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Home My WebLink AboutE2018-0520 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 }g Permit Counter Phone (949)644-3288 n� s Job Address: 2232 PORT DURNESS PL Bldg: 1 Floor: Suite: Description of Work: ELEC FOR FUTURE POOL EQUIPMENT Inspector Area: 4 Legal Description: N TR 7845 LOT 115 Owner: NIETO THOMAS AND MARSHA Contractor: Address: 2232 PORT DURNESS PL Address: NEWPORT BEACH, CA 92660 $0.00 Phone: Phone: 1 Con State Lic: Issued Date:08/06/2018 Lic Expire: �'�� , Bus Lic: Processed By: S S_s Lic Exp Date: IITIII� 2IIII 0IIII ILII I�u �IVI 0I�II JIIII 2IIII SII II LA PAZ LANDSCAPE DEVELOP 10 PORTLAND PL LAGUNA NIGUEL CA 92677 949-443-4200 937052 09/30/2018 BT30059605 07/31/2019 New Construction 0 $0.00 Receptacle/Switch/Outlets Residential $0.00 0 to 1 HP/KW/KVA: Receptacles/Outlets: 1 $1.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 $33.00 Supplemental Fee: Low Voltage 0 $0.00 Service Signs 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 or 1 o00A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Electrical Permit: E2018-0520 Project No: 2518-2017 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: STATE COMP, INS Policy No: 9210309 Expire: 05/11/2019 FEES 0 $0.00 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 R Lh ® e .•eeee • e e e oe e • o e .e e ••ono o •mo•oo ee e•••e 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: $33.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : 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 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). ❑ 1, 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, 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 owyB.Qf 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 fiorn licensure under the Contractors' State License Law for the following reason: B my signature, bellow 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 legallt 's 11 a structure MVV Tlave 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. Stgp §tore of ProoertyOwner or Authorized Agent Da LICENSED CONY6ACTOR'S DECLARATION thereby affirm aftV penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se Ion 7000) of Division 3 of the BuQN2EDYUSAND el y license is in full force ancMect. y7, Zoe L�CerlSg Class • • •° --� ® License No l�3 Date Y Contractor Si WO'KKERS' COMPE S TION DECLARATION A41111104: FAILURE.TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO RTO CRIMINAL PENALTIES AND CIVIL FINES UP DOLLARS ($100,000), IN ADDITION TO THE DOST ONCOMPERBATIOA,TIAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. l bereb o affirm ugdefpenalty of perjury one of the following declarations: n•104ve and•wih •neintain 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 3erformance of the work for which this permit is issued. Policy No. EIL_have 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' compensatiol nsurance carrier and policy number are: -arrier Policy Number Expiration Date Vame of Agent Phone # ❑1 certify that, in the perforrpance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Ye workers' compensation laws of California, and agre :hat, if I should become su Pct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' ns. Signature of Applicant Da DECLARATION RE G C LENDING AGENCY hereby affirm un r nalt of t is nstruction lending agency for the performance of the work for which this permit is issu d (Section 3 7, Civi Code). -ender's Name Lender's Address 3y my signature b t folio Ing: I am the propert o er or orized to act the property own s I have read t I! plical nd the information I ave provide Is r I agree to com y with all applicable City an rdina a tat s relating to building construction. 1 authorize representatives of this city count to an - I p arty for inspection purposes. o �� Signature of Property Owner or Authorize _ Print Property Owner's or Authorized Agent's N2 to ACRON DATE Y PERMITEXP/RED PERMITCANCELLED PERMITEXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED FEDERAL REGULATIONS PART 67 OFTITLE40AMD AQMORULE1403. ❑ 1SUBMITTEDASBESTOSNOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NORFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.