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Home My WebLink AboutE2018-0255 - Permitswlrap City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'IIII II 100 Civic Center Drive, Newport Beach, CA 92660 2 0 1 8 0 2 5 5 �' •; Permit Counter Phone (949)644-3288 Job Address: 10 VIA DIAMANTE Bldg: 1 Floor: Suite: Description of Work: ELEC - DISCONNECT FOR A/C (H2O18-0230) Inspector Area: 6 Legal Description: Owner: JABR TAMER NEWPORT Contractor: Address: 10 VIA DIAMANTE Address: NEWPORT COAST CA 92657 $0.00 Phone: 714-743-9791 Phone: $0.00 Con State Lic: Issued Date:04/17/2018 Lic Expire: 0 Bus Lic: Processed By: Lic Exp Date: 0 $0.00 New Construction Residential J D L CONSTRUCTION 15375 BARRANCA PKWY G102 IRVINE, CA 92618 888-847-0823 801389 10/31/2019 BT30038095 01/31/2019 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $6.00 0 $0.00 50 to 100 HP/KW/KVA: Low Voltage 0 $0.00 Service $0.00 Plan Check Fee: Signs $0.0000 Investigation Fee: 0-600V up to 206A: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1oo0A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee: $39.00 Electrical Permit: E2018-0255 Project No: 2239-2016 Inspection Requests Phone (949)644-3255 Code Edit: 2016 t� rj Worker's Compensation Insurance Carrier: NORGAURD INS Policy No: JDWC820756 Expire : 09/12/2018 FEES o°000m o ° ° . . . 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Fee Due at Permit 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. o°000m o ° ° . . . Temp Underground: oeac 000cc° Sub Panel: ° 0 oono 0 0 c o 0 0 00 0 Fee Due at Permit 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. o°000m o ° ° . Temp Underground: °o ° 0„ $Q.100 - Sub Panel: ° 0 MUD" •0 $Q.Oe: ° ° °°°e $0.00 Record Mgmt Fee: ° ® • $0,008 Plan Check Fee: $0.0000 Investigation Fee: •°°° $0.00 Issuance Fee: $33.00 Supplemental Fee: $0.00 Fee Due at Permit 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. 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 im roved for the purpose of sale). 1, 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 licensure 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, 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.htmi. 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 rofessions Code, and my license is in full force and effect. License Class License No Date L '" '-' Contractor Signature R— — WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TOSSCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSI+T14W.CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 9p�gsX611y affirm tiWi penalty of perjury one of the following declarations: I have and will emaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the ger*mence of the work for which this permit is issued. Policy No. and oyiQMaffain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation 3 carrier and policy number are: • ••• Policy Number Expiration Date Agent• • Phone # y that, in The performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hould,h$ggrp§, subject t9,4he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I of Apg)ic§rlt• Date areby 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 to t the above -identified property for inspectionpurposes. - nature of Property Owner or Authorized Agent Printf Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FEDERAL REGULATIONSPART 61 OFT17LE40AND AOMD ROLE 1403. ❑ I SUBMITTEDASBESTOS NO77F/CATION TO:- ❑ EPA ❑ AQMD ❑ ASBESTOS NORFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED PERMITEXTENDED PERMITFINAL H I CERTIFICATE OF OCCOPANCYISSOED