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Home My WebLink AboutE2018-0349 - Permits0 City of Newport Beach - Building Division llIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII jl Electrical Permit: E2018-0349 es' b 100 Civic Center Drive, Newpgrt Beach, CA 92660 - E 2 0 1 8 0 3 4 9 Project No: 1241-2016 �' ' Permit Counter Phone (949)644-3288 "c;;raa"Pe' - Inspection Requests Phone (949)644-3255 Job Address: 407 38TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC INSTIL (2) DISCONNECTS FOR FUTURE A/C UNITS @ (H2O18-0304)' Inspector Area: 1 Code Edit: 20161/ Legal Description: CANAL SECTION BILK 438 LOT 15 Owner: GUO JACK Contractor: Address: 1817 VISTALOMITAS DR Address: FULLERTON CA 92831 $0.00 Phone: Phone:. $0.00 Con State Lie: Issued Date:05/15/2018 Lie Expire: Branch Circuit: Bus Lie: Processed B1 n__ Lie 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 over 20OA: 0 $0.00 Over 600V or10o0A: 0 $0.00 0/H to U/G 0 $0.00 TOTAL Fee: $83.00 M S CUSTOM HOMES INC Worker's Compensation Insurance 15333 CULVER DRIVE STE 968 Carrier: EXEMPT IRVINE, CA 92604 Policy No: (949) 279-1841 Expire : 30" WIDE X 36" DEPTH 997076 09/30/2018 REQUIRED FOR BT30061337 11/30/2018 A/C DISCONNECTS 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 FEES $60.00 ° °;0 Motors/Transformers (HP/KVA) °0 $0.00° 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 Temp Underground: °°°°°°0 $0.00 Sub Panel: ° ° ° ° 2 $60.00 ° °;0 $0.90°0 °0 $0.00° Record Mgmt Fee: $"t) Plan Check Fee: o ° o ° o ° $Q•00° Investigation Fee: $Q.Pb Issuance Fee: ° ° o ° o $31.p0° J Supplemental Fee: ° ° $Q•Dp e at Permit Issuance °.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. 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 items) (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 L) 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 improved 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:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION OUNDRED 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 B ane s`ssions Code, aped-47license is in full force and effect. ,1License Class - License No �fi II Contracto SIWORKERS' COMPENSATION DECLARATION /NARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONETHOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby of irrri under penalty of perjury one of the following declarations: ❑ 1 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 th cerformance of the work for which this permit is issued. Policy No. e 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 Durance carrier and policy number are: =.r Policy Number Expiration Date f of Agent • • Phone # erlefy that, in khe Wrf6"anc of the work for which is 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 if I should becd a gubj t t I rs' compe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions. ifyaA o Appli to ��,� ' 7 _P�2A IN 0 STRUCTION LENDING AGENCY :by affirm un er penalty f perjury that there is a construction lending agency for the performance of the work for which this permit is i Lied (Section 3097, Civil Code). or s Name ... . Lender's Address ' • f 9rh the properly owner or authorized to act on the property owner's behalf. (R2Jjs read thjs application and the infor ati av ovided is correct. • 1 agr@e to cdhtpl)•NJh all applicable cit d county ordi antes and state la • PadtPrize regress entatives of this ciBounty -id to t a v entifier ;idM"e of Property er o oriz Lie / ��f,ri' ACT70N I a0r_ ---I % BY IP€RMITEXTEND€D I I I 3 to building construction. for inspection purposes. ERAL REGULATIONS PART 61OF 777LE40AND ID RULE 1403. f SUBh11TTEDASBESTOS N017FICATION TO:- ❑ EPA ❑ AQMD ASBESTOS NOTITTCATIONIS NOT APPLICABLE TO OCCUPANCYISSUED I SIGNATURE: