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Home My WebLink AboutE2018-0264 - Permits��z�� City of Newport Beach - Building Division ' - 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1201 SAND KEY Bldg: 1 Floor: Suite: Description of Work: ELEC - 200 AMP PANEL UPGRADE Inspector Area: 4 Legal Description: N TR 6634 LOT 124 Owner: SULLIVAN SHANE Address: 1201 SAND KEY CORONA DEL MAR, CA 92625 Phone: Issued Processed IIIIIIIIIIIIIIIIIIIIIII I��'ll� II Electrical Permit: E2018-0264 E 2 e 1 am 6• ®ProjQ toNo:1338-2017 ® • o 0 o m o m e ••• e e o o e o •oe • • m ••• oe Inspection Requests Phone (949)644-3255 0 o m m o e o • o ee e • oo • e Contractor: BURKHART BROTHERS CONSTR Address: 12 BALBOA COVES NEWPORT BEACH CA 92663 Phone: 714-350-3892 Con State Lic: 905510 Lic Expire: 10/31/2019 Bus Lic: BT30026859 Lic Exp Date: 03/31/2019 New Construction Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Low Voltage 0 $0.00 Service Plan Check Fee: Piggy Back/Temp Power: Signs $0.00 Investigation Fee: 0-600V up to 20OA: 1 $41.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 100oA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 1KPLCT Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9041905 Expire : 02/01/2019 FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 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 Record Mgmt Fee: Plan Check Fee: Piggy Back/Temp Power: 0 $0.00 Investigation Fee: Temp Power Pole: 0 $0.00 Issuance Fee: Supplemental Fee: 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. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 l )WNER-BUILDER DECLARATION •• ••• •• .. ... I hereby affirm under penalty of perjury that I enrexempt for; tha,6ontra6ors' 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 A4 cityor r oL;A;that $gyires;a permit to construct, alter, improve, demolish, or repair any structure, prior to its iss-dence, also requires the applicant for is permit to file a signed statement that he or she IS9icA114ed pLrsuaht to tRe pr00i5ions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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 t:e applicant to a civil penalty of of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees Valth wage sas•their sale comPerLalion, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section n44, lusiness and Professions Code: The Contractors StaterLicenseUw dyes rtoWly`to �n owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprgvements are not intended or offered for sale• 1f, b0vjever,%d9 byiV ng orlmprotgrtlent is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose of sale). I,s 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, 1 cannot legally 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 Irofessions 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. .icense Class License No Date Contractor Signatlp¢� VORKERS' COMPENSATION DECLARATION `"ll IARNING: 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 OST 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: 1I 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 the e rmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the performance 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 agree I, if I should become subje t o the woor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant " � Date�� CLARATION REG A G CONSTRUCTION LENDING AGENCY Ireby 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 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 county`t�nf the a�bo%�-identified pro arty for inspection purposes. /� nsr,,.o .,v or„nerr.i rn.,ner nr A, ahnrbnA Annn1 X /�.IIl// Print Pmnertv Owner's or Authorized Aaent's Na e lett/, ✓� Date ACTION PERMITEXPIRED PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED DATE I 1 BY © I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: