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HomeMy WebLinkAboutE2019-0263 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Y_ Permit Counter Phone (949)644-3288 Job Address: 1807 PORT STANHOPE PL Bldg: 0 Floor: Suite: Description of Work: ELEC PANEL UPGRADE 200 AMPS Inspector Area: 4 Legal Description: N TR 7032 LOT 24 0 Owner: ZARDO FELIPE B MALEE Contractor: Address: 620 NEWPORT CENTER DR #630 Address: NEWPORT BEACH, CA 92660 0 Phone: Phone: 1 Con State Lie: Issued Date: Lie Expire: $0.00 Bus Lie: Processed By: �l1 XIV Lie Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 200A: 1 $43.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 IIIIIIIIIIIIIIIIIIIIIillillillillillillilliillillillilljllI BEACH CITY ELECTRIC P O BOX 80577 RANCHO SANTA MARGARITA CA Electrical Permit: E2019-0263 Project No: Inspection Requests Phone (949)644-3255 520022 0 $0.00 Code Edit: y,016 �� 0 $0.00 ST30055022 0 $0.00 05/31/2019 1� ° Branch Circuit: izc $0.00 Each Add Circuit: emmm mmo° Worker's Compensation Insurance 0 $0.00 Carrier: EVEREST2 °`°°°° $0.00 Policy No: 1535808 ° Expire : 06/14/2019 520022 0 $0.00 10/31/2019 0 $0.00 ST30055022 0 $0.00 05/31/2019 $0.00 ° Branch Circuit: 0 $0.00 Each Add Circuit: emmm mmo° Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 FEES 0 $0.00' Motors/Transformers (HP/KVA) 0 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 Temp Underground: 0 $0.00' Sub Panel 0 $0.00' 0 $0.00' 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 Fee Due at Permit Issuance: 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. 11NER-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) ,ction 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 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 fessions 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 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, ;iness 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 Irovements 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 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 Ply to an Qv4rr4 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 e%VW from licensure under the Contractors' State License Law for the following reason: qty signatyre 4plow 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 V struchlre.thaYl 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 fessions•Cor a, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Nature of Property Owner or Authorized Agent Date TENSED eCWT°RACTOR'S DECLARATION %by affirmurrAr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit ection 7000) of Division 3 of the Business and ofes license is in full force [-effect. e 3ase Cleat°"•: License No Date Contractor Signature )RKERS' C®MPENSATION DECLARATION INING: FAILURE TO SBCURE 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 IT Oj COMPCtlCM .DAMAGES AS PROVIDED FOR IN SECTION 3908 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �sepy affirm under genalty of perjury one of the following declarations: 61Pave 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 brmance of the work for which this permit is issued. Policy No. I have 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' compensatior �nce carrier and policy number are: mer Policy Number Expiration Date me of Agent Phone # I certify that, in the pert mance of the work for which this permi ' 'sued, I shall not employ any person in any manner so as to become subject to t 9 workers' compensation laws of California, and agree it, if I should becomes bject toAthers' co of Section 3700 of the Labor Code, I shall forthwith comply with those provisio s. �1aS (nature of Applicant Date !CLARATION REGA DING T N LNDfNfA@E =_reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( ection 3097, Civil Code). rider'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 co ty ordinance and to relating to building construction. I authorize representatives of this city or county o ant =` roperty for inspection purposes. w r �L. �' I I aM" (nature of Property Owner or Authorized Agent pertOwner's or Authorized Agent's Nam l ate ACYTON DATE BY DECLARATION OF COMP f NCEWITN CODEOF / FOR OFFICE USE OYLY FEDERAL REGULATIONS PART61 OF TITLE40AND AQMDRULE1403. PERMI€EXPIRED ❑ i SUBMITTED ASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD ASBESTOS NOIIFFCABONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMYI:CANCELLED PERMITEXTENDED PERMITFINAt S7 g %q CERTIRCATEOF OCCUPANCYISSUED SIGNATURE: