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Home My WebLink AboutE2018-0530 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 � v Job Address: 37 AVIGNON Bldg:1 Floor: Suite: Description of Work: ELEC INST EXTERIOR OUTLET & (10) LOW VOLTAGE LIGHTS Inspector Area: 6 Legal Description: N TR 14571 LOT 29 Owner: SPOKOYNY FELIX Contractor: Address: 37 AVIGNON Address: NEWPORT COAST, CA 92657 $0.00 Phone: Phone: $10.00 Con State Lic: Issued Date:08/ 018 Lic Expire: Processed Bus Lic: By: _ Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: III E IIIA ILII 0�III I�I I II � IVI 0� �I 5II�3 IV II0 II TREEIUM INC 5352 LAUREL CANYON BLVD #200 VALLEY VILLAGE CA 91607 855-833-8733 617148 04/30/2019 BT30053191 11/30/2018 Receptacle/Switch/Outlets Receptacles/Outlets: 1 $1.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 10 $10.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2018-0530 Project No : 0204-2018 Inspection Requests Phone (949)644-3255 I IT Code Edit: 2016 INISPOhMOR Worker's Compensation Insurance Carrier: CAROLINA CASUALTY Policy No: BNUWC0144084 Expire: 05/18/2019 co 0 000eeo o e o o a FEES 0 0 e Motors/Transformers (HP/KVA) 9 tlo 0 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 BackfFemp Power: 0 $0.00 Temp Power Pole: 0 $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. 0 0 e o e o 9 tlo 0 ®. o 000a ° ° 0 9 O tl 9 CCOO O 0 e 00 C ° cc Record Mgmt Fee: o c o ooaoc 0000 0 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. �a7o�o Doose Temp Underground: 9 tlo 0 q ji6.0e° Sub Panel: ° ° 0 $0.00° ° e 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $33.00 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. 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 applicant for is 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). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 n�°ved foujpe,{�Prpose gfpale)., $ ,� J 1, as owner`bdf 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). 3 1 am exempt from licensure underrtbe 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:hftp://www.leginfo.ca.gov/calaw.htmi. ;ignalure of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm upelel"papalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Ejection 7000 of Division 3 of the Bu iness an rofessi ns Code, and my license is in full force nd effect. "".. IW§%glass .. License No Dai Contractor I nature BORKI•RS' cb9prENSATION DECLARATION / j WTtMING:FAILURE TOEECURE 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 ADDITION TO THE OST OF"COMPENSAT10 `,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ha rebp affirm uNd erpe nalty of perjury one of the following declarations: I Rave and wi0 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 th Wdr"Vice of t%Yv ijefor which this permit is issued. Policy No. T 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' compensatioi carrier and policy number are: arrie " """ : Policy Number Expiration Date "."4 +Bme oi;{gent " ." Phone# •""• �I certify that, in 4he"lferforma of or 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 mat, if I should become subject a work s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis ons. 19 I IQ ig ture o. A plicant D IE ON REGARDING CON TRUCTION LENDING AGENCY hereby affirm under penalty of pe ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender'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 ordinances an state laws relating to building construction. I authorize representatives of this rc d fy to enter the above -I entified property for inspection purposes. ACTION PEBMITFINAL CERTIRC4TE OF OCCUPANCYISSUED DATE I 'BY El f SUBMITTEDASBESTOS NO7IFICATION 70: EPA ❑ AQMD ❑ ASBESTOS M07JHCAIIONIS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: F1111h