The URL can be used to link to this page

Home My WebLink AboutE2019-0095 - Permits.; City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 JUUf Uu'OJJ. YJ/ ZZm FIVC O'uu.1 rIUU1. OURU. Description of Work: ELEC - PIGGYBACK (X2018-2291) Inspector Area: 5 Residential Legal Description: N TR 682 LOT 51 0 Owner: ACACIA PROPERTIES LLP Contractor: Address: 437 ACACIA AV Address: CORONA DEL MAR CA 92625 $0.00 Phone: Phone; $0.00 Con State Lie: Issued Date:02/20/2019 Lie Expire: Sep Circuits: Bus Lie: Processed By: Lie Exp Date: J R C COMPANY 21822 KANEOHE LN HUNTINGTON BEACH CA 92646 656317 10/31/2020. BT30063997 07/31/2019 New Construction mmmo ool, Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: D $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 $0.00', Issuance Fee: Low Voltage 0 $0.00 Service $10.00: Fee Due at Permit Issuance: 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 1o00A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee Electrical Permit: E2019-0095 Project No : 0003-2018 Inspection Requests Phone (949)644-3255 Code Edit: 2016 3 J N I Worker's Compensation Insurance Carrier: EXEMPT Policy No: no employees Expire m oema m mm 0 o m ® mm < c ° FEES mmmo ool, Motors/Transformers (HP/KVA) "-b t) 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: D $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Backrremp Power: 1 $38.00 Temp Power Pole: 0 $0.00 Check Fee: $0.00 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. mmmo ool, Temp Underground: "-b t) Sub Panel: 0 KOO.° o... Qe $4,001 ° Record Mgmt Fee: ° °.o o $6.04 Plan Check Fee: e O e $0.001. Investigation Fee: $0.00', Issuance Fee: $0.00' Supplemental Fee: $10.00: Fee Due at Permit Issuance: $48.00 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. 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 le 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 penalty of 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, 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 nproved 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 poly 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: lymy 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 legal) ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. 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 Professi s Co e, and y license is,in full force nd effect./"`,//7 .scene Class License No Date 12 -2, u Contractor Signature VORKERS' 4)OMFENSATION DECLARATION IARNING: FAILUR971O.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 COMPEISAT19W, DAMAGES As PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ygaerpenalty of perjury one of the following declarations: 1•4ve 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 erformance of jhe Werk for which this permit is issued. Policy No. ]I liave and wilt matntain 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 Isdfance carries awd eolicy number are: !2Ffl6r .... Policy Number Expiration Date T€of Agent • "none r� 1.•• , ker�fy that„ia fhe.perform ce o the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre” I If I should becomes sub' ct to worker ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Appli ��Z • CiYwJ Date :LARATION �tEGAR ING C0 TRUC ON LENDING AGENCY reby 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). ier's Name Lender's Address ny 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 count o Ina as and ate aws relating to building construction. I authorize representatives of this city or county tr,/yep r t alb nt' d property for inspection purposes /� �� / at. Iature of Prooertv Owner or Authorized ADent / Print Property Owner's or Authorized Agent's Name 1 T y�l ate GG / ACTION DATE BY LlrLLi f]VAI Ur LVM"UHIYI.0 VVll" U. CVr FEDERAL REGULATIONS PART61 OF TITLE40AND AQMO RULE 1403. XP1R€D ❑ t SUBMITTEDASSESTOS A031FICATON TO: ANCEU ED ❑ EPA ❑ AQMD XTEND€D ASBESTOS /JP 5TNAt OPOSEDDEMOLITION.RflNI5NOTAPPLtCASt.ETO SIGNATURE.,