HomeMy WebLinkAboute2020-0308 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 1801 SABRINA TER Bldg: 1 Floor: Suite:
Description of Work: ELEC TEMP POWER POLE (X2020-1448)
Inspector Area: 5
Legal Description: N TR 2813 LOT 111
Owner: ARONOFF BARRY
Contractor:
Address: 151 KALMUST DR STE H10
Address:
COSTA MESA CA 92626
Phone:
Phone:
Con State Lie:
Issued Date:06/24/2020
Lie Expire:
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Bus Lie:
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Processed By: Q�, 1oge
Lie Exp Date:
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA: 0
0-600V over20OA: 0
Over 600V or IOOOA: 0
O/H to U/G 0
*E2020-0308*
SPINNAKER DEVELOPMENT LLC
428 32ND ST
NEWPORT BEACH CA 92663
949-544-5806
985114
07/31/2021
BT30029026
04/30/2021
Electrical Permit: E2020-0308
Project No: 0384-2020
Inspection Requests Phone (949)644-3255
Code Edit:2019 Vr®�
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9105623
Expire:0710112020
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FEES
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Receptacle/Switch/Outlets
Motors/Transformers (HP/KVA)
DCGD
Receptacles/Outlets:
0
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
Temp Underground:
.0
lid
$0.00
Fixtures:
0
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
Sub Panel:
o °„Pb
$'0.00
$0.00
Sep Circuits:
0
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
D ° D a 0
$°0°dd °
Low Voltage
0
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
'D Db
$0`dd°
Signs `
Over 100 HP/KW/KVA:
0
$0.00
Record Mgmt Fee:
$0.00
$0.00
Branch Circuit:
0
$0.00
Plan Check Fee:
$0.00
$0.00
Each Add Circuit:
0
$0.00
Piggy Back/Temp Power:
0
$0.00
Investigation Fee:
$0.00
$0.00
Time Clocks:
0
$0.00
Temp Power Pole:
1
$39.00
Issuance Fee:
$35.00
$0.00
Additional Fee:
$0.00
Supplemental Fee:
$0.00
Fee Due at Permit
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.
DWNER-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 U all of or L) 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).
111, 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 legally
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:http://www.leginfo.ca.gov/calaw.htmi.
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 Section 7000) of Division 3 of th usiness and Professions d my license is in full force
and effect.
License Class • • • • r.i License No / D t LI Da CS7 ` G �� Contra ignature
V''VfORKFtRS' COME PNSATION DECLARATION
V6A4IU.JAILURE,TU•REftRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
COST OF COMPENSATIOM,0AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
IImyrieb; affirm under penalty of perjury one of the following declarations:
LI.I have and Vm rp3iotain 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
OrIeTlance of thewo&for which this permit is issued. Policy No.
r
10are and JI'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
JpW9 carrier aiVIMicy number are:
�rjer., ' Policy Number Expiration Date
A orAgent ' Phone #
DArtiCf that, in t %gerformance 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 agree
tl ii bshould taecomeAub w r ' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' Ions.
natureIN
—/
CLARA N REGARD NG CONSTRIJCTION LENDING AGENCY
:reby affir 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).
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 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 ordinance n state laws relating to building construction.
I authorize representatives s city or coun Ified property for inspection purposes. / G —�>
nature of Property Owner orAuthorized Agent Print Property Owner's or Authorized Agent' me t 1 �LEGf� ate d"
ACTION
DATE
BY
DECLARATION OF COMPLIANCEMTf7 CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF T17LE40AND
AOMD RULE 1403.
PEAMiTEXPfR€D
I SUBMT7TEDASBFSTOS fR)77FICATION T0:-
❑ EPA
❑ AQMD
PERMITCANCELLED
P€RMITEXTENDED
❑ ASBESTOS N017ACADONIS NOT APPLtCAaE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFIEATEOF
SIGNATURE:
OCCUPANCYtSSUED