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HomeMy WebLinkAboute2022-0156 - Permits,, City of Newport Beach - Building Division *E2022-0156* L;'t d� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 6 I Job Address: 6 CREST CIR Bldg: 1 Floor: Suite: _ -- Description of Work: MFR ELEC- UPGRADE (E) TO 200A ELECTRICAL SERVICE PANEL. Inspector Area: 6 Legal Description: TR 8406 LOT 1 UNIT 12 OF PROJECT LOCATED ON AP 458-311-04 TOGETHER Owner: AQUEVEQUE JOSE Contractor: OWNERIBLDR Address: 6 CREST CIR Address: AQUEVEQUE JOSE CORONA DEL MAR, CA 92625 O/B FORM ATTACHED Phone: 949-307-4810 Phone: 949-307-4810 Con State Lic: OIB Issued Date:03/14/2022 Lic Expire: Bus Lic: Processed By: Lic Exp Date: Electrical Permit: E2022-0156 Project No: Inspection Requests Phone (949)644-3255 .v• Code Edit:2019 • • • a .za• • a . as c •a c• .• • a Worker's Compensation Insurance a.....• • a.R Carrier : a Policy No: w�=.� a.a•• • Expire Y.a.9• ee.s:a a® • e • a ea±. FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 0 $0.00 Temp Underground: 0 $0.00 Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 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: Over 100 HP/KW/KVA: 0 0 $0.00 $0.00 a Record Mgmt Fee: $0.00 Service 0-600V up to 20OA: 1 $47.00 Signs Branch Circuit: 0 $0.00 0 $0.00 Plan Check Fee: Investigation Fee: $0.00 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy BackfTemp Power: 0 $0.00 Issuance Fee: $38.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: Supplemental Fee: $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: $85.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $85.00 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. 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 6 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 ofessions 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 ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, stress and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the 3rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly to an owi;M F property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I ana exempt from licensure under the Contractors' State License Law for the follo ing reason: r"OgnaturD b@IoE,I acknowledge that, except for my personal re idenc 3 in which must have resided for at least one year prior to completion of the improvements covered by this p rmit, I cannot legal] I a structure tl4at f ttave built as an owner -builder if it h' not been Instructed in its ntirety by licensed contractors. I understand that a copy of the applicable law, Section 704 of th Business and Wes 'Ons Code, is available upon request when this app ication is bmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nt1bre of Property Owner or Authorized Agent `—� Date 1 z oEN$ED CIM"PNCTOR'S DECLARATION—" a it®f4ectffirm y)ggel penalty of perjurythat I am licensed under provisions f Chapter 9 (�mmencm with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force iiaeClass "" License No Date Contractor Signature MKERS' COMPENSATION DECLARATION WING: FAILURE TO SECl1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE -. 0� C OMPENStftN, 17AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. trebymaffirm ur1dej0gnalty of perjury one of the following declarations: I have and wilrmaintain 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 'ormance of the work for 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 Trance carrier and policy number are: er Policy Number Expiration Date e of Agent Phone # ertify that, in the performan a of the w rk for which t is permit is issued, I shall not employ any person in any manner so as to become subject to the work ' com -ARATensation laws of California, and agre if I should become subject t the work rs' compensa ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.iture of '7 Applicant Date, 3 ' -} ARATION REGA DING CONSTRUCTI LENDIN AGENCY I hereby affirm under penalty of perjury that the is a const ction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the prope Vowner's behalf. I have read this application and the information Lha ro dad iscon ctI agree to comply with all applicable city and cona esands tobuilding construction. I authorize representatives of this city or county the afLiid h' d rop y for inspection purposes. Tiignature of Property Owner or Authorized Agent Print Property Owner's or Authorized ADent's Name X 1 Se I G, .. ACDON PERMIT CANCELLED P-IWITERTENDEO DATE I BY OCCUPANCY#SSUED t ` TITLE40AND ❑ ISUBMffTEDASBESTOSNOAFICATIONTO:. ❑ EPA ❑ AOMD ❑ ASBESTOS NOTIRcATIONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: Rpit"