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Home My WebLink AboutE2022-0081 - Permits�«+r, City of Newport Beach - Building Division ti i T. �0 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 In _ Job Address: 20182 KLINE DR Bldg: 1 Floor: Suite: Description of Work: ELEC/UPGRADE (E) SERVICE PANEL 200 AMP Inspector Area: 3 Legal Description: 11111111111111111111111111111ill111111111111Electrical Permit: E2022-00811111111Project 202 Owner: TELLER ROBERT Contractor: SUNRUN Address: 20182 KLINE DR Address: 225 BUSH ST #1400 NEWPORT BEACH CA 92660 SAN FRANCISCO, CA 94104 Phone: 949/723-6665 Phone: 855-478-6786 Con State Lic: 750184 Issued Date:02/10/2022 Lic Expire: 06/30/2022 Bus Lic: BT30066837 Processed By: Lic Exp Date: 0413012022 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 1 $47.00 0-600V over 20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: Re c epta c I e/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 Workers Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No: WC614287600 Expire : 1010112022 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 Sub Panel: 0 0 0 Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at Permit PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 700 p.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. $0 OWNER -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, priorto ih: 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 (_) all of or L) 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 1 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, Section 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes o s ode, and license is in full force and effect. n License Class License No Date l! v� Contractor Signatur L2 WORKERS' COMPENSATION DECLARATION WARNING: 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. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have 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 performance of the work for which this permit is issued. Policy No. Pr'have and will m intain workers' pensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol nsurance carrier an licy numb are: Tier _o tiNu a Expiration Date me of Agent Phone # certify that, in the performance of the w k for which t ' 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 agre , s' compe ati provisions of Section t, if I should becom"ofpoe�ury 3700 of the Labor Code, I shall forthwith comply with those ovisions. nature of Applican CLARATION REGT ON L ING AGENCY areby affirm underthere 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 property owner's behalf. I have read this application and the information I have provided is correct. ' n;.y d I agree to comply with all applicable city and county o inances and state laws relating to building construction. V` I authorize representatives of this city or county to er th a ov Identifi y for inspection purposes. i maturePrint mature of Property Owner or Authorized Agent Property Owner's or Authorized Agent's Nam Ur D FOR OFFICE USE ONLY ACTION DATE BY DECLARATION OF COMPLIANCE KITH CODE OF rcl )ERAI. REGuLATIOhS L'API FF OF TIME 40 AND AOMDRL'LE 14C3. I SUtJM'TTE') ASBE5T'DS NCRRCATION TO: ❑ EPA ❑ AOMD PERMIT EXPIRED PER441T CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PkOdOSEO DEM011001V. tiIGNA TL'4E' PERMIT FINAL 1— O' CEIMRCATE OF CCCUPANCYISSUED