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Home My WebLink AboutE2020-0003 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111 *+t r 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 Permit Counter Phone (949)644-3288 °.r 4isrztiT` Jill 111lElectrical Permit: E2020-0003 0 0 0 3 Project No Inspection Requests Phone (949)644-3255 Job Address: 261/2 HILLSBOROUGH MP Bldg: 1 Floor: Suite: Description of Work: ELEC/REPLACE (E) SINGLE METER SERVICE PEDESTAL " Inspector Area: 4 Code Edit: 2019 Legal Description: Owner: HARBOR HILL HOMEOWNERS Contractor: HORIZON LIGHTING Worker's Compensation Insurance Address: 15421 LAGUNA CANYON RD Address: 2351 MCGAW AVE Carrier: BENCHMARK INS IRVINE CA 92618 IRVINE CA 92614 Policy No: CST5017581 Phone: Phone: 949-336-4336 Expire : 10/30/2020 Con State Lic: 877805 Issued Date:01/02/2020 Lic Expire: 05/31/2020 Bus Lic: BT30054866 �,�/ Processed By: Lic Exp Date: 04/30/2020 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp.Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 1 $45.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0,00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $80.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $80.00 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 O•• • ••• DOO COO O O O • • • ® C • O • O O U • O • O O O O 0 O 4 4 04 O O O •00' • O 4 • O 000 O O OOO 44 O OOi 4 4 U • O O O C GU O O O 0V < O 4 O C O )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 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 3000) Of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from Iicensure 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 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 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 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 nproved 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 pply 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). 7 I am exempt from Iicensure 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.htmi. 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. �) !cerise Class. License No Date: Ul `Z `Zfl Contractor Signature Y ..� ✓ORKERS' COMPENSATION DECLARATION ARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - hereby affirm under penalty of perjury one of the following declarations: 7 1 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 IN e ormance of the work for which this permit is issued. Policy No. have and will maintaiLl 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 isurance carrier and Iic umber are: ,{''� ry �--�� / arrier _._ � 11 ht 9 Polloy ryuyna¢r/i Expiration Date of Agent I certify that, in the performance of the 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 t, if I should become' Suuyfect to the workers' coom_pen�attion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr Islo . nature of Applicant ]C � =efI— Dat�lO'2� 2a CLARATION REG D G CONSTRUCTION LERMING AGENCY areby affirm under 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). ider'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 owners 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 ter the above= tifiad property for inspection purposes. y n nature of Property Owner or Authorized Agent / - Print Property Owner's or Authorized Agent's Name Y- Wi0AA� Jw f1pi a t Z ACTION DATE BY • .. DECLARATION OF COMPLIANCE VWTH CODEOF FF•QERA(< REGUAkIlONS PART 61 OF TIMEWAND • •:JB1f`WEE:AS*EWOS NONFICATION TO: ••'❑••EPA �• ••• ❑ AQMD ❑ ASBESTOS N017FIC47IONIS NOT APPLICABLE TO PROPQSED QEM{)WION. 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