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Home My WebLink AboutE2020-0133 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 Job Address: 1414 DOVER DR Bldg: 1 Floor: Suite: Description of Work: ELEC 200 AMP SERVICE UPGRADE (X2019-3576) Inspector Area: 3 Legal Description: N TR 1645 LOT 37 Owner: MONTGOMERY RICHARD Contractor: Address: 6031W LN Address: SAN ANTONIC TX 78209 Phone: Phone: New Construction Con State Lic: Issued Date:0310512020 Lic Expire: y r Bus Lic: Processed By: I t ¢ i° @u @ Lic Exp Date: m W $1.00 Residential HAWKER CONSTRUCTION 1531 LOWER LAKE CT CARDIFF BY THE SEA, CA 92007 714-743-7110 930312 01/31/2021 BT30063937 07/31/2020 Electrical Permit: E2O20-0133 Project No : 2453-2019 Inspection Requests Phone (949)644-3255 INSPECTOR Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: WSA505347800 Expire : 01/27/2021 J9000V s s c mmemmo o m m s m° ma a m a a _ a c _ a0000 0 O6° J C O Fee Due at Perm 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, FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) ' ° .0 m W $1.00 Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: _ r `0 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: $Or04r6 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 mmaoa� 0,9C.,° 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 200A: 1 $45.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 200A: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backfremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or IOOOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pale: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 Fee Due at Perm 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, OWNER -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 the 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 Professions 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 not 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, Business 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 improvements.are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that itwas not built or im roved 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 not apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 leg -all, sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent / Date LIC License Claby ss CONTRACTOR'S DECLARATION cense No C to /'y —ac 2. �� Contractor S a (rr f yyy,,,ppp��saions Code, S, m_ylcense Is in full farce under penalty of perjury that I am and effect. .... /" ,t A6C�rRKERSmGOMRENSATION DECLARATION under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin ss n /^ NARNING� FAILURI JO $SpURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$10D,0001, IN ADDITION TO THE COST OR COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .he'roby affirm under Qenalty of perjury one of the following declarations: „-r J h*aye and i 1:;;Intain 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 th WO S?Tance of44 wgrk for which this permit is issued. Policy No. a4 dAll meiniain 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 apd policy number are: Policy Number rleoPAgent'..' a .... Date I,cipgIfy that, jrtMfl pVrfo}}''� ce of the work for w icjthis 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 agree I, if I should bemm�p to the workers' c ,edsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. %• .nature of AP a99fy'"��..- -� •,�- ......... lie :9 CLARATIO�ISAeI�G CONSTRU N LENDING AGENCY �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 (Section 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.owner's behalf. I have read this application and the information I hav ovided is correct. I agree to comply with all applicable city and count�na ces and state laws relating to building construction. - Iauthorize representatives of this city or counj , nterLtf a above Identified property for inspection purposes. n+` ��'"'`` �• A� •�` `�7 nature of Progeny Owner or Authp}ed Agelii� �'� �'—'---- Print Property Owner's or Authorized Agent's ameL� rl5 %rV 1Lv( V"7 D.� <&i ACTION DATE BY DECLARATION OF COMPLIANCEWITNCODEOF FEDERAL REGULATIONS PART G1 OFTITLE40AND AQMD RULE 1403. ❑ I SUBMWEDASBESTOS NO77FICATION TO. ❑ EPA ❑ AOMD ❑ ASBESTOS NO77FICA7IONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE: ONLY PERMIT EXPIRED PERA41TCANCELLED PERMfT EXTENDED PERNI/TFINAt � - CERTIFICATEOF OCCUPANCYISSUED