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Home My WebLink AboutE2022-0236 - Permitsw/rA. City of Newport Beach - Building Division *E2022-0236* e` 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 q gg c rdouKa {i OPECOR Job Address: 1224 DEVON LN Bldg: 1 Floor: Suite: Description of Work: SFR ELEC TEMPORARY POWER PIGGYBACK SYSTEM. (X2021-3386) Inspector Area: 3 Legal Description: N TR 3000 LOT 33 Owner: HOROWITZ TRACY & ERIC Address: 1224 DEVON LN NEWPORT BEACH, CA 92660 Phone: Issued Date:04/15/2022 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 over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: $79.00 Contractor: DRAKE CONSTRUCTION INC Address: 7422 MOUNTJOY DR HUNTINGTON BCH CA 92648 Phone: 714-369-5550 Con State Lic: 881821 Lic Expire: 07/31/2022 Bus Lic: BT30051436 Lic Exp Date: 06/30/2022 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 Electrical Permit: E2022-0236 Project No : 1845-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 a... � O• t30•° , ° Worker's Compensation Insurance aaa,• •m Carrier: STATE COMP FUND • ° o °: Policy No:9022425 G° P °B®iO4 Expire : 08/30/2022 ° •a , aeas-° ° FEES MotorslTransformers (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 BackrFemp Power: 1 $41.00 Temp Power Pole: 0 $0.00 Plan Check Fee : 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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: 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. 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 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 ppW tC an ovmer.af 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 frornftensure under the Contractors' State License Law for the following reason: fym9 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 ell t%tructure teat 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 Fofeasions Coda "ailable upon request when this application is submitted or at the following Web site:http:/Iw .leginfo.ca.gov/calaw.htmi. ti6r64ire of Property Owner or Authorized Agent Date JpF.NSED C"AAACTOR'S DECLARATION CgrpD9 affirm Lnde'r'penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes qn Co 6� and my license is in full force Ind effect. K(' .Ic¢nnSse:Class �� License No Date,\ U fs Contractor Signature /` T VORKERS' C®MP2NSATION DECLARATION l .... IARNIND! FAILURE YOe(.URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,0001, IN ADDITION TO THE :6&-Vt, COMPENkb4,X, pAMAGES 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: I 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 erformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: of Agent certify that, in the performance . if I should become subiect W re of Policy Number Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date X IECLARATION REGARDING CONSTRA'C fION 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 ender's Name Lender's Address 'y 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 ordin a and laws relating to building construction. I authorize representatives of this city or county to e r th5�bove d tified property for inspection purposes. n I „.,� of Civil Code). Name ACTION ITATE BY DECLARATIONOFCOMPUANCE INITHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE 40AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS MOIIFICATION TO:. ❑ EPA ❑ AQMD PERMIT EXPIRED PERMIT CANCELLED PERMIFEXTENflED ❑ ASBESTOS N077FICA770MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL 'Z ''L2 CERTIFICATEOF SIGNATURE: OCCUPANCYtSSUED