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Home My WebLink AboutE2021-0339 - Permits,r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII'I II Electrical Permit: E2021-0339 c` i . 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 3 3 9 Project No: 2302-2020 �,-'= v Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r'��rra�6�� - y�6 CONSTRUCTION � (� g g fig='+ pry�p NOISE I �b� Ls��7 € E.a4��4r,,,r9 �3 4e9�Be�� Job Address: 318 CORONADO ST Bldg: 1 Floor: Suite: Description of Work: ELEC.TEMP. POWER POLE ON SATURDAYs Area: 1 Code Edit: 2019 �Inspector Legal Description: NEWPORT BAY TR SUB OF BILK C LOT 30 Owner: ROBERT BEN/JUDY Contractor: SALAZAR JUAN GARZA Worker's Compensation Insurance Address: 318 CORONADO ST Address: 1641 FAIR PARK AVENUE Carrier: STATE COMP. INS 1 ® � NEWPORT BEACH, CA 92661 LOS ANGELES CA 90041 Policy No: 9130277 Phone: Phone: 323-255-8156 Expire : 02/11/2022 e Con State Lie: 503577 Issued Date:05/25/2021 ` o Lie Expire: 01/31/2023 � Bus Lie: !J ' BT30075378 Processed By: -Lie Exp Date: 05/25/20/25/2021 1 FEES 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 20DA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy BackfFemp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 100DA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $41.00 Issuance Fee: $37.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $78.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $78.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 1:00 am. to 6i30 p4m. and Saturday from 8:00 a.m. to 6:00 p.m. ® _ 6 p p p ee BB c pp • • • p pp 66 EdB pop ppe o 000 • p p pap o0 o c o o e o 0 o p 9 tlbb BB b6b B 6 tlVB b8 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 1e 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). 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, 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). 1 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://w .leginfo.ca.gov/calaw.html. 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 Business and Professions C d , and my licen is in full force nd effect. _ j icense Class License No 7 3� 7 7 Date 5'2� —ZO� / Contractor Signatur IIORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE6 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 eyfornance of the work for which this permit is issued. Policy No. have and wil�rr'aI lain 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' Ot ) 3 0 2�:)- ? Expiration Date _ Z —0 — ZQ ZZ re of Agent _ 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 to the workers' compensation laws of California, and agrel t, if I should become su ct to th am, com tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions., nature of Applican DaIdC 15 CLARATION R ARDING O ]OWLENDING AGENCY Ireby affirm and r penalty perjury at 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 ordinances and state laws relating to building construction. I authorize representatives of this city or count ent the -i entified arty for inspection purposes. mot] /�S, �i �c�Z�c- ^j+'c�.ti rA-• nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Narr Da AEON DATE By DECLARATION OF COMPLIANCE WTN CODE OF FOR OFFICE USE Aft • • Rp� G& TIONaS IR706.IOFTIIL.E40AND' AQ D RI.zZ�1403. p •I SUB&1*T4D85$ESP0S *V** FICATIONTO:. • ❑ -EPA ° •`• ❑ AOMD PERMIT EXPIRED PERMIT CANCELLED PERMi!TEXTENDED ❑ ASBESTOS NOTIFICA710NIS NOT APPLICABLE TO • :PR44O4C/JD LJPIQN• s o 0 o c o 0 0 Eo 00 00 o0 PERMIT FINAL CER77FICATEOF OCCUPANCYISSUED -@GNA�Vrt oc o 00 oco