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Home My WebLink AboutE2019-0357 - PermitsCity of Newport Beach - Building Division J + 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 20292 SPRUCE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE ice. Inspector Area: 8 Residential Legal Description: N TR 1506 LOT 22 k Owner: CABLE JUSTIN Contractor: Address: 20292 SPRUCE AV Address: NEWPORT BEACH CA 92660 $0.00 Phone: Phone: $0.00 Con State Lic: Issued Date:05/31/2019 Lic Expire: Sep Circuits: Bus Lic: Processed By:— >1 V \ c• Lic Exp Date: IIYIE IIII ILII 0I�II IIII IIII IIII II�3 VIII IIII SII II NEWPORT COAST ELECTRIC 892 W 18TH STREET COSTA MESA CA 92627 949-645-5761 675371 07/31/2019 BT30029895 10/31/2019 New Construction 0 ice. Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: k Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Policy No: ATWO049820 Supplemental Fee: Low Voltage 0 $0.00 Service e Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: Electrical Permit: E2019-0357 Project No : 0207-2019 Inspection Requests Phone (949)644-3255 FEES 0 ice. Code Edit: 2016 0 0 to 1 HP/KW/KVA: k •o• i 1 to 10 HP/KW/KVA: 0 • e m 10 to 50 HP/KW/KVA: 0 •e ° Worker's Compensation Insurance $0.00 ^ Carrier: REPUBLIC UNDERWRITERS• se ° $0.00 Issuance Fee: Policy No: ATWO049820 Supplemental Fee: Expire: 07/01/2019 ° m e eeeon m ^ o me oommo° ° c o ocoo e000^ 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 Plan Check 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. VNER-BUILDER DECLARATION 1 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) fiction 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 , 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 ifessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Oness 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 ;rovements 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 ;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 )ly to an owrLej ptproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exenTp1 jroci licensure under the Contractors' State License Law for the following reason: Mgnatu<rg �elgw 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 % siructurat at 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 ftsions CSde,is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Propbrty Owner or Authorized Agent Date ANSED OOVWCTOR'S DECLARATION :reby affirmemderrpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit action 7000) of Division 3 of the Business an Professions Code, and my license is in full force I tffect. mseClass••"': License No Date S it r9 Contractor Signatur—%/l/L— -� 9RKERS' COMPENSATION DECLARATION [MIMy FAILURE j0 3EOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES ANO CML FINES UP TO E HUNDRED THOUSAND DOLLARS (§100,000), IN ADDITION TO THE "�lr' OFCOMPENCA110Nr SAMAGES As PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ir%tW affirm under penalty of perjury one of the following declarations: f-have and 41:oVintain 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 thr formance of the work for which this permit is issued. Policy No. 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 Nnce carrier and policy number are: Policy Number Date me of Agent vnone s certify that, in the perfor ance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to t workers' compensation laws of California, and agrer I, if I should become su cit to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisl s. nature of Applicant - Dat CLARATION REGA ING CONSTRUCTION LENDING AGENCY :reby affirm under p natty 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 aril 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 cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or county o enter the above-id�Pntified property for inspection purposes. l nature of Procertv Owner or Authorized Aqent �'l./w"C�- Print Property Owner's or Authorized Agent's Name ACTION DATE ( BY UtLLrinrlrrvJV Ur r UMVUARUC rlr rn a Vv Ur FEDERAL REGULATIONSPART fi7 OF 717LE40AND AQMDRULE1403. EXPIRED ❑ t SUBMITTED ASBESTOS M077FICATION TO: CANCELLED ❑ EPA EXTENDED ❑ AQMD ❑ ASBESTOS NORFICARONIS NOT APPLICABLE TO FINAL h - t;'i , f _ PROPOSED DEMOLITION. OCCUPANCYISSUED SIGNATURE: