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HomeMy WebLinkAboutE2019-0224 - PermitsCity of Newport Beach - Building Division s ! 100 Civic Center Drive, Newport Beach, CA 92660 s, Permit Counter Phgnne (949)644-3288 Job Address: 71 (PM) MONTECITO DR Bldg: 1 Floor: Description of Work: ELEC -PEDESTAL METER (100 AMP) Inspector Area: 4 0 Legal Description: 1-2 Family: Owner: REGENT ASSOCIATION Contractor: Address: 2740 N GRANDE AVE Address: SANTA ANA CA 92705 0-600V up to 20OA: Phone: 714-634-0611 Phone: $43.00 Con State Lic: Issued Date:04/16/2019 Lic Expire: Over 600V or1000A: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 1 $43.00 0-600V over20DA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 Iliiiiiiiiiiiii i iiiii i IIiipiiiiii KORE ELECTRIC 2175 CALLE OLA VERDE SAN CLEMENTE CA 92673 949-793-3262 745565 02/29/2020 BT30066180 02/29/2020 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : 0 $0.00 Plan Electrical Permit: E2019-0224 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9210652 Expire : 03/01/2020 FEES o �o�o eo 0 0000n 0 Motors/Transformers (HP/KVA) m o 0 0 °om°o 00!W 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Fee o°oo o �o�o eo 0 0000n 0 0 0 m o 0 0 °om°o 00!W •eee 00000ma 40.00, 0 0 oeoo 000eolo e ° n eomo $0.00 Investigation Fee: 0 0 m o m o Supplemental Fee: 00 0 0 0 ooeooe o 0 0 0 o b Fee Due at PERMITS EXPIRE 980 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. o �o�o eo 0 0000n 0 Temp Underground: m o 0 0 °om°o 00!W Sub Panel: 00000ma 40.00, 0 o 0 0 Record Mgmt Fee: $0.00' Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at PERMITS EXPIRE 980 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. I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 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 {;lance, 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 (_) 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 only 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 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 Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Professions e, and my license,i� in full force nd effect. icense Class .... License No Date Contractor Signature kli YORKERS' C&PEdSATION DECLARATION r ING.RaILURE 7USBCURE 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 OF COMPENSATIOMIlAj41AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Py`aJfirm undetpenalty of perjury one of the following declarations: have and wil6maintain 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 thf gn'dgce of th*eV rR:or which this permit is issued. Policy No. 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' .carrier ung pal cy number are: Policy Number Date :Icertity that, in the per#ormance 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( ik J1 ;Mould bP.Lth1e s}Ibje/ct tythe workarre mpe sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant �/ //.YAG Date )ECLARATION REG RDING CCW4STRUCTIOWLENDING AGENCY 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). Ender's Name Lender's Address lymy 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 /R'Ler the abo a -i entified property for inspection purposes. 1 'J �C� Iinnahlre of Pmnerty Owner nr Authorizwrl Anent �!/> L�.� Print Prooertv Owner's Or Authorized ADent's Name J 4tQ �r r^ "LSO �,j. Date 'I I 1, & ACDON PERMIT FINAL CERTIRCATEOF OCCUPANCYISSUED DATE ` I BY El t SUBIIWTTEDASBESTOS NOIIFICATION TOr ❑ EPA AQMD ❑ ASBESTOS M017f3CA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. 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