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Home My WebLink AboutE2019-0866 - Permits„� ; City of Newport Beach - Building Division 11JI11111111111p111111111111111111p1111111111111Jil JillElectrical Permit: E2019-0866 o 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 8 6 6 Project No Permit Counter Phone (949)644-3288 0�u cr��,�.�,-,�' - Inspection Requests Phone (949)644-3255 Job Address: 220 KINGS PL Bldg: 1 Floor: Suite: Description of Work: ELEC SERVICE UPGRADE 200 AMPS �pl Inspector Area: 2 Code Edit: 2016 "1.- p� Legal Description: N TR 1219 BLK D LOT 3 •• • eoe•oa Owner: LADELOZAARTHUR Contractor: Address: 220 KINGS PL Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:12/18/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: STRICKLAND ELECTRIC Worker's Compensation Insurance • •• " 18522 EMBURY DRIVE Carrier: WIC EXEMPT FEES • ° . ° SANTA ANA CA 92705 Policy No: (NO EMPLOYEES) • o ° ° '' 714-323-3302 Expire: ao°v° Receptacle/Switch/Outlets 687174 04/30/2020 Receptacles/Outlets: BT30070295 $0.00 e 0 12/30/2020 Temp Underground: • • o ° ° ° Multi -Family: 0 °00000 o ,: 0 $0.00 0 00 0 TOTAL Fee: Plan Check Fee : Fee Due at Permit Issuance: PERMITS EMPIRE 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. FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 1 $45.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: Plan Check Fee : Fee Due at Permit Issuance: PERMITS EMPIRE 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. NNER-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) action 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 I 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 Aessions 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 t more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Drovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Droved for the purpose of sale). I, as owner of the property, amexclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not oly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signatur%a91p`.Y 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) I a structure that I hAe built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Se io " 44 of the Business and Afescions Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Inaturti of Prdpedy Owner or Authorized Agent ate €N$ED CON.TRACTOR'S DECLARATION ' arsby affirm urWer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing/RTO ction 7000) of Division 3 of the Business an ofes ons nd my license is in full force d effect. •••••• ehs%bass License No DatFT _f�"�Cr Contractor Signatur . •. ,R14ERS' COMPF�NSATION DECLARATION ' RMIYO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLORIMINAL PENALTIES AND CIVIL FINES UP TO HE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 3T O C�OMPENSATIGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Dreby Iffirm ug(ieJpgaalty of perjury one of the following declarations: J.Nve 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 the fgrrpgrlce of tt46&QrkNr which this permit is issued. Policy No. •••• 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' compensation urance carrier and policy number are: of Agent Policy Number Expiration Date Phone # certify that, in the perfor nce of ork for wh' is permit is issued, I shall not employ any person in any manner so as to become subject to the w rkers' compensation laws of California, and agree cif I should become sub' ct I ker ' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �nI nature of Applicant Date CLARATION REGA ING cq4,,srRucTION LENDING AGENCY rreby affirm under p nalty of gKury that there is a construction lending agency for the performance of the work for which this permit is issued (S ction 3097, Civil Code). Ider'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 own' behalf. I have read this application and the information I have provided' correct. I agree to comply with all applicable city and county dinanc and at -laws relating to building construction. I authorize representatives of this city or county to ter th -Identified property for inspection purposes. c nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Awl 1%-�� CG-�� Dg ACTION DATE BY DECLARATIONOFCOMPIJAHCEWITHCODEOF EOROFFICEUSEON FEDERAL_ REGULATIONS PART 61OF TITLE40AND AOMD RULE 1403. PERMITEXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ A2MD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTLFICAIIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: