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Home My WebLink AboutE2019-0781 - Permits� , � of City fNe Newport Beach ort�chA92660 Building Division 1111JI1�1111��111�1111�1111�1111111111111��111�1111�11 Jill Electrical Permit: E2019-0781 ''e *Permit Counter Phone (949)644-3288 Project No: 0891-2019 4r `"�a3r„u^`z.. Inspection Requests Phone (949)644-3255 Job Address: 2138 PORT DURNESS PL Bldg: 1 Floor: Suite: Description of Work: ELEC INSTL (2) DISCONNECTS (H2O19-0744) Inspector Area: 4 Legal Description: N TR 7845 LOT 11 Owner: KAWAGUCHI KEN Contractor: Address: 2138 PORT DURNESS PL Address: NEWPORT BEACH, CA 92660 Code Edit: 2016 Phone: Phone: 0 Con State Lic: Issued Date:11/21/2019 Lic Expire: 9672 ALONDRA BLVD Bus Lic: Processed B Lic Exp Date: New Construction 0 $0.00 Receptacle/Switch/Outlets Residential Code Edit: 2016 10 to 50 HP/KW/KVA: o e,em• 0 0 m e e eoosoo oemem• m c G C HEATING & COOLING Worker's Compensation Insurance. 9672 ALONDRA BLVD Carrier: FALLS LAKE FIRE & CASUALTY BELLFLOWER CA 92625 Policy No: FLA012044 562-867-4123 794228 Expire : 07/31/202Q ° , q �$�° WIDE X 194° :°QEPi"t, ®° ° 04/30/2021 e BT30069895mem.° REQUIRI=®°F®�t eom000 11/30/2020 e m m o Supplemental Fee: 000mmo o . ,A/C DISCQNNJECTSymmm.a 0 o m m eomo mmmm New Construction 0 $0.00 Receptacle/Switch/Outlets Residential $0.00 10 to 50 HP/KW/KVA: Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 $35.00 Supplemental Fee: Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Fee : 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 Check Fee : Temp Underground: 0 $0.00 Sub Panel 2 $54.00 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. 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) lection 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 app -cant 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). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness-and Professions Coder 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 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature b9lbdv1 °Icknowledge 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, 1 cannot legalll 11A §t;Vure 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 Itofesslons Code oie evailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. iigpatuce of Property OAner or Authorized Agent Date .(CEIl CONTRACTOR'S DECLARATION hP•reby affirm upd'er p6aalty of perjury that I am licensed under provisions of Chapter 9 (co encing with Section 7000) of Division 3 of the usiness and Professions Code, and my license is in full force gRd effect. Jcense Class • • License No of j('J-t�l �. Contrac rSignature� YORKERS' COMPENSATION DECLARATION •.... IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT ANE PLOYER TO CRIMINAL PENALTIES AND CIVIL FI SUP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE :11"tpMPENSATJON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATT RNEY'S FEES. Itereby di irm urMb? p@rplty of perjury one of the following declarations: -• •• I have and roil►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 t erlofrhtance of tllE6Wft1or which this permit is issued. Policy No. -Jrhave 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' compensatioi rsurance carrier and policy number are: Policy Number is of Agent certify 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 su , if I should become.subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those iECLAIBATRON-REGARDING CONSTRUCTION LENDING 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 Ender's 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 s cl county to e r the ve-identified property for inspection purposes. . -_ „-___�_ r,...__.. . �, .�,,.,.,.,a A-1 Print Pronertv Owner's or Authorized Agen AC77ON I DATE I BY FINAL 61OFTITL E40AND AQMD RULE 7403. ❑ 1SUBMITIEDASBESTOS NUT7FICATIONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS NORHCARON/S NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYISSUED I I II SIGNATURE: Date to the workers' compensation laws of California, and (Section 3097, Civil Code).