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Home My WebLink AboutE2019-0097 - Permits000 00 City of Newport*&4ft n SugWing Division ° Aon 100 Civic Center Dr&e, 162,gpert F:e*hbCs 9260 �. Permit Counter Phone (949)644=3288° . °, ®• . Job Address: 333 HOLMWOOD DR Bldg: 1 Floor: Smile: Description of Work: ELEC - TEMP POWER POLE (X2019-0544) Inspector Area: 2 Le al Descri tion: N TR 1136 LOT 15 II�IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II Electrical Permit: E2019-0097 Project No : 2187-2018 W p 0 $0.00 Owner: ATKINS JEFFERY S Contractor: CLAYTON BUILDERS INC Address: 333 HOLMWOOD DR Address: 735 FARAD STREET NEWPORT BEACH, CA 92663 0 COSTA MESA, CA 92627 Phone: -- Phone: ` 949-279-5910 Over 600V or1000A: Con State Lic: 846631 Issued Date:02/20/2019 Lic Expire: 09/30/2020 Additional Fee: Bus Lic: BT30043010 Processed By: Lic Exp Date: 04/30/2019 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 200A: 0 $0.00 0-600V over 200A: 0 $0.00 Over 600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 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: NO EMPLOYEES Policy No: Expire FEES 0 $0.001 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/TempPower: 0 $0.00 Temp Power Pole: 1 $38.00 Temp Underground: 0 $0.001 Sub Panel: 0 $0.001, 0 $0.001 0 $0.00'. Record Mgmt Fee: $0.00' Plan Check Fee: $0.00',. Investigation Fee: $0.001 Issuance Fee: $35.00', Supplemental Fee: $0.00' 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. go go. IWNER-BUILDER DECLARATION• \ I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated beliv Kv the eh;fnalk(s) I h9ve plTaced next to the applicable items) ),C lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repel? afillsltructure, prior to its issuance, also requires the applicant for is 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 applicantfor apermit %dbjeclis toe applicant to a civil penalty of of more than five hundred dollars ($500). •' . • , . e • • • ; o I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, aic fne siruclure js bot intended groffeled for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees'.or perptiIal effort, b&8s 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 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 only 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: iy 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 legal) 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:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and ProfespNns code can full force and effect. .icense Class License No Dat Z 'ZO Contractor Signal 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 0706 OF THE LAaOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 erformance of the work for which this permit is issued. Policy No. ]I 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' compensatio isurance carrier and policy number are: _ Policy Number Date of Agent ODce 'fy that, in the performance o e work 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 agre Iat, if I should bec subject tot a ork�com tion pr ' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio/��s p ature of Applic� l// ll//// Date /�Iy�/j iECLARATION REGARDING CONSTRUCTION L NDING NCY hereby affirm under penalty 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). ender's Name Lender's Address y 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 ordinan and stat s relating to building construction.. 11*14 I authorize representatives of this cit or count i�,yg„Z,'t�r)h��C�gI°/6ov I ro section purposes. /� / —�%�e% A, Date P.,...,...___ a ...e.,, y y //lYAi rrint Prnr,Prtv Owner's or Authorized Aaent's Narr(eX - ACT70M I DATE I BY II FEDERAL ISUBMTTEDASSESTOSM071FICATtONTO.- 13 EPA ❑ AQMO ❑ ASBESTOS NOTIHCATIONIS NOT.APPLtCABLE TO PROPOS€ODEMOLITR7N. OF I I I I SIGNATURE.