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Home My WebLink AboutE2016-0661 - PermitsCity of Newport Beach -Building Division *E2016-0661* Electrical Permit: E2016-0661 �o 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2466-2015 Permit Counter Phone (949)644-3288 U �yv Inspection Requests Phone (949)644-3255 �t+riw s Job Address: 2901 CAROB ST Bldg: 1 Floor: Suite: Sub Panel: Receptacle/Switch/Outlets Residential Description of Work: EXTERIOR OUTLETS• 0 Receptacles/Outlets: > $3.00 Multi -Family: 0 $0.00 v� 0 Inspector Area: 8 1-2 Family: 0 Code Edit: 2013 Sep Circuits: 0 $0.00 • Legal Description: N TR 5018 LOT 102 Low Voltage 0 ° ° ° e Iry�g ° %r+�dioem Signs • ° ° Owner: RADOVANOVIK ALEX Contractor: ETHANS POOLS INC omm• Worker's Compensation Insurance a °• a°m Address: 2901 CAROB ST Address: 895 DOVE ST. STE 300 Carrier: SECURITY NATIONAL INSQPN,CE Each Add Circuit: NEWPORT BEACH, CA 92660 $0.00 NEWPORT BEACH, CA 92660 Policy No: SWC1086630 e e o m Phone: Phone: 714-337.4955 Expire: 11/02/2016 0 $0.00 Con tate Lic: 998964 0000 ° Issued Date:10/20/2016 Lie Expire: 12/31/2016 ° ° ° ° e °•oeo• Bus Lie: BT30052307 • ° o°°m°a Processed By: �bM /S%l/� C Lie Exp Date: 01/31/2017 000000 ° c o 00 0 0000 New Construction 0 $0.00 Sub Panel: Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 Receptacles/Outlets: 3 $3.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Fee : $35.00 FEES 0 $0.00 Sub Panel: 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 Plan Check Fee: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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: $32.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: YNER-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) 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). 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, ainess 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 )rovements 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 )roved 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 fly to an owner of pioperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). x6666• I am exempt from licensure under the Contractors' State License Law for the following reason: My Signature654elow 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 a sfructWWre%%tJ h2ve 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 �feesion&Code+is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. no0e of Property Owner or Authorized Agent Date TENSED WNTAACTOR'S DECLARATION tr9tf affirm uAder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ions Code, and y ense is in full farce I effect. ••••• anse65Class ••••• License No Date Contractor Signature 65 �96RffRS' COMPENSATION DECLARATION VNINGr FAILURE 22Q $,%(TRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN LLARS ($'100,000), IN ADDITION TO THE rT OFtOMPENSIST7dN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 5615y affirm ur)gp penalty of perjury one of the following declarations: 1 nave 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, forth( formance of the work for which this permit is issued. Policy No. Fe 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' compensatior fice carrier and policy number are: Policy Number Date Tie of Agent rnone s certify that, in the performance of the work f 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 agree t, if I should becomes bject to the wor compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant Date 1W/ 2a l'6 CLARATION REG DIN ON CTIO DING AGENCY !reby affirm under lienalty of per hat 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. WE5[q�oR Z I agree to comply with all applicable city and county ordinances ands to laws relating to building construction. I authorize representatives of this city or countyto enter the,pb,q i/e ied property for inspection purposes. nature of Property Owner ACTION P€RMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED Print Property Owner Name DATE ucut Flvff Vr UUMV"AlvLcm,l 1.V, P-- FEDERAL REGULAWNSPART61OFTITLE40AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NOIIFICATION TO: ❑ EPA ❑ AQMD [3 ASBESTOS N077RCA77ON IS NOT APPLICABLE TO I,Uj PROPOSED DEMOLITION. SIGNATURE: