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Home My WebLink AboutE2019-0085 - Permits0City of Newport Beach - Building Division��IIIIIIIIIIIIIIIIIIIIIIIIIIIII1IIIIIIIIIIIIIIIIJill 11Electrical Permit: E2019-0085 ° 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 0 8 5 Project No: 0261-2018 Permit Counter Phone (949)644-3288 `"rn'� Inspection Requests Phone (949)644-3255 Job Address: 3703 SEASHORE DR Bldg: 1 Floor: Suite: Description of Work: ELEC INSTIL 6 PLUGS (3 ON EACH FLR)1 LIGHT FIXTURE @ THE SECOND FLR INSIDEU-10 Inspector Area: 1 Code Edit: 2016 Legal Description: NEWPORT BEACH CITY BILK 37 LOT 2 Owner: HAJJAR GEORGE P Contractor: OWNER/BLDR Worker's Compensation Insurance •••••• Address: 2405 BELLEVIEW RD Address: HAJJAR GEORGE P Carrier: •• •°••° U PLAN D, CA 91784 Policy No: m •°°• ° Phone: 909-921-4254 Phone: Expire: < •ee Con State Lic: O/B • ° Issued Date:02/14/2019 Lic Expire: o •' • •' ° • • ° ° Bus Lic: °• oeeo Processed By: �"� '\ Lic Exp Date: oamo ° eoe°o ° °°°°°° • ° 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. FEEFEES°O S. 00. ° New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) o o•oo° Residential Receptacles/Outlets: 6 $6.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 1 $1.00 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 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $42.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $42.00 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. 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) action 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 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 Ifessions 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 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 7044, siness 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 wovements 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 Itsfor 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 )ly 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: 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 legal I a structure that I have built as an owner -builder if it has been constructed s entir y licensed contractors. I understand that a copy of the applicable law, Section 7044 o the Bu iness and Ifessions Codef iseuailable upon request when this a tion is bmitted the f in Website:http://www.leginfo.ca.gov/calaw.html. nature of Proagrjy.Qaner or Authorize to ,j, i rSED COUTWTOR'S DEC arebytiffirm utiggr-pepalty of perjury that 1 am lic, under pr Isions of Chapter 9 (co encing with Section 7000) of Division 3 of the Business and ProfessineCode, and my license is in full force ansa Class License No Date Contractor Signature )RKERS' COUPEASATION DECLARATION 01 UHX@: 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 (§700,000), IN ADDITION TO THE IT917,COMPEN911TIOQ, DAMAGES AS PROVIDED FOR IN SECTION 0108 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ir.ebySffirm und&VOlialty of perjury one of the following declarations: -I.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 fdrmkce of W§*pjl{for which this permit is issued. Policy No. 'tlmn 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' compensatioi avanee cardesandpoiicy number are: Tier .... ... Policy Number Expiration Date IV of Agent Phone # Ce ' hat, 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 agre t, if I s ould oma sub' to the workers' cc arise 10 visions of Section 3700 of the Labor Code, I shall forthwith comply with those nature o licant D CLARATION -CON UCTION LEND N AG Ireby affirm under p y of perj that there is a construct' n ending agency for the pertormance of the work for which this to is 1 ued (Section 3097, Civil Code). liter'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 a� county ordinances a� d at a aws relating to building construction. _ I authorize representatives of this city o unty to enter the abgJre-ide ied property for inspection purposes. --�� ...+..— ,.f or...,e , n,..ner.,r Aulhnely r«a�6 J Y ✓Xl � Print Pmnsrty Owner's or Authorized ADEnt's Name V V1h� L �• I I/ r (�1nJ� r ACTIDN .�._.... _..... _.. .._.__...By P£RMIT€XPIR€D PERMtTCANCELLED PERWT£XTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED I SUBMITTEDASBESTOS NO7IFICATION TO. ❑ EPA AQMD ❑ ASBESTOS NOAFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.