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Home My WebLink AboutE2017-0356 - PermitsCity of Newport Beach - Building Division *E2017-0356* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Electrical Permit : E2017-0356 Project No: 2783-2016 Inspection Requests Phone (949)644-3255 Job Address: 1706 OCEAN FRONT E Bldg: 1 Floor: Suite: FEES Description of Work: ELEC TEMP POWER POLE 4; ' Inspector Area: 1 Motors/Transformers(HP/KVA) Code Edit: 2016 g✓, t Legal Description: N TR 518 BLK C LOT 2 Owner: BURCHER PATRICK & ROSEMARY Contractor: LEWIS R W CONSTRUCTION Worker's Compensation Insurance Address: 1706 E OCEANFRONT Address: 1863 BAYPORT WAY Carrier: CALIFORNIA INS CO NEWPORT BEACH CA 92661 NEWPORT BEACH CA 92660 Policy No: 46864922 Phone: Phone: 714-321-4126 Expire : 12/11/2017 Con State Lic: 597309 0 Issued Date:07/10/2017 Lic Expire: 06/30/2018 .... 00 Bus Lic: BT00021581 Sep Circuits: Processed By:—NA Lic Exp Date: 03/31/2018 10 to 50 HP/KW/KVA: 0 $0.00 ° New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1o00A: 0 O/H to U/G 0 TOTAL Fee: Plan Check Fee: Fee Due at Permit PERMITS EXPIRE 980 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. FEES Receptacle/Switch/Outlets Motors/Transformers(HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: ° 0 OAT $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: .... 00 $0°00 ° $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 star Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 ° ° ° ° °0 $0°Q%, Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: .... Milo, o $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.01%° $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: 0°®°0° $51.00 ; $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $36.00 Issuance Fee: $D°04 ° $0.00 Additional Fee: $0.00 Supplemental Fee: ® 0 $1U°t3R°' Plan Check Fee: Fee Due at Permit PERMITS EXPIRE 980 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'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 U 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 legally 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.htmi. Signature of Property Owner or Authorized Agent e LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 7 00) of Division 3 of the Business a Pro Bgio ode, and my license is in full force and effect. License Class License No D# { Contractor *nature WORKERS' COMPENSATION DECLARATION 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 ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and vit 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 Derformance ofth %irk for which this permit is issued. Policy No. have and will rr"r%tain 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' compensatior suranCe carrl4rAd policy number are: Policy Number Expiration Date ngbf Agent 4Q Phone # bgftlFy that, in th 1'rformance the rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the kers' compensation laws of California, and agree If should b000me 'act to a wo ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .•• � '!!. eature ol�yrpprcanF D I o ;,I.,QBATION REGARDING STR TION LENDING AGENCY ' reby2ffirm lygiV/;Q natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code). der's Name• Lender's Address "h Signaturabele l certify to each of the following: am the prapeorty, owner or authorized to act o�e-pro rty ow is behalf. I have this the informafi n I have vids correct. read application and pr I agree to comply with all applicable city and co ty ordin n s and state laws relating to building construction. I authorize representatives of this city or county t to eabove-identified property for inspection purposes.�r o�1 (n - ,I ° r Dature of Pronertv Owner or Authoriled'ADent / i Print Prooertv Owner's or Authorized Agent's Aame `'CJS-�.� date i ACTION I DATE BY Uc U�Ilvir ur unwruAlli Min �V. ur FEDERAL REGULATIONS PART fit OF TITLE40AN PERA41TFXPIRED 4AWDRULE1403. I SUBMITTEDASBESTOS NOTIFICATION TO. PERMIT CANCELLED IN ❑ EPA /1I ❑ I hSJ#STOS f}ORkG4RLfNlANOT APPLICABLE TO PERMIT FINAL CERTYFtCATE OF OCCUPANCYISSUED