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Home My WebLink AboutE2018-0417 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 228 IRIS AVE Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECT FOR A/C Inspector Area: II�IIIIIIIIIIIIIIIIIIIII�III IIIIIIIIIIIIIIIII II a°° BIeQ4ri�ad Pevtvit: E2018-0417 E 2 0 1 8 0 4 1 7 c 0 0 eo• °PwJB�c!ISOe mee eee Inspection Requests Phone (949)644-3255 0 00 e m e 0 o eo o m •e e _ o ee• o e e Legal Description: RESUB OF CORONA DEL MAR LOT 24 BILK 136 AND NELY 10FT LOT 22 BLK 136 Owner: ANDERSON BRIAN Contractor: Address: 228 IRIS AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lie: Issued Date:06/18/2018 Lie Expire: Bus Lie: Processed By: ` Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or 1000A: 0 O/H to U/G 0 TOTAL Fee: •mm • eme e Code Edit: 2016 TRITON AIR INC Worker's Compensation Insurance 1221 PUERTA DEL SOL #300 Carrier: COMPWEST SAN CLEMENTE CA 92673 Policy No: WCV5501309 949-492-0290 Expire : 04/10/2019 774877 06/30/2018'', ST30042558 ri ^ i ,, 03/31/2018_ PERMITS EXPIRE 980 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. FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $25.00 $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 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $33.00 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. JWNER-BUILDER DECLAF;A-CIOIJ; ; ; I hereby affirm under penalty ql perjOy jha21 imp xemet from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ;Section 7031.5, Business and PIblesSibms Code: Any city or awaty that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of iot more than five hundred dog4rg ($gyp). • • • • .. I, as owner of the property. oGmy$mpfoypdswitlwages "their stole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code; •ing Contraolo s' Stete License L•awdoes not apply to an owner ofproperty who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. V flowevel, 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 mproved 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 3rofessions 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 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 Pro essions Code, and my license is in full force and effect. _icense Class License No Date e� Contractor Signatu�� w,>.,.,�0 NORKERS' COMPENSATION DECLARATION YARNING: 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 :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: 1 have and will maintain a certificate of,cgnsent 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 Ierformance 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 Date Tie of Agent Phone It 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 agre( t, if I should becom su ect to thre/workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / / nature of Applicant •1', Dat L� 0,(O//B//R CLARATION REGARDING C N TRUCTION LENDING AGENCY ""T rreby 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 coun o ever the above -identified property for inspection purposes. ✓. / nature of Prooertv Owner or Authorized ADent RA.ia A 4. fi.A AM Print Prooertv Owners or Authorized. Aaent's Nam" sr.7NMf FlBou� Date/, lr,/ ACY70N DATE BY UL LAM rlVIY Ur LUieruAwY cFYI rn uvvc Vr tUlr VrrlLt UJt UIYL7 FEDERAL REGULATIONSPART B1 OFTIILE40AND AQMO RULE 1403. PERMITEXPIRED I SUBMfTTED ASBESTOS NOIIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS M077HCAIIOMIS NOT APPLICABLE TO PROPOSED DEMOUTION. PERMIT FINAL CERTIFICATE OF SIGNATURE. OCCUPANCYISSUED