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Home My WebLink AboutE2020-0721 - Permits (2)City of Newport Beach - Building Division ot` 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 404 BELVUE LN Bldg: 1 Floor: Suite: Description of Work: ELE -TEMP POWER POLE (x2020-2923) Inspector Area: 1 Legal Description: N TR 1090 LOT 29 Owner: POMA VICTOR Address: 404 BELVUE LN NEWPORT BEACH, CA 92661 IIIYIIIIII0 IIIIIIIIIIIIYIIIIIIIIIIIIIIIIIII II Contractor: CLAYTON BUILDERS INC Address: 250 LUGONIA ST NEWPORT BEACH CA 92663 Phone: Phone: 949-279-5910 Issued Date:12/15/2020 Con State Lic: Lic Expire: 846631 09/30/2022 Bus Lic: �40 BT30043010 Processed By: Lic Exp Date: 04/30/2021 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over600V or1000A: 0 O/H to U/G 0 Receptacle/Switch/Outle Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 Low Voltage 0 Signs $0.00 Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: Electrical Permit: E2020-0721 Project No : 1821-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Insurance _,,)_P6Iicy No: NO EMPLOYEES Expire : 014, is Motors/Transformers (HP/KVA) $0.00 0 to 1 HP/KW/KVA: 0 $0.00 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 $0.00 $0.00 Piggy Backfremp Power: 0 $0.00 $0.00 Temp Power Pole: 1 $41.00 $0.00 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: $37.00 Supplemental Fee: $0.00 11 TOTAL Fee: $78.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $78.00 11 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. a o sae � G • O 6 5GG G G � � o oa o • G G oG a9J ,J 9 o 0 p C(JO fib (lvJ UG Vf G G G G �G G • G • G• G VG GV 00 GBO G 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: $37.00 Supplemental Fee: $0.00 11 TOTAL Fee: $78.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $78.00 11 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. a o sae � G • O 6 5GG G G � � o oa o • G G oG a9J ,J 9 o 0 p C(JO fib (lvJ UG Vf G G G G �G G • G • G• G VG GV 00 GBO G 11 TOTAL Fee: $78.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $78.00 11 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. a o sae � G • O 6 5GG G G � � o oa o • G G oG a9J ,J 9 o 0 p C(JO fib (lvJ UG Vf G G G G �G G • G • G• G VG GV 00 GBO G OWNER -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 legal) 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 (commencingwithSection 7000) of Division 3 of the Business a Profes 1 Code, license is in full force and License Cl ,�,,,/ �7i S ?�O Contractor Si r r License Class License No " gnat WORKERS'COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 performance of the work for which this permit is issued. Policy No. I 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' compensatio insurance carrier and policy number are: r Policy Number Expiration Date P)ha of Agent - Phone # rtify 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 I should become subject to e o ers'.com n s/jlon pr/yv dons of Section 3700 of the Labor Code, I shall forthwith comply with those prov'sions. / Signature of Applicant iu/jJ' V Da e C T//I 5L DECLARATION REGA t G CONSTRUCTION L DING Od3ENCY I 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). Lender's Name Lender's Address By 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 ordinances and state laws relating to building construction. I authorize representatives of this city or coun to nt a e ' en ' property for inspection purposes. j Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date6 ACTION DAB BY DECLARATION OF COMPLIANCE K9TIICODE OF FOR OFFICE USE ONLY FEDERAL R€6l4¢j10N5 PART 61 01= TITLE 40AND AQAID RULg 9409. • i • " • • • • PERMfTIXPiRED [3 ISUB�b9!TTEDAS$E57p51�14' .FlCAiY1M $Q,�`, ❑ E3'A ••• •. ••s • • s : i ❑ AOIygD • • PERMIT CANCEllED PER7vffFIXTENDED ❑ ASBESTOS NOIIRCATIONlSNOT APPLICABLE TO PROPOSED D4A9DLTQON. i • • e•s eee see ee PERMIT FINAL CERT7RCATEQF SFGNATURE: o OCCUPANCV7SSUED o oo• oo° o °o