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Home My WebLink AboutE2019-0807 - PermitsCity of Newport Beach - Building Division 100 Civic Center. Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 407 39TH ST Bldg: 1 Floor: Suite: Description of Work: ELEC - TEMP POWER POLE (X2019-3851) Inspector Area: Legal Description: CANAL SECTION BLK 439 LOT 10 Owner: MARKOS MARK S & MELISSA Contractor: Address: 407 39TH ST Address: NEWPORT BEACH, CA 92663 0 Phone: Phone: O/H to U/G Con State Lic: Issued Date:12/04/2019 Lic Expire: 0 Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 1-2 Family: Service Receptacle/Switch/Outlets 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 TOTAL Fee: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIElectrical Permit: E2019-0807 E 2 0 1 9 0 8 0 7 Project No : 2108-2019 CLAYTON BUILDERS INC 250 LUGONIA ST NEWPORT BEACH CA 92663 949-279-5910 846631 09/30/2020 BT30043010 04/30/2020 Plan Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire : FEES Receptacle/Switch/Outlets $0.00 Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 50 to 100 HP/KW/KVA: Low Voltage 0 $0.00 0 Signs $0.00 $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee : $74.00 $0.00 Plan Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire : 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 $39.00 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 D at Permit Issuance : $74.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: %gngaya- Friday 7.,QO a.m. tq 60.0.p.m. and Saturday from 8:00 a.m. to 6:00 p.m. ®a o • o o o. NO CONSTRUCTION NOISE 0 0 0 0 0 0 oc we o ee• ` � ON THE WEEKEND C G O O O C o �o o ao 00 oEa OWNER -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) (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 3 of 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). ❑ 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, 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 Iegall, 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business and Profesgions de, Kncl c rise is it 11 force and effect. �i Contractor Si /f License Class License No Date gnature :i/ INORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 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 Derformance 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' rance carrier and policy number are: ier Policy Number Expiration Date Ila a of Agent rnone 77 �I artily that, in the performance of the w^ for which thi it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws of California, and agre fa' if I should become subject to th wo a co pensa o pr ision 3700 of the Labor Code, I shall forthwith comply with those provisions.% �[ 'signature of Applicant Date IECLARATION REGA I CO ST LICTION LENDING AGEN Y hereby affirm under penalty of perjury that there is a construction le ding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender'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 or nce an t� laws re tin to building construction. ;, /XnyA-/7—, I authorize representatives of this city or county t r a = ant' i d o rty for inspection purposes. / /i (�G��f _" " 1 �icnature of Prooertv Owner or Authorized AGent Print Property Owner's or Authorized Agent's Name A Date ACRON DATE BY ULLL it fiVJV Ur wmVLJAnR.0 Prrrn wuc Ur run urrrr,r Uac Ulr,r FEDERAL RET"MMS P411 i 61 Of TITLE,'40AM% PERMITEXP7RED AQMDRULE 1403. • . ., . •.: ❑ I SUBMIPIDASk.Sr& SOPMATIOA TO; PERMITCANCELLED ❑ EPA' PERMIT EXTENDED ❑ AQMD _ _ U ❑ ASBESTOS M077FICAIIOMIS NOT APPLICABLE TO PERMITRNAt /L. PROPOSEDOEMr)M10N., ,'• ,', ''' , CERURCATEOF : ,' ,' : : :• DCCUPANCYISSUED SIGNATURE: