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Home My WebLink AboutE2018-0226 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 800 OCEAN FRONT W Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE (X18-0434) Inspector Area: 1 Legal Description: EAST NEWPORT LOT 4 BLK 7 AND LOT 5 BLK 7 ELY1/2 OFLOTS Owner: GREUBELJEROME Contractor: OWNER/BLDR Address: 800 W OCEAN FRONT Address: NEWPORT BEACH CA 92661 $0.00 Phone: Phone: $0.00 Con State Lie: O/B Issued Date:04/05/2 Lie Expire: 0-600V over 20OA: Bus Lie: Processed By: Lie Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 0/H to U/G 0 $0.00 TOTAL Fee: Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 $0.00 *E2018-0226* Electrical Permit: E2018-0226 Project No : 0357-2018 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier : Policy No: Expire Doom m'•o oo� 0000 o ° • . 0000 •o o • o 0000 00 o r 00 � o °oo FEES co • o� Motors/Transformers (HP/KVA) Temp Underground: °° A. ° 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 BackfTemp Power: 0 $0.00 Temp Power Pole: 1 $36.00 Plan Check 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. co • o� Temp Underground: °° A. ° moos $040 oc < Sub Panel: 0 $0.1111.1 • ° ° ° 0• 01, $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $0.00 Supplemental Fee: $10.00 e at Permit Issuance: $46.00 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. MNER-BUILDER 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) lection 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 3ppticanrfor 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 (commencing with Section 7000) of Division 3 of the Business and Tafessions de) 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 an five hundred dollars ($500). as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, luslness 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). 1 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). 7 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, overed by this permit, I cannot legally ell a structure that I have built as an owner -buil cif it has not been con tructed in its entirety by licensed contractors. I understand that a copy of the applicable law, ction 7044 of the Business and 'rofessions Code, is available upon re est this applicatio su tted or at the following Web site:http://www.leginfo.ca.gov/ca[aw.htm]. ignature of Property Owner or Authorized e t to .ICENSED CONTRACTOR'S DE RATI 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 Professi� s Code, and my license is in full force nd effect. icense Class • • • • License No Date Contractor Signature IWORKERS'_(;OMPENSATION DECLARATION ARNING: FAILUREYO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO I COST OF COMPENM AON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. %eidby affirm Ender penalty of perjury one of the following declarations: 13 'Will 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 04Wmance Mile work for which this permit is issued. Policy No. • I%ave an§ AlIll'1Idntaln 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' compensa • insurance carrier and policy number are: • Garpsr • Policy Number Expiration Date of Aqent • • • _ I'cartify thatt in•tMerformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject the workers' compensation laws of California, and agree t* if I shoufdeep I ject tot kers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ions. c/ nature of Ap pt Dat CLARATIl7N REGA DING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue 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 applica le city and unty ordinances and state la s relating to building construction. I authorize represent it' is city or coun to enter the a,"(��"'�`��e ifie operty for inspection purposes. /` nature of Property Ow er Autho ed Agent Y��= =��J Print Property Owner's or Authorized A en Ntnfile3 l4ate ACTION DATE BY DECLARATIONOFCOMPLtANCEMTHCODEO FOR OFFICE USEONLY FEDERAL REGULATIONSPART61 OFTITLE40AND AQMD RULE 1463. PERMITEXPIRED 0 1 SUBMITTEDASSESTOS NOO77FICATION TO. 0 EPA 0 AQMD PERMITCANCELLED PERMITEXTENDED 0 ASBESTOS PROPOSEDDEtl9OtlT/ONRONISNOTAPPLICABLETO PERMITFINAL CERTIRCATEOF OCCUPANCYISSUED SIGNATURE: