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Home My WebLink AboutE2020-0570 - Permits01 City of Newport Beach - Building Division IIIIIII��IIIIIIIIIIIIIIIIIIIII�IIIIII�IIIIIIIIIII III Electrical Permit: E2020-0570 a° 100 Civic Center Drive, Newport Beach, CA 92660 E 0 2 0 0 5 7 0 Project No: 2399-2018 Permit Counter Phone (949)644-3288 cyr. nwe Inspection Requests Phone (949)644-3255 Job Address: 2029 OCEAN BLVD Bldg: 1 Floor: Suite: Description of Work: ELEC FOR ABOVE GROUND (FIELD VERIFY POOL SAFETY) *PLANS ATTACHED TO PERMIT* Inspector Area: 1 Legal Description: N TR 518 BILK D LOT 24 Owner: DEVONE Contractor: Address: 6 ST TROPEZ Address: LAGUNA NIGUEL CA 92677 Phone: 949-637-5463 Phone: Con State Lic: Issued Date: 10/15/2020 Lic Expire: 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 or1o00A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: PACIFIC CUSTOM CONSTRUCTION 12MONDANO LAGUNA NIGUEL CA 92677 714-412-2198 687537 09130/2021 BT30066980 11/3 / Code Edit: 2019 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: Expire : 0 2020 I N S P E CIU Receptacle/Switch/Outlets Receptacles/Outlets: 1 $1.75 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 0 to 1 HP/KW/KVA: 0 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: 10 to 50 HP/KW/KVA: $63.75 e memeac y �Vp mm *� s m SS mmt�� l^@QrOm e o FEES mmmm m-" Motors/Transformers(HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 Supplemental Fee: $0.00 Plan Check Fee: 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. 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 3of 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 L) 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). ❑ 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). ❑ 1 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of PrbSrtrEy.Owner or Authorized Agent Date �Jgl�VSED CAN-CRACTOR'S DECLARATION I hereby affirm ygcje,(penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 7000) of Division 3 of the Business n Professions Code, and my license is in full force and affect. LRlgs@ Class License No Date Contractor Signature re DECLARATION WAFWWG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R TO C IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPL:434ncR%DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •.•. I he�:� affirrMund@f penalty of perjury one of the following declarations: ! have and well 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 pefforroance of the 4k for which this permit is issued. Policy No. •• ❑I hake and will�rp@intain 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 IrWiFlince carrier and policy number are: ..•• Carrier Policy Number Expiration Date E e of Agent Phone # ertify that, in the performance of th work for which this permit is issued, I shall not employ any person in any manner so as to become subject the workers' compensation laws of California, and agree If I should become is -t e w rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prove Ions. o i ture of Applicant Dat DECLARATION REGA I ONST N -L DING AGENCY I hereby affirm under pe elty 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). Lender's Name Lender's Address ly 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 county, ordinances and state laws relating to building construction. I authorize representatives of this city or county t nter the ab tifie party for inspection purposes. linnahrre of Prnnerty Owner nr Authorized Anent Print Procertv Owner's or Authorized AC77ON I DATE FINAL OCCUPANCVI.SSUED FEDERAL REGULATIONSPART 67 OFTI RE40AND AQMDRULE 1403. ❑ I SUBWTTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NO77FICAITONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. SIGNATURE: All required"fflffffVl9JbtYd'§ gates & fences which serve as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the poid/spa �-2-/S'