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Home My WebLink AboutE2019-0546 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r�taway.�` Job Address: 1807 GALATEA TER Bldg: 1 Floor: Suite: Description of Work: ELEC/TEMP POWER POLE Inspector Area: 5 Legal Description: N TR 2813 LOT 144 Owner: OHSEN PE GY Contractor: Address: 621 MALABAR R Address: CORONA DEL AR, CA 92625 Phone: Issued Processed By: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $48.00 Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: E2 0 190 5 4 6�� II SPINNAKER DEVELOPMENT LLC 428 32ND ST NEWPORT BEACH CA 92663 949-544-5806 985114 07131 /2021 ST30029026 04/30/2020 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 Plan Electrical Permit: E2019-0546 Project No: 0353-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2016 INSPECTOR oc•a o • Worker's Com ensation Insurance p Carrier: STATE COMP Policy No: 9105623 Expire: 07/01/2020 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 $38.00 Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: Fee Due at 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. 0 0 0 0 omaaa •mmea• oeoam• m o m • • aaa�m• s mm•• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 fNER-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 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the �rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ily to an owner ofproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt i4oglicensure under the Contractors' State License Law for the following reason: my signature -be ow 6acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally a structure thaMnlive built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ie1,11$ns CocV, VdVpilable 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 Date .WED CONTRACTOR'S DECLARATION (( rebyy affirm und¢Wpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DD'ivision 3 of the Business and Pr 'ons Code, and I license is in full force entd Class License No Date Contractor Signature IRKERS' C,LMPENSATION DECLARATION IN N& 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 WOOF BOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �ebyaffirm urid¢6fz9nalty of perjury one of the following declarations: - ;1, aAje and willmajptain 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 ante off �iaork for which this permit is issued. Policy No. 'h>a a 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' compensatior Jr ce carrier and policy number are: Policy Number of Agent Date 3 certify that, in the performance of the work for which th ermit 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 iat, if I should become su�bpe"u-tIlya workers' compe f ision of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / signature of Applicant�C) (/ � Date �� 7 IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 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 count m races and state I I authorize representatives of this city or county to titer a ab a- e tionature of Prooertv Owner or Authorized Age ACNON ANAL OCCUPANCYISSUED DATE V BY relating to building construction. spec ion purposes. iSUBMTTEDASBESTOSIVORFICATIONTO.- 13 EPA ❑ AQMD ❑ ASBESTOS NODACATIONIS NOT APPLICABLE TO PROPOSEDDEMOLMON. SIGNATURE. .s ; r if(NQttYY1e'ti'1