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HomeMy WebLinkAboutE2019-0794 - Permits#r City of Newport Beach - Building Division a$ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 " �{ieee7iti�` Job Address: 542 FULLERTON AVE Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE Inspector Area: 2 II IIS IIII ILII IIII ILII IIII VIII VIII IIII IIII SII II Legal Description: FIRST ADD TO NEWPORT HEIGHTS ELK 39 LOT 11 Owner: TAILLON THOMAS L Contractor: RHODES CONSTRUCTION Address: 542 FULLERTON AVE Address: 26405 WATERFORD NEWPORT BEACH, CA 92663 LAKE FOREST CA 92630 Phone: Phone: 949-929-8795 Con State Lic: 550916 Issued Date:1 /2 20 8 Lic Expire: 10/31/2021 $0.00 Bus Lic: BT30060870 Processed By: iLic Exp Date: 10/31/2020 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or 1000A: 0 O/H to U/G 0 TOTAL Fee: Electrical Permit: E2019-0794 Project No: 1988-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2016 1 N S P `C."Flu Worker's Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY Policy No: fla01142900 Expire : 05/19/2020 ° ° O mO06f< OJ��C9 p 9 O y O � O 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. FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) ` Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: ° 6 9 $O.OD° ° $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: ° R. $0.00°, $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 so 06° ° Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 . 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Wod Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: 4 $0.06 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: ° ° . ° ° ° $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Backfremp Power: 0 $0.00 Investigation Fee: ° ° ®� $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $39.00 Issuance Fee: $35.00 $0.00 Additional Fee: $0.00 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. LDER DECLARATION .11 - 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) 'action 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 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 (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). 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, usiness 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 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 pply 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: y 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 all 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:http://www.leginfo.ca.gov/calaw.html. ignature 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 (com encs ith Section 7000) of Division 3 of the 6siness and —PP of ssions Code, andel my license is in full force effect. icense Class License No a is C Contrac o ignatu e IORKERS' COMPENSATION DECLARATION ARNING: FAILURBITO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINE UP ONE HUNOREO THOUSAND DOLLARS ($10,000(, IN ADDITION TO THE DST OF COMPEIE9A4101011DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. TcrA affirm finder penalty of perjury one of the following declarations: • d" have and wi11 hjaintain 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 q ance of tpe work for which this permit is issued. Policy No. of the re 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' number are: Policy Number Expiration Date of the work for which the workers' compfim permit is issued, I shall not employ any person in any manner so as to become SL I pgovisions of Section 3700 of the Labor Code, I shall forthwith comply with those :reby affirm Wer penalty of pLyury that there is a construction lending agency for the performance of the work for which this permit is 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 ap li a ci d county or inances and state laws relating to building construction. I authorize representatives//o tthii or cou r the ah�ov�fl ied o ert for inspection purposes. �(�\ nature of Prooertv Owner of�dthorize AD t ✓/t y Print ProDertV Owner's or Authorized Wpe,G1i to the workers' compensation laws of California, and agre lZ ,Z7 -G2btl9 (Section 3097, Civil Code). 0 AC71ON DATE BY uct-LAt IFIVix yr vvmruAar vcrr n uvuc yr run urrILE we ul c" FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBM/TTEDASSESTOS N07tFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLEO PERMIT EXTENDED ❑OASBESTOS ©SED EMOLITON RONIS NOT APPLICABLE TO PERMITFINAL •'�.. CERTPFICATE OF SIGNATURE: OCCUPANCY)SSUED