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Home My WebLink AboutE2019-0255 - Permits�w City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 3920 SEASHORE DR Bldg: 1 Floor: Suite: Description of Work: ELEC - TEMP POWER POLE (X2019-1373) Inspector Area: 1 Legal Description: Owner: FLOOD BRIAN Contractor: Address: 33 SILVER PINE DR - Address: omoo NEWPb1RRCOASTCA92657 $0.00 Ph®na: 0 949-61v3-5058 Phone: C 0 0000me Con State Lie: IssuecE04e:p4/2972019 Lie Expire: 0 0 0 0 0 Bus Lie: 00 Prosesee:f'By; -Lie Exp Date: 0 00 m o 0 P C � o $0.00 0 0 ocoo New Construo Siopp 0 $0.00 Gtesidential 0 $0.00 o 0 0 Multi -Family: O O O G° 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 IIIIIIIII IIIIIIIIIIIIIII IIIIIII�IIIIIIIIIII IIIIIIII II PElectrical o ect ND s61 Permit: E2019-0255 SAILHOUSE HOMES INC 170 NEWPORT CENTER DR #260 NEWPORT BEACH CA 92660 949-281-6045 1007531 09/30/2019 BT30036603 08/31/2019 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 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 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE COMP INSa Policy No: 9213113» Expire 12/29f;,po ( � j{ n �J �t V FEES 0 $0.00 Motors/Transformers (HP/KVA) 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 1 $38.00 Plan Check Fee: 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: $35.00 Supplemental Fee: $0.00 e at Permit Issuance: $73.00 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. )WNER-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 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 Irofessions 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, 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, 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 roved for the purpose of sale). 1, 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). I 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 legall 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 I w, Section 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent a .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 700 ) of Division 3 of the Business and Pr sio s C de, and mXll en se is in full force nd effect. �(� ^ icense Class License No Date Contractor Signatur 1 • • "° ° ° ° ••.••. VORKERS' COMPENSATION DECLARATION o ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H R THOUSAND DOL RS (E100A00), IN ADDIfid4fC?fHE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ..... n hereby affirm under penalty of perjury one of the following declarations: ; • • • • • • • ° ° 1 have and will maintain a certificate of consent t self -insure for workers' compensation, issued by the Director of Industrial Relations as pro ided for by Section 3700 gf the labor CgL?d for°thc e4ormance of the work for which this permit is issue Policy No. : • • • • • ° ve and will maintain workers' I gra ce carrier and policy number a 4166 of Agent certify that, in the performance of I, if I should become subject to the nature of Applicant CLARATION RED RIDING CO treby affirm under penalty of pe Ider's Name my signature below, I certify toc I am the property owner or Butlot r I have read this application an I agree to comply with all appli I authorize representatives oft lis nature of Property Owner or Autho ACT70N P€RA41TEXPIRED PERMIT CANCELLED P€Rl441T EXTENDED PERMIT FtNAL CERT?€fCATEOF OCCUPANCYISSUED as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' coaJpe Policy Number Date w ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws df- alifornia, and gref m ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision�sf( Dat,/�'41�/�m LE ING AGENCY 1/ is a cnstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). / Lender's Address zed to act oh the prop y o ne behalf. e information I havep vi d 1 c Tact. le city and county or 1 a ces and to laws relating to building construction. city or county?Dart t a ove-iden 'fled property for inspection purposes. �izwd ADent �L Print Property Owner'E DATE BY r L,LAtt IJVtV yr VVI I. I.L VL- FEDERAL REGULATIONSPART B4 OF TI7LE40AND AQMD RULE 4403. ❑ iSUBMITTEDASSESTOSNDRFICATIONTO: . ❑ EPA ❑ AQMD ❑ ASBESTOS N077FICATIONIS NOT APPLICABLE TO _ PROPOSED DEMOLITION, SIGNATURE: