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Home My WebLink AboutE2018-0644 - PermitsCity of Newport Beach Building Division cz' ` 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s: Job Address: 418 LARKSPUR AVE Bldg:1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE Inspector Area: 5 Legal Description: CORONA DEL MAR BILK 438 LOT 14 Owner: DEXTER 418 LARKSPUR LLC Contractor: Address: 255 E. SANTA CLARA ST STE 220 Address: ARCADIA, CA 91006 °tom Phone: 626-445-4500 Phone: Code Edit: 2016 Con State Lie: Issued Date:09/27/2018 Lie Expire: Motors/Transformers (HP/KVA) Bus Lie: Processed By: Lie Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 TOTAL Fee: IIIISIIIIVIII0III I�IIIIITVI0I III4 4 II KRS DEVELOPMENT 2941 GRACE LN STE C COSTA MESA, CA 92626 949-290-6500 912477 05/31/2019 BT30044186 07/31/2019 Electrical Permit: E2018-0644 Project No : 0742-2018 Inspection Requests Phone (949)644-3255 Plan Check 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, ee.. FEES °tom ooD Code Edit: 2016 • s,-r`"o D D m D t D Motors/Transformers (HP/KVA) � dee j? e D Worker's Compensation Insurance Receptacles/Outlets: Carrier: STATE COMP FUND epee "'' epeDDD Policy No: 9129520 0 Expire :04/03/2019 c°��e,c 0 DOL«-✓�_� Dee�e'c.o- c $0.00 •tl00Df 0 �f oaoD 1 to 10 HP/KW/KVA: q 00 0 Plan Check 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, FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $38.00 Issuance Fee: $35.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 Plan Check 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 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). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 nproved for the pd6pose of sale). I, as owner o14hR-property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not P019 Tlan ownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). D I im exemp*"c;n ficensure under the Contractors' State License Law for the following reason: Iy%y, signature helow 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 ell a structure teat Ive 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 frofe�sions C6r�e� 1s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. �igll2ture of Property owner or Authorized Agent Date :K!@I�SED IeONfi7ACTOR'S DECLARATION Heroby affimidnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w' Section 7000) of Division 3 of the Business nd Prof ions Co nd my license is in full force Rd•affect. Rend Clas • . License No Dat—�7 (�S Contractor Signa re �1 Y®RKERS' COMPENSATION DECLARATION FAIT11jjR'E'aa7D6ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EM OVER TO CRIMINAL PENALTIES AND CIVIL FINES U TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF CO Zip 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: 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 e ormance of the work for which this permit is issued. Policy No. I 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' compensatior is a carrier and policy number are: mer Policy Number Expiration Date me of Agent Phone # certify that, in the pert 'mance of a work for w 'ch this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agree t, if I should becomes ject to workers' com sation nvisions-W'Section 3700 of the Labor Code, I shall forthwith comply with those provisi ns9-27-5!i nature of Applicant N.V Date Y'27 /5i CLARATION REGA DING CONSTRUCTI END G AGENCY =reby affirm under p nalty 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). ider'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 correct. I agree to comply with all applicable city anounty ordin ces and state laws relating to building construction. /Date I authorize representatives of this city or cou ty toe ve--' ied r or -inspection purposes. $e�� -Z7 (2 'nature of Property Owner or Authorized A e Print Property Owner's or Authorized Agent's Name I eSS ACTION DATE 13Y DECLARATLON OF CO MPLIANCEINLTNCODEOF FOR OFFICE USE My FEDERAL REGULATIONS PART 61OFTTILE40AND AQMD RULE 1403. ❑ 1 SUBMtTTED ASBESTOS NDDFICATION TO: ❑ EPA `,01 AQMD PERMITEXPIRED PERMITCANCELLEO PERMITEXTENDED Q ASSE-WOS NORRCA'RONIS NOT APPLICABLE TO CERTIFtCAT€OF OCCUPANCYISSUED SIGNATURE: