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Home My WebLink AboutE2017-0542 - Permits (3)City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 tt Job Address: 8 SEA TERRACE Bldg: 1 Floor: Suite: Description of Work: ELEC/ADD (4) LIGHTS IN EACH BEDROOM Inspector Area: Legal Description: Owner: BRAGA MATTHEW W FAMILY TR Contractor: Address: 8 SEA TERRACE Address: NEWPORT BEACH CA 92657 Phone: Phone: Con State Lie: Issued Date:10/19/2017 Lie Expire: Bus Lie: Processed By: Lic Exp Date: IIU►E��►�2►��►0��►1►��7��►�►��►0��►5►►�►4►�►�2►� II STRICKLAND LLOYD LEE ELECTRIC CO 12652 OVERBROOK DR SANTA ANA-CA 714-639-2163 275741 06/31/2018 BT30050898 04/30/2018 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 16 $16.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2017-0542 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2016 `* Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: NO EMPLOYEES 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 Backffemp Power: 0 $0.00 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: $33.00 Supplemental Fee: $0.00 Due at Permit Issuance: $49.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours;;IQonday - Frldpy.7�00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. e a aoea 'n s a� IWNER-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 items) 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 ie 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). -� 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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). 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 legally 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://ww .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 BusinesAdfe'ss C)'�de, a rEr y Iic rise �full force nd effect. f�// .icense Class License No Date !f OContractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: 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 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 the erformance of the work for which this permit is issued. Policy No. have 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' compensation rance carrier and policy number are: 'ier Policy Number Expiration Date ie of Agent - Phone # certify that, in the Perorman of the work for hich 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 agrec if I should become,. ,I je t a w��/rke/1`} c en ati rowslo s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/� GjI /'.�f Iature of Applicant /� /lvW'-.1. Datexi . f L L � 1 �reby 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) 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 o a�n�c sJal��J a lawyer ting to building construction. I authorize representatives of this city or county�o =1 `7`1�-= gr for ingection purposes. ( of Property Owner ACTION DATE BY DECLARATION OF COMPLIANCEtMTN CODEOF FOR OFFICE USE ONLY FEDERAL REG1.1 4TIONSPARPV Of TITiEJ @,4MT AQMD RULE 140r • • • . PERMITEXPIRED ❑ I SUBMITTED ASWTOS'fIC=TIFJUTIt1AtTQ: • • ❑ EPA --- ❑ AQND ❑ ASBESTOS NOPFICATIONIS NOT APPLICABLE TO PROPOSEDDEAfSNTlO&b ••• •'� •'• •;' • • • • s • PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL Fox— -? CERTIFICATE OF SIGNATURE: °° c, c n o o c o 0 OCEUPANCYISSU€D 0 00 0>0