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Home My WebLink AboutE2018-0525 - Permitst City of Newport Beach - Building Divisionmm �lllllllllllllllllllllllll�ll II Electrical Permit: E2018-0525 100 Civic Center Drive, Newport Beach, CA 92660 m m m, • m 2 A •1 8 0 5 2 5 Project No : 1873-2018 . _ Permit Counter Phone (949)644-3288` • • • ® e m m ° e ° e ••• e e m •om • a • o' o oee m• "advnxs Inspection Requests Phone (949)644-3255 o m mom e e •• m • o m em oms Job Address: 304 POPPY AVE Bldg: 1 Floor: Suite: e m•• e m. Description of Work: ELEC -TEMP POWER POLE (X2018-2362) m Inspector Area: 5 Code Edit: 2016 Legal Description: N TR 673 BILK A LOT 16 Owner: 304 POPPY LLC Contractor: PINNACLE CUSTOM HOMES INC Worker's Compensation Insurance Address: 304 POPPY AV Address: 151 KALMUS DR STE D-210 Carrier: STATE COMP INS FUND CDM CA 92625 COSTA MESA CA 92626 Policy No: 9030335 Phone: Phone: 714-327-0225 Expire : 12/01/2018 Con State Lic: 782202 Issued Date:08/07/2018 Lic Expire: 07/31/2020 Bus Lic:. BT30051358'JOR v L' Processed By: Lic Exp Date: 0613012019 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $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 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $36.00 Issuance Fee: $33.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $69.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance, 569.00 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. OWNER -BUILDER DECLARATION •• ... .. .. ... I hereby affirm under penalty of perjury that I am exempt from the Contractors' State Lioenee Low for the reeson(s)indi4ated 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 t' canstr4 A, IItdr, Qnpfo,4%, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of thECdhtr&ctofa' State LicMse4_vw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 not 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 GflW 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 6f prSperf w*, Mrdu0`%nrJo*es' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improveme%ig s9loyvithin ono yt;91•of completion,, the Owner -Builder will have the burden of proving that it was not built or ErIm roved 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 ap ly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I 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 Professions �C,o�dje, and m license is in full force and effect. '� �CU2CkiC2�� License Class License No Date Contractor Signatu WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$700,0001, IN ADDITION TO THE COST 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: 1 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 7Kor7nce 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: of Agent Policy Number Expiration Date Phone # certify that, in the performance of 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 agree I, if I should become subject to the� workers' compare (moi provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prove Ions. % nature of Applicagk l CLARATION RE G CONSTRUCTION LENDING A ENCY Ireby 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). 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. 1 have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the �ab�ove-i tifi d pro erty for inspection purposes. nature of Prooerty Owner or Authorized Aaen� XtchC4.fG 7 2A� Print Propertv Owner's or Authorized Aqent's Narsk / `-T T Date ACTION i DATE PERMITEXPIRED PERMLTCANCELLED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED BY UEL,LA1r 11VIr ura VIWVMAIV.c YrJrn a.vuc air FEDERAL REGULATIONS PART 81 OF TIJLE40AND AQMD RULE 1403. I SUBUTFEDASSESTOS M077FICATION 70: ❑ EPA ❑ AQMD ❑ ASBESTOS NONRCATIONIS NOT APPLICABLE TO 1, PROPOSED DEMOLITION. SIGNATURE: