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Home My WebLink AboutE2018-0796 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 8 0 7 9 6 r. Permit Counter Phone(949)644-3288 Job Address: 400 VIA LIDO NORD Bldg: 1 Floor: Suite Description of Work: ELEC TEMP POWER POLE (X2018-3814) Inspector Area: Legal Description: N TR 907 LOT 474 Owner: LEVIN/LAUERLEVIN Contractor: Address: 9825 SUNRISE LN Address: Service SANTA ANA CA 92705 $0.00 Phone: 949-975-0123 Phone: 0-600V over20OA: 0 Con State Lic: Issued Date:12/18/ 018 Lic Expire: $0.00 O/H to U/G Bus Lic: Processed Additional Fee : Lic Exp Date: $0.00 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 or1o00A: 0 $0.00 O/H to U/G 0 $0.00 S C HOMES INC 3050 PULLMAN ST COSTA MESA CA 92626 949-723-4243 828216 12/31/2019 BT30002421 02/28/2019 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 Electrical Permit: E2018-0796 Project No: 1926-2018 Inspection Requests Phone (949)644-3255 a '1 ^ r m � eaa Code Edit 2016rn M AA R Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1763760 Expire : 01/07/2019 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 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. IWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) >ection 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 'rofessions 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 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 nproved 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: y 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 law, Section 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent - Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (coencing with Sectio 000}of-Divisb of t Business and Professions Code, a my I' a Pzlgs in full force nd effect. icense Class License No 7Da ( C ctor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND A hereby affirm under penalty of perjury one of the following declarations: CRIMINAL PENALTIES AN CIVIL FINES UP TO ON UNORED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE I have and will 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 oynarice of the work 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: Policy Number is of Agent certify that, in the performance of the work for which this . if I should become subiect to the wodrErs' compRnsatioi issued, I shall not employ any person in any manner so as tgbeoome su aspf Section 3700 of the Labor Code, I shall forthwith comply with those Jreby-affir�eppent&ro—f perjury that there is a construction lending agency for the performance.of the work for which this permit Ider's Name Lender'ss A dress my signature below, I certify to each of the following: i I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize represe hoes oft Is city or coun }�a/,eAnter the abo e-identifi p rt for inspection purposes. nature of Prooertvr Owner or A horized D U./� Print Property Owner's or Au razed . 9r Date to the workers' compensation laws of California, and agre (Section 3097, Civil Code). �ACT19N' DATE BY ucL.ctrnw frury ur a.ulwr•urarra.r r ra r.uuc yr run urr:uc ucui� ver FEDERAL REGULATIONS FART 640 ITT D AQMDRULE1603. PERMITEXPIR€D ❑ i SUBMITTEDASSESTOS M 7IFICATiON TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTEND€D ❑ ASBESTOS NO77RCADONIS NOT APPLtCABL.E TO PROPOSEDDEMOtITTON. PERANTFINAL — . Zp SY_ CERPRCAT€OF SIGNATURE: OCCUPANCYfSSUED