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Home My WebLink AboutE2018-0579 - Permits� c o City of Newpon"B68�h gDivislon 100 Civic Center Drive, Newport Beach, CA 92360 s e ° i_ Permit Counter ,hone (949)644-3288 e e a e n e e o ® • o • e ° �'sr•rw � • •ee °m °eo ° °A °°° ° ooe e ° e Job Address: 720 VIA LIDO NORD Bldg: 1 Floor: Suite Description of Work: ELEC - PIGGY BACK (X2017-4088) Inspector Area: 1 Legal Description: N TR 907 LOT 47 Owner: DAVIS LYLE & ROBIN Contractor: GREGORY BUILDERS Address: 720 VIA LIDO NORD Address: 233 OCEANVIEW AVE NEWPORT BEACH, CA 92663 Receptacles/Outlets: NEWPORT BEACH CA 92660 Phone: 949-636-2433 Phone: 714-747-4027 $0.00 Con State Lic: 719030 Issued Date:08/28/2018 Lic Expire: 02/28/2020 $0.00 Bus Lic: BT20012402 Processed By: Lic Exp Date: 06/30/2019 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential $0.00 10 to 50 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 $35.00 Supplemental Fee: Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over20OA: 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 Electrical Permit. E2018-0579 Project No: 2877-2017 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: CALIFORNIA INS Policy No: 4604999801 Motors/Transformers (HP/KVA) Expire : 09/28/2018 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: 1 $38.00 Temp Power Pole: 0 $0.00 Plan Check Fee: F4 7-0 TSR Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: 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. •• OL• V n e e )WNER-BUILDER DECLARATION 9 6 0 • •' 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated bs swbf he checkmark(s) I have plaged 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 il'sissuattce, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commenp,np with.9ecli Ip POO) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703'65 by ray VpTeent %: per4t subfepts the applicant to a civil penalty of of more than five hundred dollars ($500). • . . o • •. I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (, portions of the worly and T% -structure is not intended or offered for sale (Section 7044, Usiness 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 nprovements 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 nproved 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 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). 1 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, I 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 'rofessions 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 .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 Profe s' ns ode, and my ' as is in full force nd effect. !cense Class License No Dat 1! Contractor Signature..�• IIORKERS' COMPENSATION DECLARATION 'ARNING: 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 ADD,, ON TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR INGECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty 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 thi bKormaJr ce 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 of Agent Date 11 certify that, in the performance the work for w 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 at, if I should become subjec workers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant N^� DECLARATION REG N CONS RU N LENDING AGENCY hereby affirm under penalty of perjury that there is construction honding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ander's Name Lender's Address y 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 ordin3ttoes and state laws ating to building construction. I authorize representatives of this city or coUfny to an h bove-identifi roperty for inspection purposes. Y innahlre of Pmnertv Owner or Authorized Agent 17 � Print Prooertv Owner's or Authorized ADent's Name, ^ "') lroSte ! AMON DATE " BY urr.r_xra� run ur wmruxrvi,c M r n UvuC ur tuKurnLruJt V1VLr FED€RAt GULATIONS PART 61 OF TITLE40AND AQMDRULE9403. PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD PERMfTCANCELLED PERMITEXTENDED ❑ ASBESTOS NORFICARONIS NOT APPLICABLE TO PROPOSEDDEMOLIT/ON PERMITFINALIt-. CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED