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Home My WebLink AboutE2021-0010 - PermitsCity of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIII�III�III�IIIIIIII�IIII II Electrical Permit: E2021-0010 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 0 1 0 roject No: 0679-2020 ?, Permit Counter Phone (949)644-3288 I chon Requests Phone (949)644-3255 Job Address: 124 VIA TRIESTE Bldg: 1 Floor: Suite: Description of Work: ELEC PANEL UPGRADE 200 AMPS Inspector Area: 2 Code Edit: 2019 Legal Description: TR 907 LOT 226(AND NELY1/2 LOT 225. JE 1 •°°°°Owner: TUNNEYDORIS ntr or: ES - Worker's Compensationlnsur ce.: o°°°°• Address: 124 VIA TRIESTE re 108 U NANDO Carrier: EXEMP NEWPORT BEACH CA 92663 NE , CA 926 Policy No: Phone: on StLic 8 2 Ex ' a. �.. ,,,,' ,a°°•. Issued Date:01/06/2021 pi 8/31/2021 de • ° g ° o ° °. u Li(: BT3007 a• 1 ,- ° ° ° ° ° ° Processed By: ` is E16 ^Sp�� i•°YY° O 0 Vtl� ° • O °N4i FEES New Construction tact w' utlets otors/Transformers-(HP/KV ®��° Residential ties ets: 0 $0.0 0 o 1 HP/KW/KVA: $0.0 `Temp -Underground: 0 $0.00 Multi -Family: 0 $0.0 Fi 0ioo.?. 1 to 10 HP/KW/KVA: 0 .0 SubPanel: 0 $0.00 1-2 Family: 0 $0.00 `•, its: 0 10 to 50 HP/KW A: 0 ` - 0 $0.00 oltageai 50 to 100 H /KVA: $0.00 0 $0.00 Service Signs �taA Over 1 P/KW/ $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 1 $46,00 Branch ui 0 *90.00 Plan Check Fee: $0.00 0-600V over 200A: 0 $0.00 Eac. 'rcud: Y $0.00 iggy B e ower: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1 OOOA: 0 $0.00 me I e 0 $0.00 Te o ole: 0 $0.00 Issuance Fee: $37.00 O/H to U/G 0 $0.00 A itional kee : 0 Supplemental Fee: $0.00 TOTAL Fee: $83.00 . „ PI C Fee $0.00.. Fee Due at Permit Issuance : $83.00 P out PI 80 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hour on Friday ]:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. NO CONSTRUCTION WORK ✓NER-BUILDER DECLARATION 1 hereby afiNm under penalty of perjurythat 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 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 fessions Code) or that he or she is exempt from licensors 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 dl� more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of thg work, and ru ure is not intended or offered for sale (Section 7044, riness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through a plo r persona effort, builds or improves the property, provided that the irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp) , the Owner -Build will have the burden of proving that it was not built or !roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project on 7044, �usiness and Pro fess''pn Code: The Contractors' State License Law does not ply to an owner of property who builds or improves thereon, and who contracts for the projects with i sed Conttracr ursuant to the to ' State License Law). I am exempt from licensure under the Contractors' State License Law for the following me `.131,'( lV" my signature-b ow I acknowledge that, except for my personal residence in which 1 ave residdee vQ5� feast one a to completion of the provements covered by this permit, I cannot legal a structuietgati have built as an owner -builder if it has not been Constructed in its' entirety by licerip$ bIT racto J rstand that a copy a ap !cable law, Section 7044 of the Business and feesions Code, is available upon request when this application is submi '%h at the following Web site:h I6 info.ca.gov/calaw nature of Pimpdrfy�Owner or Authorized Agent v Date TENSED CONTRACTOR'S DECLARATION iel�y affirm under penalty of perjury that I am li n er pr io of pter 9 (co in w' h Sectio ® ofDivision 3 of the Business nd Pr fession Cod and my.1lcense is in full foroe effect. ,"'�• =nse Class • • • • ..,w' Like e t 7`�=t- f Z- Contractor Signature ARNINO: FAILUFfE TO SECU - RKERS' COMPENSATI RAGE I UN , r LL EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS (E100,000), IN ADDITION TO THE SfCF COMPENSAi10 MAGES AS PRgvIDEO INS N3T THE D T,ANDATTORN 11gr26Q affirm under naltye({` r ne of the g do I have and AN m tain a certificat of cc - IT to el workers' co t e Director of Pndustrial R let! or by aion 3700 of the Labor Code, for th 8dn•o4mance of live ws or which - it is i '.ad. li No. - 1 have and will mainla wor rs' com ation rance, as r i e Labor Code, for the pe e k for which tI is ermit s issued. My workers' compensatio insurance carrier and polic num ram: Carrier N IE A I Lion e m of Agent Phone # of that, in the perfo ce of k hich I is issued, I shall not employ any p any rk4hQr so as to become s ' ct to ation laws of California, and agre at, ' should becom su act the o rs' ens n provisions of Section 3700vf the Labor Code, I shall fdrthwith comply wi ose,�piig. Signature of Applicant t +f7"atLe o. 2 DECLARATION REGAR I C STR N LENDING AGENC ,S! I hereby affirm under pe Ity o peq ry the here is co stru i1 a nc for the performance of the or which this it i ed (Se io 3097, Civil Code). Lender's Name% L Lender's Address By my signature below, 1 certify to ea - of tl ng: I am the property owner or authori d to rop°°�I ra behalf. I have read this application and the form have pr$J'i8Ed is correct. I agree to comply with all applicable an county ordinances and sta relating to ' in ruction. I authorize representatives of this city r coon o en' led props or in ion purposes. Signature of Property Owner or Authorized ent Print Property Owner's or Authorized Agent's Name I TO&LN Qe S U2 Date ✓ & �- ACTION A DECLARATION OF COMPLIANCE MTH CODE OF FEDERAL REGU✓ ATMSPART 6'1 OFTITL€40 AND AQMDRULE4403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ASBESTOS NO-RRCARON IS NOT APPLICABLE TO PROPOSEDD€MOLITION. SIGNATURE: I FOR OFFICEUSEONLY PERMITEXPIRED 2 PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED