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Home My WebLink AboutE2018-0558 - Permitsi�j McRewport Beach - Building Division IIIJlIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIII JillElectrical Permit: E2018-0558 i0q' jric center Drive, Newport Beach, CA 92660 II�E 2 0 1 8 5 5 8 Project No P@rmit•Cnoui:e Phone (949)644-3288 o c��' 'm •® • Inspection Requests Phone (949)644-3255 Job Address: 2206 OMAN FRONT W Bldg: 1 Floor: Suite: Description of Work: ELEC - (2) 200 AMP PANEL UPGRADES Inspector Area: I Legal Description: NEWPORT BEACH CITY BILK 22 LOT 4 Owner: MARINOS PAUL Contractor: Address: 676 N LAS CASAS AV Address: PACIFIC PALISADES CA 90272 Phone: Phone: Con State Lic: Issued Date:08/20/2018 Lic Expire: Bus Lic: Processed By: •Ux` Lic Exp Date: GROUNDED ELECTRICAL SERVICES INC 19115 CONSUL AV CORONA CA 92881 951-314-1859 1039459 05/31/2020 BT30064225 08/31/2019 Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9230274 Expire: 04/25/2019 OR 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: 2 $86.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp 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: $121.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $121.00 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. 'NER-BUILDER DECLARATION : •; o 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 places rijxt to 6;lpalicealfl*e itel'i ,tion 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, -El 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 'essions 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 toy ci#ll,peealty,Gf more than five hundred dollars ($500). ,' , • • , e 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 offpTsid fopsale (*Aon.7,t*4, ^ 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 tie property, Inbvided that the rovements 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 ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below 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 legall 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .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 Business and P salons C9ocLe and my lice se is in full force nd effect. Z�/Zd� ,, 7 (�7/,4 / dense -Class License No Date / ! Contractor SignaturE✓ IIORKERS' COMPENSATION DECLARATION o IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ,OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T08 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. 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 the Labor Code, for the e rmance of the work for which this permit is issued. Policy No. I h 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 workers' compensation Isura ce carrier and policy number are: rr' Policy Number Expiration Date lame of Agent Phone # I certify that, in the perfo C of the work for whit 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 iat, if I should becomKD era' comp ns ion prov' on•S of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of ApplicanDate IECLARATION REGCONSTRUCTION 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 issued (Section 3097, Civil Code). 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 hav owded is correct I agree to comply with all applicable city and count ord' antes and t awsyelating to building construction. I authorize representatives of this city or count ante e Ified rtoterty for inspection purposes. ignature of Property Owner or Authorized Agept. Print Property Owner's or Authorized Agent's Name ACT70N DATE BY DECLARATION OF COMPLIANCEWMTH CODE OF FOR OFRCE USE ONLY FEDERAL REGULA TIONS PART 01 OF TITLE 40AND AQMDRULE1403. PERMITEXPIRED L SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANC€LLED PERA41T:EXT€ND€D ❑ ASBESTOS NOTfRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL C€RTIFICATEOF SIGNATURE: OCCUPANCYISSUED < U.�t:)e� �..