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HomeMy WebLinkAboutE2019-0574 - Permitsvrr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 4 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 5 7 4 g Permit Counter Phone (949)644-3288 =s Job Address: 407 IRIS AVE Bldg: 1 Floor: Suite: Description of Work: ELE -PIGGY BACK METER Inspector Area: 5 Legal Description: CORONA DEL MAR LOT 7 BLK 335(AND NELY1/2 LOT 5 BLK335 Owner: DDCFRJ INVS LP Contractor: MIKEN CONSTRUCTION CO, INC Address: 4686 ONTARIO MILLS PKWY Address: 4686 ONTARIO MILLS PKWY ONTARIO CA 91764 ONTARIO CA 91764 Phone: Phone: 909-957-0390 o Necv ConstAfbiibn ° Con State Lie: 941129 Issued Date:08/20/2019 Lie Expire: 1 2131 /2 01 9 ° Bus Lie: BT30039074 Puce<116d By: °"O° _ -Lie Exp Date: 04/30/2020 ,Q c Door °e $0.00 0 to 1 HP/KW/KVA: scoccc a $0.00 Temp Underground: Electrical Permit: E2019-0574 Project No: 2510-2017 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: OAK RIVER INS CO Policy No: MIWC920568 Expire : 0910112019 r N* ao°e:c° n°oc m ° FEES o Necv ConstAfbiibn ° Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) ° Reoidentiel° °, d Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 ° Multi -Family° e° 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2�amily: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 1 01° ° Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 A Serdlce °" Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V upmtb°20QA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V ovel2t)0A: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy BackrTemp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $30.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 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 6:00 p.m. )WNER-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 ie 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 L) 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). 1, 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 ==*. 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: iy 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:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent 2Co .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BusinesOURED n y license is in full force nd effect. icense Class License No Date 2o-� ( `� Contractor Signatu VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO QUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. L/// • • • • �. „`, „ 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;V L&Wr Code, for tl',t ante of the work for which this permit is issued. Policy No. ve 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 wor6rs' comp•eiii9MIbi Isur rice carrier and policy number are: ."•.. f p p 1 O ler Policy Number Expiration Date "`• �° IS of Agent _ certify that, in the if I should becoq Iature of ADDlicdn 6 C KongI cey 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 Clilifornia, aiad egrei rl vi ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Oprovision�� • ` °. a-� 'a CONSTRUCTION LENDING AGENCY � • • •. y my signature b low, I certify to each of the following: I am the property owner or authorized to act on the I have read this application and the information I I agree to comply with all applicable city and ounty [authorize representatives of this city or c untyeto q laws relating to building construction. =_d property for inspection purposes. Print Property Owner's or Authorized �l ACTION DATE BY DECLARATION OF COMPOANCEVIVITHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART &1 OFTnLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ i SUBMfTLEDASOESTOS NOTIFICATION TOr ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED El ASBESTOS PROPOSED EMOLITI RON15 NOF APPf.ICABL.E TO PERMTFFINA.L CERTIFICATEOF SIGNATURE. 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