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HomeMy WebLinkAboutE2017-0601 - PermitsCity of Newport Beach -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 37 AVIGNON Bldg: 1 Floor: Suite: Description of Work: ELEC/RE-WIRE (E) DWELLING Inspector Area: 6 Legal Description: N TR 14571 LOT 29 Owner: SPOKOYNY FELIX E Contractor: Address: 37 AVIGNON Address: NEWPORT COAST, CA 92657 Phone: Phone: Con State Lic: Issued Date:11/21/2017 Lic Expire: �� � / Bus Lic: Processed By: /�"Y Lic Exp Date: Elu�l0ll�ll�70 6ll 01 II POWER ELECTRICAL INC 19528 VENTURA BLVD #386 TARZANA CA 91356 866-769-3709 941020 12/31/2017 BT30061310 11/30/2018 Electrical Permit: E2017-0601 Project No : Inspection Requests Phone (949)644-3255 Plan Check Fee : Fee Due at Permit Issuance: PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday jr00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. m e • O 3 Y • { • BS B O LO u d 8 •� 6Q. •E, E�'• • • B E'CO (-B c o c c c c • G E 4 L �[ G O •6 C enc cc c� o • ccc •o Code Edit: 2016 FEES •.. rh Worker's Compensation Insurance t ' Carrier: STATE COMP FUND Policy No: 9029249 , Expire : 07/20/2018 Residential Plan Check Fee : Fee Due at Permit Issuance: PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday jr00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. m e • O 3 Y • { • BS B O LO u d 8 •� 6Q. •E, E�'• • • B E'CO (-B c o c c c c • G E 4 L �[ G O •6 C enc cc c� o • ccc •o FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 36 $36.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 79 $79.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 1 $25.00 1-2 Family: 0 $0.00 Sep Circuits: 14 $84.00 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 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $33.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 Plan Check Fee : Fee Due at Permit Issuance: PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday jr00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. m e • O 3 Y • { • BS B O LO u d 8 •� 6Q. •E, E�'• • • B E'CO (-B c o c c c c • G E 4 L �[ G O •6 C enc cc c� o • ccc •o IWNER-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) 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 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 'rofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nroved for the purpose of sale). 11, 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 Iegall ell a structure that 1 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://w m.leginfo.ca.gov/calaw.htm]. 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 Professions Code, and my license is in full force nd effect. ,/ icense Class C� �O License No 0141 o as Date Contractor Signature')6 / VORKERS' COMPENSATION DECLARATION J '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 1$100,0001, 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: 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 the erformance of the work for which this permit is issued. Policy No. have and will m Intppin 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' rance carrier and b6licv number aref'1 _ Date of Agent I certify that, in the performance of the work for which this permit is iss hall 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 become sub'ect to the workers' compensation pr ' ' sof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date�� b �` - CLARATION REGA 1 G CONSTRUCTION L06ING AGENCY -reby 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 re ' g to building construction. I authorize representatives of this city or county totenter the above-lqpntlflroperty for inspection purposes. A nature of Prooertv Owner or Authorized A AC77ON DATE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL J CERURCATE OF OCCUPANCYISSUED BY nj�MUKUFC 74W. • • 7 4UB&gWD.4XBEW,0S 4WIFICATION TD: :• ❑ EPA ❑ AQMD ❑ ASBESTOS NOIIRCA170NIS NOT APPLtCABLE TO PROPPO•S€D DEll10t•fif�N! ; fGh1TTLJR&& • i FOR OFFICE USE ONLY