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Home My WebLink AboutE2018-0734 - Permitsaxrr City of Newport Beach - Building Division II�IIIIIIIII�IIIIIIIIII�IIIIII�'lllllll II Electrical Permit: E2018-0734 o +y ` 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1748-2018 'a; Permit Counter Phone (949)644-3288 9) "�i s� Inspection Requests Phone (949)644-3255 Job Address: 311 ORCHID AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/TEMP POWER POLE Inspector Area: Legal Description: CORONA DEL MAR LOT 11 BILK 241(AND SWLY1/2 LOT 13 BILK 241 Owner: RABINOVICH LEV Contractor: SHORELINE DEVELOPERS Address: 5 SEA VIEWLN Address: P O BOX 551 NEWPORT COAST CA 92657 Receptacles/Outlets: NEWPORT BEACH CA 92661 Phone: Phone: 949-697-3993 $0.00 Con State Lie: 890871 Issued Date:11/09/2018 Lie Expire: 01/31/2019 $0.00 Bus Lie: BT30041079 Processed By: Lie Exp Date: 10/31/2019 New Construction 0 Code Edit: 2016 Receptacle/Switch/Outlets Residential $0.00 0to1HP/KW/KVA: 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 $35.00 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 OOOA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 FEES 0 Code Edit: 2016 Motors/Transformers (HP/KVA) 0 $0.00 0to1HP/KW/KVA: 0 Worker's Compensation Insurance rCarrier: STATE COMP s Policy No: 9038773 0 Expire : 01/01/2019 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 FEES 0 $0.00 Motors/Transformers (HP/KVA) 0 $0.00 0to1HP/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 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ` Consitr poor/ Hour{: Mo; day - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. C6 6 4 O i OU O O C C 6 4 4 O 4CG • G O C4G fG O C O ( C 4 O G CC G C 0 4 C G Oyp •O Op O O O°O pG )WNER-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 ie 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 Irofessions 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 penally of ot more than five hundred dollars ($500). 7 1, 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, lusiness 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 n roved 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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. signature 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 (commencing with Section 7000) of Division 3 of the Business and?_wfassiQDs Code, and my license is in full force nd effect. / /C✓ icense Class License No Date 1 1 Contractor Signature�r VORKERS' COMPENSATION DECLARATION FARMING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 the t;t{formance of the work for which this permit is issued. Policy No. _ have andmaintain 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' rance carriteil policy numnare:, , Date lame of Age T-N/V a y' R Phone # ]I certify that, in the performance of the work for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree Hat, if I should become subject to the workers' compens -provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisIiO7 % ignature of Applicant X Date V. l / /a/ I t DECLARATION REGA IN hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (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 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 re Ing to building construction. 1 authorize representatives of this city or county�Q iter th ove-I property for inspection purposes. % T /p ionature of ProOertv Owner or Authorized AGent X 1 Print Property Owner's or Authorized Agent's Name x •U w VI S C4-jr < Dae L/ ACTION DATE {___*9Y L)rLIL KArrUR yr LUATVL1AIYUC M I" wuC Ur run Uttn.e Ust UJVLT FEDERAL REGULATIONS PART.M.01-7JILE40,AMD. % • �' • � • AQMD RULE 1403. • • • ••. : : : . PERMITEXPIRED : ❑ 1SUBMITTED ASBESTOS NOWIMORTD. • ❑ EPA ' • ' ' ❑ AQMD .. .. ' ' PERMIT CANCELLED PERMITEXTENDED SBESTOS NONRCANONIS NOT APPLICABLE TO PROPOSED DEMOLITION. ,'; •'; ,', ,', , , ';' PERMITFINAt :. kw CERTIFICATE OF SIGNATURE: o i i • • i OCCUPANCVISSUED •• ••• • • •• • •••