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Home My WebLink AboutE2021-0485 - PermitsQ City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1436 NEWPORTER WAY Bldg: 1 Floor: Suite: Description of Work: ELEC - 3 RECEPTACLES IN KITCHEN Inspector Area: 4 Legal Description: N TR 15011 LOT 40 Owner: HOGAN LISA Contractor: Address: 1436 NEWPORTER WAY Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:08/17/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: WORLD COMMODITIES INC PO BOX 128 HUNTINGTON BEACH CA 92648 714-750-5000 1065929 0513112022 BT30074657 03/31/2022 Electrical Permit: E2021-0485 Project No : 0589-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9272277 Expire : 03/07/2022 INS ECIMOR FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 0 $0.00 Residential Receptacles/Outlets: 3 $5.25 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 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 200A: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $43.25 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $43.25 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. L ER -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 the 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 Professions 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 not 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, Business 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 improvements 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 improved 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). ❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: By 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 legally sell 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, S 'on 7044 of the Business and Professions 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 D e LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec ion 7000) of Division 3 of the Business and Professi ns ode, an my license is in full force and effect. 2 License Class License No Date l Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: eve 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 thI for once of the work for which this permit is issued. Policy No. he 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' compensatior nce carrier and policy number are: Tier olicy Number Expiration Date ne of Agent Phone # certify that, in the performance of a ork insation h 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 agree t, if I should become subject to the or ers' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.n nature of Applicant Dak X CLARATION REG R ING CONSTR ION L N AGENCY �-1 :reby affirm under penalty of perjury that there is a constrult4en 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 property o ner's beh I have read this application and the information I have provid is correc . I agree to comply with all applicable city and county ordinan and st laws relating to building construction. �— I authorize representatives of this city or cou enter the ov -de fled property for inspection purposes. �! 7. nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name DateY I 6 00 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERALi<FCL'LATIONS PARTtT1 OF TITLE 40 ANII QQMD RUI. F 1403. ❑ I SUBM, TTFD ASBESTOS NOTIFICATIONTO: ❑ cPA ❑ AQMO ❑ ASBESTOS NOTIFICATION /S NOT APPLICABLE TO _ _ I PFDPG5ED ilLMOLJTION. SI(�NN Tt /kE: FOR OFFICE USE ONLY PERMIT FXP{RED PERP✓r TCANCELIED PERMT€XTENDED PERMIT FINAL /Jij CERRTIF;'CATEOF OCCUPANCY7SSUED