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Home My WebLink AboutE2019-0421 - PermitsCity of Newport Beach - Building Division omm mm a m o ®.mm oo 100 Civic /:enter Drive,eNewpa4 Beach:C m. 92660 Permit Counter �hnne (94944 6-.°x2.88 m m e ••• s o e m m m •om e e e me• o• mm ♦ e Job Address: 19 8-9TRCIP Description of Work: ELEC Inspector Area: Legal Description: TOGETHER ® m m m om a om e e m o m o m o 0 Ildg: 1 Proor: d Suit, ?MWILR POLP=m ° IIu111111111111111111111111111101111111111111111111 II Projectctric lues zits E2019-0421 4 TR 9858 LOT 4 UNIT 38 OF PROJECT LOCATED ON AP 461-131-39 Owner: MOUTSATSON SOPHIA G & JOHN Contractor: Address: 19 ST TROPEZ Address: NEWPORT BEACH, CA 92660 $0.00 Phone: 949-400-4302 Phone: $0.00 Con State Lic: Issued Date:06/19/2019 Lic Expire: 0-600V over20OA: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 Fee : KESKY EDDIE GENERAL CONTRACTOR INC 10841 BLOOMFIELD STREET LOS ALAMITOS CA 90720 562-795-5755 768266 09/30/2019 BT30057336 11/30/2019 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: REDWOOD FIRE Policy No: EDWC10587 Expire : 01/01/2020 FEES 0 $0.00 Motors/Transformers (HP/KVA) 0 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 Back/Temp Power: 0 $0.00 Temp Power Pole: 1 $38.00 Fee . Temp Underground: 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 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 Fee Due at Permit Issuance: 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. )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 ehackmelk(s) I}lave placor 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 $trdcture;pr(pr to its iss4we, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commllndtr"witMSectiOn 70170) o7 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the sfrueturelis not intendertor offered-fotstle (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or per$PAal e*rt, ISuiltis br intproves Agioroperty, 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-%ijdej tujjl havA 14 bAgen of%dvirfg tflat it was not built or n roved for the purpose of sale). 1, 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: ly 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 Iegall� ell 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:hltp://www.leginfo.ca.gov/calaw.html. lignature 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 Professions Co ense is in full force and effect. 7,0 ,SZGS li'�l �/% Contractor Si .icense Class License No Date gnat e VORKERS' COMPENSATION DECLARATION IARNING: 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: 7 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 th etfWMance of the work for which this permit is issued. Policy No. ErNave 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' compensatio insu ance carrier and policy number are: ler Policy Number Expiration Date Name of Agent Phone # I certify that, in the pe mance of the wD hi is 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 agre that, if I should become subject to t wor co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proves ns. /1 Signature of Applican D DECLARATION REG ING RUCT LENDING AGENCY I hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 havIT e provided ii corr - I agree to comply with all applicable city and county ordi ance state ws relating to building construction. I authorize representatives of this city or county toe r th ve-Id Ified property for inspection purposes. r- Sicnature of PrODertv Owner or Authorized AG6nix d Print Property Owner's or Authorized Agent's Name L Date UWAI11 PERMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE Byu11...,...:..............�y,,,...�....,..-,,..�... C FEDERAL REGULATIONSPART61OFTf7L.E40AND AQMDRULE1403. ❑ t SUBMI]TED ASBESTOS NOTIFICATION TO:. ❑ EPA AQMD ASBESTOS M017FICAIIOMIS NOT APPLICABLE TO 7 n iffl--) PROPOSEDDEMOLIT/ON. w0f,109-1IZA