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Home My WebLink AboutE2019-0719 - Permitsyr " City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII . 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 - 0 7 Permit Counter Phone (949)644-3288 'wcavox"r IIElectrical Permit: E2019-0719 1 9 Project No : 1631-2019 ) Inspection Requests Phone (949)644-3255 1 O Job Address: 2104 OCEAN FRONT E Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE (X2019-3400) Inspector Area: 1 Legal Description: TR 518 LOT BILK E FOR OF LOT AS DESC IN DD -6710/997 OR - -. I I � Code Edit: 2016 ^T P E V Owner: WATERFRONT 777 LLC Contractor: COLLINS J B INC�t Q Worker's Compensation Insurance Address: 2025 W BALBOA BLVD Address: 2025 W BALBOA BLVD 2A a O1� �� Carrier : STATE FUND NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92663 - Policy No: 9242458 � p p Phone: 949-613-5260 Phone: 949-613-5260 12/16/2019 2pppb( Con StateLic: 688859 /g� /�� p:pp p• p p Issued Date: 10/24/ 9 Lie Expire: 05/31/2020 V p°q p p p Bustici BT30064186 �� Processed By: Lic Exp Date: 0713112020 A d pp p pp m o p o b pp� �kO 0 0 O p O O O O Qli�p � OS00 0000 Opppo 6- FEESNow Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) a C Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA 0 $0.00 Temp Underground: ° �� 0 $00494o1 Multi -Family: 0 $0.00 Fixtures; 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: E E p $0,;9Q� 1-2 Family:, 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 ° C° C 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 i $0.00 i Service ` Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00! 0-6011V up to 20OA: 0 $0.011 Branch Circuit 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backfremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $39.00 Issuance Fee: $35.00, O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00, TOTALFee : $74.00 Plan Check Fee : $0.00 - Fee Due at Permit Issuance : $74.00 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 ✓NER-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 checkmark(s) I have placed next to the applicable item(s) ction 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 fessions 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 `) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 Movements 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 Ily 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: 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 a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent i Date TENSED CONTRACTOR'S DECLARATION reby affirm ur der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BuXat and Professions d d my license is in full force I effect. .. • .. • �at� Rl�-F/y -nse J;lass ' License No y�ta -� -'l Contractor Si )RIURS' Gd OI MSATION DECLARATION WINS: 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 IT OF BOMPENSATEON, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •• .reby-affirm end loEplty of perjury one of the following declarations: lNiaSe and Wrinalfitain 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 IN IDITUance of Ift-4ork for which this permit is issued. Policy No. and will malnfain 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 r>� carrier aAd policy number are: ner : .:...: Policy Number Expiration Date %nify that, Aytii f gArformance of the k for which this 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 agreE if I should become subject to he k c mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi atur of (cant Dat C :LA 10 REGARDING ONSTRUCTION LENDING AGENCY 'ebyaffirm under penalty &perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Vection 3097, Civil Code). ier's Name Lender's Address Ty 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 -cou rdinan� s nate laws relating to building construction. I authorize representatives of this cit or county o ter e a ve-I ntified property for inspection purposes. r ature of Propertv Owner or thorize ADent. Print Property Owner's or Authorized- }dent's Name �1 Lam'+ CLI' ACTION DATE BY DECLARATION OF COMPLIANCE tA0TN C0 - -. FOR QFfTCE DSEC7NLY FEDERAL REOULATIONSPART61'.OF TITLE40AND AQMD.RULE1403.. PERMITEXPI✓iED ❑ I SUBMITFED ASBESTOS NO7/FICATION T0: ❑ EPA ❑ AQMD P€RW CANCELLED : PERMITEXTENDED 0 ASBESTOS PROPOSED DEMOLITt RON15 NDT APPLICABLE TO PERMIT FINAL CERTIFfCATEOF �n SIGNATURE: OCCUPANCYtSSUED