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Home My WebLink AboutE2021-0761 - Permits(9) City of Newport Beach - Building Division 111111111111111111111p11111Ili 11111p11111111lil JillElectrical Permit : E2021-0761 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 7 6 1 Project No : 0219-2021 Permit Counter Phone (949)644-3288 Job Address: 324 L ST Bldg: 1 Floor: Suite: Description of Work: ELEC INSTALL DISCONECT (112O21-0630) Inspector Area: 1 Legal Description: N TR 518 BLK M LOT 11 Owner: RUPPERT BRAD Contractor: Address: 324 L ST Address: NEWPORT BEACH, CA 92661 Phone: 949/355-9770 Phone: Con State Lic: Issued Date:11/044021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20DA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $67.00 APEX ESTATE CONS 18183 EUCLID ST FOUNTAIN VALLEY CA 92708 949-412-0712 895619 04130/2023 BT30070497 01/31/2022 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Inspection Requests Phone (949)644-3255 Code Edit: 2019 I N1 SP lzu I Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9075183 Expire : 10/09/2022 300 WIDE X 36" DEPTH - - FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 REQUIRED FOR Vim Temp Underground: n Sub Panel: 1 0 Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit Issuance : 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. 00 $.).06 $29 00 $i)_p0 $0.00 $0.00 $0.00 $0.00 $38.00 $0.00 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 ie 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 rofessions 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 ot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 704.4, iusiness 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 nprovements 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 nproved 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 pply 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: ly 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 lega111 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://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 (commenci with Section 7000) of Division 3 of a Business and Professions Code, and my license is in full force nd effect. 7 // icense Class License No Date I'-'" — ` Con a r Signature % VORK-ERS' COMPENSATION DECLARATION . - 'ARNING. FAILURE ib SECURE wbRKERS"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 OST OE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty ofrerjury ofe'of the following declarations have and will maintain a certificate of consent to self -insure for workers' compensation, -dance of the work for which'this permit is issued. Policy No. avP�ill nfalnrain 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' .I.ce carrier and policy number are: Policy Number issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for of Agent _ _ _ Phone # Date certify that, in the p�rtormance of the work for which this 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 it I should becomesubject to the wcirkeys-&Grnpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of I 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). 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 property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or ounty to enter a Ified property for inspection purposes. '/ ��1 Signature of Property Owner or Authorized Ag °� _ Print Property Owner's or Authorized Ag of ame f-3,K& I�V 1'jy 1p/� mate ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONL FEDERAL REGULATIONS PART 51 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N077HCATIONISNOTAPPLICABLETO PROPOSED DEMOLITION. PERMIT FINAL [-- CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: