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Home My WebLink AboutE2019-0844 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 c, "�Llrll%'tom , Job Address: 308 MONTE CARLO Bldg: 1 Floor: Sune: Description of Work: ELEC *BLDG 11* REPLACE DISCONNECTS (H2O19-0798) UNITS 308-323 Inspector Area: 8 Legal Description: TR 12309 LOT 5 POR OF LOT Owner: IAC AT JAMBOREE LLC Contractor: Address: PO BOX 2450 Address: NEWPORT BEACH CA 92658 Phone: Phone: -� Con State Lic: Issued Date:1211 12019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V orIOOOA: 0 $0.00 O/H to U/G 0 $0.00 TnTAI Fee : 9467.00 IIIIPiiiiiiiiiiiiiigllll U M AIR INC 12211 WOODRUFF AVE DOWNEY CA 90241 562-413-1235 1050013 0212812021 BT30061455 12/31/2099 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 $0.0( Time Clocks: 0 $0.0( Additional Fee: $0.0( Electrical Permit - E2019-0844 Project No : Inspection Requests Phone (949)644-3255 I Code Edit: 2016 Worker's Compensation Insurance Carrier: NATIONAL LIABILITY Policy No: A9WC045079 Expire : 09/13/2020 L 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 Fee : Temp Underground: W 16 $f(.00 $432..O0- Sub Panel .. 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Due at Permit issuance: $467.00 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 8:00 p.m. I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items (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 aTyo!�can)t 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 -Builder will 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: 3y 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 professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent _ICENSED CONTRACTOR'S DECLARATION Date hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Ind effect. f Division 3 of the B loess and Professions Code, and my license is in full force .icense Class License No VORIKERS' COMFHNSATION DECLARATION Contra nature 45 IARNIAIG: FAILURE TO 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 'OCT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 erformance of t:w .eark for which this permit is issued. Policy No. �e 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 s,lranne carrier and policy number are: arrier Policy Number are cf Agent Expiration Date rnone A uertify 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 if I should become sub t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. d a}lira of G nl.e�� hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code). Enders Name Lender's Address y 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 to enter the above -identified property for inspection purposes. 'ignature of Property Owner or orize cent . PERMIT PERMIT ACTION I DATE I &Y FINAL OFTITLE40AND ❑ 1SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION- OCCUPANCYISSUEO I I II SIGNATURE: