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Home My WebLink AboutE2017-0006 - PermitsCity of Newport Beach - Building DivisionElectrical Permit: E2O17-0006 (1) 100 Civic Center Drive, Newport Beach, CA 92660 E 0 0 E 2 0 1 7 6 0 0 6 Project No Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 2907 CATALPA ST Bldg: 1 Floor: Suite: Description of Work: ELEC/MOTOR & CIRCUIT FOR CONDENSER H2017-0005INSH ' K Inspector Area: 8 Code Edit:2016 .... ' ° Legal Description: N TR 5018 LOT 57 Owner: CANTOS MARIA Contractor: B E C ELECTRIC INC Worker's Compensation Insurance Address: 2907 C T Address: 252 GEMINI AVE Carrier: EMPLOYEE SERVICE GRIP. NE RT BEAC , CA 92660 BREA CA 92821 Policy No: W061141027 °ssacc Phone: Phone: 714-890-1602 Expire:07/01/2017 Con State Lic: 871067 Issued Date:0 04/2017 Lic Expire: 01/31/2018 Bus Lic: BT30054817 Processed By: Lic Exp Date: 04/30/2017 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: 1 $16.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 1 $6.00 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 200A: 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 10OOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $33.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee : $55.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $55.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 A Ocant 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 Iicensure 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 ($500). -% ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements arg pg intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or mproved for the, peurElose of sale). 0 I,�ELs owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply town owneoofpr&perty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 131 am exempt frgm Iicensure under the Contractors' State License Law for the following reason: ly mycignature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal sey a yructure Wgf lelfaYe built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and .rofe§§ions Code! 1S9vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. gSignature of ProperlX Owner or Authorized Agent Date SED CON-T4WTOR'S DECLARATION 'hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force �U$fPeC. ) ^i 4cense e;lass �"•*�-�-..C��LSbense No ��S�� Dat S"�"� l Contractor Signature 4`0WRk RS' CAM@FNSATION DECLARATION_ _._._ . VAAM11118: FAILURE:rc'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 :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: lave 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 th ante of the work for which this permit is issued. Policy No. ie 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' compensatiol nce carrier and policy number are: ��,�,1 ? ^- r�zgl o Y E E' 4,\iC . GQflli�Policy Number �dt () /� / Expiration Date .Z 1 of Agent Phone # certify that, in the performance of the work for w this permit is issued, rkers' , if I should become subject to the wo,compe s ion provisions of Si nature of Applican CLARATION REG�RDING CONSi.�IQNJLENDING AGENCY areby affirm under enalty of perjury that there is a construction lending age Ider's Name 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 ordinances and state Is I authorize representatives of this city or countyter th ab -identified of employ any person in any manner so as to become subject to the workers' compensation laws of California, and '00 of the Labor Code, I shall forthwith comply with those prowslyr� Da32 the p mance of the work for which this permit is issued (Section 3097, Civil Code). relating to building construction. )pertKor inspection purposes. ACTION DATE By RATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY F LREGULATIONSPART61 OFTHLE40AND AQMD RULE 1403. PERMIT EXPIRED 1 SUBMf7TEDASBESTOS NQTIFICATION TO.• ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS N017RCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: