HomeMy WebLinkAboutE2019-0527 - Permits0 City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111 Jill 11 Electrical Permit: E2019-0527
100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 5 z 7 Project No: 0056-2019
�, Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Job Address: 3805 SEASHORE DR Bldg:
1 Floor: Suite:
$0.00
1-2 Family:
0
$0.00
Description of Work: ELEC -TEMP POWER
POLE *CHANGE OF CONTRACTOR*
$0.00
0-600V up to 20OA:
0
$0.00
0-600V over20OA:
0
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Over 600V or1000A:
0
Inspector Area: 1
O/H to U/G
0
Code Edit: 2016 ®e' m�y°�a
�ya n
$0.00
Supplemental Fee:
$0.00
Legal Description: THIRD ADD TO NEWPORT BEACH BILK 38 LOT 3
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Owner: 3805 SEASHORE DR LLC
Contractor:
SAILHOUSE HOMES INC
Worker's Compensation Insurance
• °
Address: 620 NEWPORT CTR DR #100
Address:
170 NEWPORT CENTER DR #260
Carrier: STATE COMP. INS
•• °
NEWPORT BEACH CA 92660
NEWPORT BEACH CA 92660
Policy No: 9213113
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• ••
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Phone:
Phone:
949-281-6045
Expire :12/29/2019
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Con State Lic:
1007531
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IssuedDate:08/01/2019
Lic Expire:
09/30/2019
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Bus Lic:
BT30036603
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Processed By: \�
Lic Exp Date:
08/31/2019
New Construction
Residential
Multi -Family:
0
$0.00
1-2 Family:
0
$0.00
Service
0
$0.00
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:
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
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 Backlfemp Power: 0 $0.00
Temp Power Pole: 1 $38.00
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
Due at Permit Issuance:
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.
INER-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)
action 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
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
fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iiness 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
uovements 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
(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
Ily 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).
0000
I am exempt -from Iiioensure under the Contractors' State License Law for the following reason:
my signature be%w 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
'A %ffIcture t42 j flave 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
fessjons Code! is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent---4Date
:EUbED CONTRACTOR'S DECLARATION
ireb} affirm dgPr piphalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Secti 7 00) of Division 3 of the Business and e, and my license is in full force
I effOct. '
waa Class .:...: License No Date ' Iai Contractor Signature
)R"ERS' COMPENSATION DECLARATION
IQOW-FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UND �USA$10%000), IN ADDITION TO THE
OF 1000MPEN$7JIj11iJ,pkMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm under peflalty of perjury one of the following declarations:
ie and will �n intain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provid d for by Section 3700 of the Labor Code, for
ince of the'w'o'rk for which this permit is issued. Policy No.
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'
carrier and policy number are: A
1e of Agent
certify that, in the pert fmance of
, if I should become subject to the
Iature of Aoolicant
weby affirm under penalty of perj
Ider's Name
my signature below, I certify to e
I am the property owner or auth
I have read this application and
I agree to comply with all applic
I authorize representatives of th
nature of Property Owner or Ault
Policy Number Expiration Date
ii i Phone # /
thwork for ich this permit is issued, I shall not employ any person in any manner so as to become subject to he workers' compensation laws of California, and agref
kers' co p nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi ns.
Date of / j
f CTION LEN ING AGENCY
at ther is a c nstruction lending agency for the performance of the work for which this permit is issued Section 3097, Civil Code).
Lender's Address
III the ollowing:
IS art on the propV
If.
6 information I he a le city and county%or 'laws relating to building construction.
city or county tent ed -property for inspection purposes. / p ����Zol
"ized ADent Print Property Owner's or Authorized Agent's Name N7 D%L��iSI ALLDat
ACTION DATE / BY
DECLARATION OF COMPLIANCE MTNCODEOF
FOR OFFICE USE ONLY/
FEDERAL REGULATIONS PART 01 OFTITLE40AND
AW—RULE 1403. -
PERMITEXPIRED
0 I SUBMITTED ASBESTOS N071FICATION TO:
❑ EPA
❑ ADMD
PERMIT CANCELLED
T
PERMITEXTENDED
E
❑ ASBESTOS M017RCATIONIS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMiTX - / -
CERTIFICATEOF
SfGNATURE:
OCCUPANCYISSUED