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Home My WebLink AboutE2020-0249 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2685 BAY SHORE DR Bldg: 1 Floor: Suite: Description of Work: ELEC -TEMP POWER POLE Inspector Area: 2 Legal Description: N TR 1102 LOT 1 Owner: RSS Contractor: Address: 2685 BAY SHORE DR Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date: Lic Expire: Bus Lic: Processed 6y: V Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or 100DA: 0 O/H to U/G 0 TOTAL Fee: II III IIII IIIII IIIII IIIII IIII IIIOI Ill IIIII 4u1111 II LONGMAN CONSTRUCTION CO INC 2782 CIRCLE DR NEWPORT BEACH CA 92663 949-722-7711 393881 08/31/2021 BT00001921 03/31/2021 Plan Electrical Permit: E2020-0249 Project No : 2664-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance " Carrier: STATE COMP INS FUN Policy No: 9062475 ef' Expire : 07/01/2020 FEES Receptacle/Switch/Outlets �y Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 $0.00 Low Voltage 0 $0.00 Over 100 HP/KW/KVA: Signs $0.00 $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee: $0.00 Plan Electrical Permit: E2020-0249 Project No : 2664-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance " Carrier: STATE COMP INS FUN Policy No: 9062475 ef' Expire : 07/01/2020 FEES �y Motors/Transformers (HP/KVA) 0 \40 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 Backrfemp Power: 0 $0.00 Temp Power Pole: 1 $39.00 Temp Sub Panel,ound: IJC� $00.00 .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 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - FdApy 7iQQ a.m. Jo 6:10 p.m. and Saturday from 8:00 a.m. to 6:00 p.m o e m e o e a o a CO O P O O C O U [ O O 040 O O 0 o ce c c e o 9 9 O D 000 O O O O 00• OC O B P C Vt C < GG pOp p p pp0 000 Lpp )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 he 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 lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 Tlproved 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 IP,ply 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 Ieil 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.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 Sectio 00 Division 3 of the Business d Profe ons de, and my license is in full force Ind effect. .1cense Class License No Date Contractor Signatu vl YORKERS' COMPENSATION DECLARATION 1ARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 th Mance of the work for which this permit is issued. Policy No. 17—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 urance carrier and policy number are: mer Policy Number Expiration Date me of Agent Phone # I certify that, in the performanc work . I is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' Wnpen tion laws of California, and agre t, if I should become subje work ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applica t Dat %R CLARATION RE GC NS RUCTI NDING AGENCY �reby affirm under penalty of perjury that th re is a construction lending agency for the performance of the work for which this permit is issued (Section 30T7, Civil Code). lder's Name Lender's Address 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 rrect. I agree to comply with all applicable city and county ordinald Ste a lating to building construction. I authorize representatives of this city or county to en�6R ove-i if' property for inspection purposes. – �/ �y �� ® nature of Pronerfv Owner or Authorized Anent ] '", ®Illirl Print Prooertv Owner's or Authorized AOent's NartGa0V1" '. f�P��S Date ACTION PERMIT FINAL CERTIRCATEOE OCCUPANCYISSUED DATE I BY 0 U AQMD ❑ ASBESTOS M071FICA770NIS NOT APPLICABLE TO PROPOSEDDEM691TIOT • SIGNATURE: