HomeMy WebLinkAboutE2018-0584 - Permits,ty.W1, City of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3268
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Job Address: 2245 ARBUTUS ST Bldg: 1 Floor:
Description of Work: ELEC TEMP POWER POLE
Inspector Area: 8
Legal Description: N TR 4705 LOT 100
Owner: CASTRO ANTONELLA
Contractor:
Address: 2245 ARBUTUS ST
Address:
NEWPORT BEACH, CA 92660
0 to 1 HP/KW/KVA:
Phone:
Phone:
0
Con State Lic:
Issued Date:08/30/2018
Lic Expire:
$0.00
Bus Lic:
Processed By:
Lic Exp Date:
*E2018-0584*
SALVINI MICHAEL CONTRACTORS
836 EAST WASHINGTON
SANTA ANA CA 92701
714-852-3844
637735
02/29/2020
BT30059818
07/31/2019
New Construction
0
$0.00
Receptacle/Switch/Outlets
Residential
0 to 1 HP/KW/KVA:
0
Receptacles/Outlets:
0
$0.00
Multi -Family:
0
$0.00
Fixtures:
0
$0.00
1-2 Family:
0
$0.00
Sep Circuits:
0
$0.00
$0.00
Investigation Fee:
Low Voltage
0
$0.00
Service
$35.00
Signs
•mooc
,
0-600V up to 20OA:
0
$0.00
Branch Circuit:
0
$0.00
0-600V over 20OA:
0
$0.00
Each Add Circuit:
0
$0.00
Over 600V or1o00A:
0
$0.00
Time Clocks:
0
$0.00
0/H to U/G
0
$0.00
Additional Fee :
$0.00
Plan
Electrical Permit: E2018-0584
Project No : 1623-2018
Inspection Requests Phone (949)644-3255
Code Edit: 2016
0
$0.00
Motors/Transformers (HP/KVA)
Sub Panel
0 to 1 HP/KW/KVA:
0
$0.00
1 to 10 HP/KW/KVA:
0
rt
10 to 50 HP/KW/KVA:
Worker's Compensation Insurance
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:•°°<<
Carrier: WIC EXEMPT
6
• °
Policy No:
$0.00
.
Expire
$0.00
Investigation Fee:
$0.00
Issuance Fee:
$35.00
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•mooc
,
$0.00
.
. °
°
FEES
0
$0.00
Motors/Transformers (HP/KVA)
Sub Panel
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
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
Fee Due at Permit
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.
DWNER-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 (_) 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).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason: I
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 struc4dr9liN 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 C60A, is available upon request when this application is submitted or at the following Web site:http:llwww. leginfo.ca.govlcalaw.html.
S§180ature ofPropo(y Owner or Authorized Agent Date
LIOENSEMONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing/TTO
tion 7000) of Division 3 of the Busineotes ' CC , and my license is in full force
`auC effect • Pb
License Class • ' License No Dat�%✓�fi Contractor Signature/ ��
IMAKERS .CsQMPENSATION DECLARATION
Q(WING: FAILVIF jQ4ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOIMINAL PENALTIES AND CIVIL FINES UP TOED THOUSAND 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.
IIVereby affirm under penalty of perjury one of the following declarations: '
L9 I Piave antl•uRXh bintain 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 thf
ea%r( Vance of the vork for which this permit is issued. Policy No.
Ol.hOve and*6 I!10intain 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
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
of Agent
rtify that, in the pi
I should become
ure of Applicant i
lance of I w or this permit is issued, I shall not employ any person in any manner so as to become subject to thg.workers' compensation laws of California, and agree
.ct e W r ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi rfs.
Dat 7�F
'a CONSTRUCTION LENDING AGENCY
hereby affirm under,¢enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is Issue,(Section 3097, Civil Code).
ender's Name ? Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property
I have read this application and the information I he a provir
I agree to comply with all applicable city and coup ordin�
I authorize representatives of this city or county t en he
ionature of Prooertv Owner or Authorized ADent
ACTION I DATE
P€RMITEXPIRED
PERMITCANCELLED
PERMITFINAL
OCCUPANCYISSUED
laws relating to building construction.
ed property for inspection purposes.
Print Property Owner's or Authorized Agent's Name
DECLARATION OF COMPLIANCEMRTH CODEOF /
FEDERAL REGULATIONS PART 01 OF TIILE40AND
AQMDRULE1403.
❑ I SUBMITTEDASSESTOS IVODFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS M017RCAIIOMIS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
SIGNATURE: