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HomeMy WebLinkAboutE2020-0053 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111 it JillElectrical Permit: E2020-0053 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 0 5 3 Project No : 2221-2019 H ; n Permit Counter Phone (949)644-3288 x �• M�. Inspection Requests Phone (949)644-3255 o,V,_ Job Address: 2420 SANTIAGO DR Bldg: 1 Floor: Suite: Description of Work: DELTA 3, CHANGE OUT (E) SERVICE PANEL TO 200 AMP (REV20-0141)(X2019-3215) C� Inspector Area: 3 Code Edit:2016 �i¢ 1 Legal Description: FT NW LY NEWPORT HEIGHTS LOT 297 NWLY 120 FT SELY 360 FT -EX SWLY 150 Owner: WILKINS SHANNON Address: 2420 SANTIAGO DR NEWPORT BEACH CA 92660 Phone: 310-994-7552 Issued Date:01/28/2020 Processed New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 1 $45.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 Contractor: NEW WEST BUILDERS INC Worker's Compensation Insurance Address: 12082 WOODBINE DR Carrier: W/C EXEMPT SANTA ANA CA 92705 Policy No: (NO EMPLOYEES) Phone: 714-412-5263 Expire Con State Lic: 469416 Lic Expire: 01/31/2021 , Bus Lic: BT30058264 Lic Exp Date: 03/31/2020 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 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 Plan Check Fee : Temp Underground: 0 $1.CC . Sub Panel: 0 $9.00 • 0 MCI!. © $0400,. Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $0.00 Supplemental Fee: $10.00 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. DWNER-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 .he 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 3rofessions 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 iot 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 the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 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). D I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legall, Bell 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, action 7044 of the Business and Drofessions Code, is available upon request when this application is submittedor at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Bec ion 7000) of Division 3 of the Business and Profe io , and my license is in full force and effect. -icense Class License No Date Zi 7iG Contractor Signature NORKERS' COM.FENSATION DECLARATION NARNING: FAILURE -C 7rCURE 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 'OST OF''OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ur.da. penalty of perjury one of the following declarations: I ha,,e 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 th ,erro,roance of the work for which this permit is issued. Policy No. hay. and wil: ,nair„ain 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' compensatior rance carrieranr' policy number are: for Policy Number Expiration Date e of Agent Phone # ertihy that, in the pArforma ce t ork for which this permit' Led, I shall not employ any person in any manner so as to become subject to the workers' ompensa Ion laws of California, and agree ifa;I should become sub _ to a work T _ provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision r ZU .Lre of Applicant Date 0 ereby 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 r party owner's behalf. I have read this application and the information I he a provided is correct. I agree to comply with all applicable city and c my o inances and state laws relating to building construction. I authorize representatives of this city or co ty to a above -identified or inspection purposes. 7 nature of Property Owner or Authorized A nt Print Property Owner's or Authorized Agent's Name _ J o ACTION DATE BY DECLARATION OF COMPLIANCE WITHCODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART61 OFTITLE 40AND AQMD RULE 1403. PERMIT EXPI RED ❑ 1SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N017FlCA770NIS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL .�, CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: