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Home My WebLink AboutE2019-0317 - PermitsCity of Newport Beach Building Division a. 100 Civic Center Drive, Newport Beach, CA92660 ` Permit Counter Phone (949)644-3288 Job Address: 506 CLUBHOUSE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE (X018-1334) Inspector Area: 1 Legal Description: CANAL SECTION LOT 1 BILK 532 ALL -INC POR OF ST ADJON S- Owner: JONATHAN GARG Contractor: OWNER/BLDR Address: 809 BENCHMARK Address: IRVINE CA 92618 Phone: Phone: Con State Lic: O/B Issued Date:05/1612019 Lic Expire: Bus Lic: Processed By "le Lic Exp Date: Ila�E2 019 0 3��►iiii7 II Electrical Permit: E2019-0317 Project No: 1052-2018 Inspection Requests Phone (949)644-3255 r Code Edit 2016 ° Worker's Compensation Insurance ° Carrier : Policy No: Expire °.°. p OOJ°i pp0009 V ° O FEES '®v°.. ... New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $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 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 200A: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or t OOOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $38.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $73.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $73.00 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. 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 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 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 ssipns 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 fora permit subjects the applicant to a civil penalty of fe than five hundred dollars ($500). I, s 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 -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, ex pt for my personal residence in which I must have resided for at least one year prior to completion of the improvements c vered by this permit, I cannot legally sell a structure thatJJrave built as an owner uilder if it has not been constructed in Its entirety by licensed contractors. I understand that a copy o the applicable law on 7044 of the Business and Professions Codb, js gvailable upon req when t s application is su itted the following Web site:http://w .leginfo.ca.gov/calaw.htmi. h , r _ Sol q Ergrlqjtjrp of Property Owner or Authoriz gent to LICENSED C@NtF&CTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm ' g with Section 7000) of Division 3 of*1na and Professions Code, and my license is in full force and'elfact. Lic,ensg Class License No Contre V6 MKERS' COMPENSATION DECLARATION WIAN21 p: FAILURE •'ft=SE' VRE 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 SOMPENYATIONPDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ••••• 1 hereby affirm under penalty of perjury one of the following declarations: 00 T haje and ail glaeltain 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 pelfpLTgnce of the work for which this permit is issued. Policy No. .have and WIT mairlain 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 trance carneraTE Policy number are: Tier Policy Number Expiration Date npe Olap ant Phone # /cerhy that, in the rformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subje to the workers' compensation laws of California, and agree t, if I should beco subje/cttoµ+thyyworkers;,Ico/mvpven�sa/fi provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr isions._ natureof App1 c t n/' 7 / A" ` e 9 U " 2-� 1'7 CLARATION G 0114113 CONSTRUCTION LE ING AGENCY ;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). rder'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 owners 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 unty enter the above-identifi property for inspection purposes. mature of Property Owner or Authorized nt A Print Property Owner's or Authorized Agen s me onq 4 hA i G 01 `" ate ACTION DA# BY DECLARATION OF CQMPLIANCEiMTN CODE OF FOROFFICEUSEGMY 11 FEDERAL REGULATIONS PART fit OFTITLE40AND PERMITFINAL CERTIFICATEOF ❑ 1 SUBUTT€DASB€STOS NONFICATION TO. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICARONIS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.