, ACTION DATE DECLARATION OF COMPLIANCE iMITH CODEOF FOR OFFICE U5E ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ell ❑ ASBESTOS NOflRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERNIlTFFNAL 7�::7Z CER77RCATE OF SIGNATURE: OCCUPANCYISSUED AAA z s?nz