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Home My WebLink AboutE2018-0009 - Permitst City of Newport Beach - Building Division 11111111111111111111111111111111111 Jill 11Electrical Permit: E2018-0009 Q. 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 8 0 0 0 9 Project No : 2419-2016 Permit Counter Phone(949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 316 POPPY AVE Bldg: 1 Floor: Suite: Description of Work: ELECITEMP. POWER POLE Inspector Area: Legal Description: N TR 673 ELK A LOT 13 Owner: 316 POPPY LLC Contractor: Address: 631 GOLDENROD AVE Address: CORONA DEL MAR CA 92625 0 Phone: Phone: 0 Con State Lie: Issued Date:01/04/2018 Lie Expire: $0.00 Bus Lie: Processed By: Lie Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or1000A: 0 0/H to U/G 0 TOTAL Fee: Receptacle/Switch/Outlet Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Code Edit: 2016^ 0 Low Voltage 0 $0.00 Signs 0 GALLO BUILDERS INC Worker's Compensation Insurance 0 1278 GLENNEYRE ST #412 Carrier: MIDWEST EMPLOYERS 0 LAGUNA BEACH CA 92651 Policy No: BNUWC0142358 =' 949-683-3500 Expire: 11/20/2018 °o..r3 852218 0 ..... ,r 01/31/2019 °. 0 ° . ...° BT30028998 50 to 100 HP/KW/KVA: ® ° 08/31/2018 . ° ....° . . ®° o Receptacle/Switch/Outlet Plan Check Fee : PERMITS EXPIRE 980 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. Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 Low Voltage 0 $0.00 Signs 0 $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Plan Check Fee : PERMITS EXPIRE 980 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. rtes •••. s Motors/Transformers (HP/KVA) • .... $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: ° ° 0 0.66° $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: "`b $0.00 $0.00 10 to 50 HP/KW/KVA: 0 $0.00° °. 0 $11.66° $0.00 50 to 100 HP/KW/KVA: 0 $0.00 °.. °.b 0.660 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Plan Check Fee: $0.00 $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Temp Power Pole: 1 $36.00 Issuance Fee: $33.00 $0.00 Supplemental Fee: $0.00 Plan Check Fee : PERMITS EXPIRE 980 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 ,the 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 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). ❑ 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, Business 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 improvements 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 improved 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 apply 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 w' h Section 7000) of Division 3 of the Business and ofe ions Co , and my lic nse is in full force and effect. License Class ."". License No Dat/�- I , Contractor Signature � WORKERS' COMPtNSATION DECLARATION WARNINGYFAILURIRD"CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST O COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,�Ishf..,�ePsbj affirm under penalty of perjury one of the following declarations: 1%1 have and will*m stain 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 thI pWdrgAce of the Wbtk for which this permit is issued. Policy No. - .. .... ave 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' enc€ carrier ar&Ppolicy number are: 3r.. Policy Number Expiration Date I MrAQ that, in jhE6performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjectto workers' compensation laws of California, and agre t!itNshould bejarjlg su ect t oor ' compens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provlsl „r) mature of Applicant Da Cfo/'S CLARATION REGfROING CONSTRUCTION LENDING AGENCY 1 3reby 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and coun ordinances and state laws relating to building construction. 1 authorize representatives of this city or count a th a -identifie rias ection purposes. //�� ,[ nature of Pro ertv Owner or Authorized ADent y Prriint Pro erty Owner's or Authorized ADent's NamezCOst C/rX i14 1/ Date,' I ACRON DATE BY OLCLARAfIONOFCOMPUAfVCLWIIHCUDLOI- FOR OFFICE USEONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE 1403. PERMITEXPIRED ❑ I SUBMITTEDASSESTOS NOIIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELL€D P€RMITEXTENDED ❑ ASBESTOS NONFICATIONIS NOTAPPLICABLETO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: