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Home My WebLink AboutE2020-0549 - PermitsCity of Newport Beach - Building Division o ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2415 SIERRA VISTA Bldg: 1 Floor: Suite: Description of Work: ELEC/TEMP POWER POLE X2020-1244 Inspector Area: 3 Legal Description: N TR 1801 LOT 7 Owner: MANS ICK Contractor: Address: 241 SIER VISTA Address: WPORT B ACH. CA 92660 Phone: Issued Processed New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 200A: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $53.00 Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: III'IIIIIIIIIIIIII IIIIIuIIVIIIIIII IIII�IIII11 II Project Na Electrical Per 020 E2020-0549 VOGEL CHARLES M 1601 MANZANITA LANE MANHATTAN BEACH CA 90266 310-613-3602 388241 03/31/2022 BT30064963 06/30/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs 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: 2019 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire : FEES Motors/Transformers (HP/KVA) 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 $41.00 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental 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. o f000G6 ® o •oom seommc m m m •mom m m o 0 0 mm o emmm m m m m mGOm m Y O mm O m mm G P & py0m0 $o.bbm m $0.00 $0.00 $0.00 $0.00 $0.00 $12.00 )WNER-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 he 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,.. iot 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, lusiness 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 Tlprovements 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). 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 ip ly 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: ly 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 legall - 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.html. signature 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 (commencing with Section 7 0 of Division 3 of the Business and Profep s Code, a 'cense is in full farce Ind effect. •�••�� .icense Class . License No Date LO Contractor Signature WOTNiERS' 9C%Y4PUNSATION DECLARATION77 1ARNING: FAILURE•PD-ACURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,000), IN ADDITION TO THE %T 8F•COMPENSAIION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heRDy affirm upgpr penalty of perjury one of the following declarations: 11 have and wNl•rnaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN �erfo&ance of We wo$k for which this permit is issued. Policy No. 71 r;ft and Vffl4 ffiintain 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 asGrInpe carrier and policy number are: • •• Policy Number Date 4 6 . y that,.in We performance of the work r w ' 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 I should bUdAe subject t wor a s' o visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , .nature ofApplicant Date\>C 4i2 CLARATION REGA ONS7*Ui LENDING AGENCY �reby affirm under p nalty 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). ides 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 applicable city and county ordinances and saws relating to building construction. /� I authorize representatives of this city or county to_enter f%h/ l ft h€d property for inspection purposes. �.//1 °` � mgag`k (p}/� Date inature of Property Owner or Authorized Agent Y / / �"n Print Property Owners or Authorized Agent's Name X // i�� ^d ACTLON DATE BY DECLARATION OF COMPILIANCE11111TH CODE OF FOROFFICEUSEW Y FEDERAL REGULATIONS PART Of OFTITLE40AND AQMO RULE 1403. PERMITEXPlREO ❑ ISUBAfTT€DASDE5TOS NOTIFICATION TO: ❑ EPA ❑ AQMD ASBESTOS PROPOSED DEMOLITION TIONIS NOT APPLICABLE TO PERMITCANCELLED PERMIT EXTENDED PERA41TFINAL - LO CERTIFICATEOF SIGNATURE: OCCUPANCYISSUEO