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Home My WebLink AboutE2021-0758 - PermitsCity of Newport Beach - Building Division +^- 100 Civic Center Drive, Newport Beach, CA 92660 ?, Permit Counter Phone (949)644-3288 v ��zrxly� Job Address: 5 TIBURON BAY DR Bldg: 1 Floor: Description of Work: ELEC PIGGY BACK Inspector Area: Legal Description: N TR 7510 LOT 47 Owner: BRUCE ENDSLEY Contractor: Address: 5 TIBURON BAY DR Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lie: Issued Date:11 ,021 Lie Expire: Bus Lie: Processed B : Lie Exp Date: *E2021-0758* RJ TANNER CONSTRUCTION 893 OAK STREET COSTA MESA CA 92627 949-235-4856 744104 12/31/2021 BT98043220 06/30/2022 Electrical Permit: E2021-0758 Project No: 1952-2020 Inspection Requests Phone (949)644-3255 Code Edit:2019 INSPL:�i R Worker's Compensation Insurance _ Carrier: PREFERRED PRO INS a®®°:° Policy No: ON0897403 Expire : 0610112022 ` ° FEES ° New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) 000 Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: „"°` $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 Signs Branch Circuit: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V over 20DA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 1 $41.00 Plan Check Fee: Investigation Fee: $0.00 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $79.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $79.00 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. (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, priorto 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 (_) all of or U 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-Builderwill have the burden of proving that it was not built or improved 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 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). I 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTR&TOR'S DECLARATION I:Vjepy.tffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my lice se is in full force 2nd effect. •:•. •: `' / 1,� Linens¢ Class • License No Dafe_�,(/✓ 1i Contractor Si ture WORKERS' COMPENSATION DECLARATION J\ VARNING: FAILURES'Q SLVCURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE O%gfOCOMPENSAi W& BAMAGES AS PROVIDED FOR IN SECTION 5106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. b,rp; y affirm tinder,penalty of perjury one of the following declarations: ••1•kave aAll'rtiaintain 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 th pe4o"ance of the work for which this permit is issued. Policy No. •1 habe and All pI'a;ltain 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' compensatiol iflsmsAce candiAlandpolicy number are: edgier • • Policy Number Expiration Date Name of Agent • Phone # I certify 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 o the workers' compensation laws of California, and agre that, if I should become sub' the /ro'rkkeerrr '' commpe�nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those no dons. /� Signature ofA icant C-s # 4 //w to !✓YJ �W. �reby affirm under penalty of p 'ury tha here Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Idler'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 count or ces and state laws relating to building construction. I authorize representatives of this city or county to r e e- property for inspection purposes. _f� (nature of Property Owner or Authorzed ygent Ertl Property Owner's or Authorized Agent' s"Pl ACTION PERMIT EXPIRED PERMITEXTENDED PERMIT FINAL — — 1 'ter'" r-o ` CERTIRCATEOF OCCUPANCYtSSUED FEDERAL REGULATIONS PART 51 OF Tt TLE4U ANV AQMO RULE 1403. ❑ I SUBMITTED ASBESTOS NORFICATIOM TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N07IRCA17ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE:.