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Home My WebLink AboutE2018-0546 - PermitsCity of Newport Beach - Building Division c, 100 Civic Center Drive, Newport Beach, CA 92660 rte, 4, Permit Counter Phone (949)644-3288 Job Address: 37 AVIGNON Description of Work: ELEC/IN Inspector Area: 1 Floor: Suite: (1) OUTLET @ REAR PATIO Legal Description: N TR 14571 LOT 29 Owner: SPOKOYNY FELIX E Contractor: Address: 37 AVIGNON Address: NEWPORT COAST, CA 92657 Phone: Phone: Expire : 05/18/2019 Con State Lic: Issued Date:08/16/2018 Lic Expire: Motors/Transformers (HP/KVA) Bus Lic: 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 or1000A: 0 O/H to U/G 0 TREEIUM INC 5352 LAUREL CANYON BLVD #200 VALLEY VILLAGE CA 91607 855-833-8733 617148 04/30/2019 BT30053191 11/30/2018 Electrical Permit: E2018-0546 Project No : 0204-2018 Inspection Requests Phone (949)644-3255 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. pC.9 O •i 4 c { Y rtlu •t` c c. c • c Cd Code Edit: 2016 Worker's Compensation Insurance Carrier: CAROLINA CASUALTY Policy No: BNUWC0144084 Expire : 05/18/2019 Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) ra+ 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. pC.9 O •i 4 c { Y rtlu •t` c c. c • c FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 1 $1.00 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: 0 $0.00 $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: $0.00 $0.00 Additional Fee: $0.00 Supplemental Fee: $10.00 11.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $11.00 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. pC.9 O •i 4 c { Y rtlu •t` c c. c • c OWNER -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 the 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 im 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 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: By 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 legall) 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. Signature, of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 and effect. ` a , License Class License No Date Contractor Signature Y� WORKERS' COMPENSATION DECLARATION L S/ NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: —11 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 3eMformance of the work for which this permit is issued. Policy No. have and willrrrr�intain 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 anrJlbolicv number alta: Date me of Agent — — Phone # certify that, in the performance of the work for which this p rmit 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 become subject to the workers' comPp�—e�nnn/sssaaation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant CLARATION REGAJUNING CONSTRUCTION LENDING 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 stale laws relating to building construction. I authorize representatives of this city or county, to �fnter the above-identifrty for inspection purposes. r nature of Property Owner or Authorized Agent `/Y Print Property Owner's or Authorized Agent's Nam & i �� Cl , J�'I e C�lUV9 D ��J/ ACTION DATE BY DECLARATION OFCOMPLtANCEWITH CODEOF FOR OFFICE USE ONLY FEDERAL PEGULATIONS PART 61 OFT77LE40AND RNL61 ,• «•• AQMD • «• ` ❑ lSUl�MiffEjlAS8P3j�7SiV•DI/F1CATII�TQ: ❑ 0 cPA ' " • s •. i P€RMITEXPiR€D PERMITCANCELLED ❑ AQMD• «. « e • P€RMIT€XTENDED ❑ ASBESTOS NOT7f3•CATIONISNOT APPLICABLE TO PR0P0SE1jQEJ1J?4JTIQN. s . s . '. «• • `• •:' SIGNATURE: •• PERMITFINAL j CERTIFICATEOF OCCUPANCYfSSOED •. .: • : ••