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Home My WebLink AboutE2020-0671 - PermitsCity ofNewportBeach hBuilding Division 11y11111111111111111111111111111111111111111111111 100 Center Drive, Beach, Permit Counter Phone (949)644-3288 d } , W�ri]Y.• - � Job Address: 4406 CHANNEL PL Bldg: 1 Floor: Suite: Description of Work: ELEC OVERHEAD TO UNDERGROUND INsInspector Area: 1 Legal Description: CANAL SECTION BILK 145 LOT 4 Owner: CRAWFORD CAROLYN Contractor: NEWPORT COAST ELECTRIC Address: 1725 LITTLE BIG HORN Address: 892 W 18TH STREET PLACENTIA, CA 92870 COSTA MESA CA 92627 Phone: 714-5245387 Phone: 949-645-5761 Con State Lic: 675371 Issued Date:11/17/2020 Lic Expire: 0713112021 Bus Lic: BT30029895 Processed By: cLic Exp Date: 10/31/2021 Electrical Permit: E2020-0671 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier:. OAK RIVER ;••••• Policy No: NEWC1 11593 ° ;••®,; Expire : 07101/2021 ""° • ° •V °• ° 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: ...... $0.004 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 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 O/H to U/G 1 $46.00 Additional Fee: $0.00 Supplemental Fee: $0.00 Plan Check Fee: Fee Due at Permit Issuance: 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. rNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) i dicated below by the checkmark(s) I have placed next to the applicable item(s) coon 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 fessions 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 3 CWA- malty of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cor�lpletion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). 1, 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 Iy 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: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least on a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.le! nature of Property Owner or Authorized Agent TENSED CONTRACTOR'S DECLARATION reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w'th ection 7000 i eTfert .... • pnsp,Class •• License No Date 1 A4<X2S' COMPENSATION DECLARATION WING,. FAILURE.TP.9gr I:ZE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN rV OF GOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :reby affirm under poitalty of perjury one of the following declarations: ,1,1442 and;M maintain a certificate of consent to self -insure for workers' compensation, issued by the Director form � ce of the work for which this permit is issued. Policy No. nave:and will •mWnnfain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the 0_kWB carrier &M pdticy number are: AAF,' • • •' Policy Number is of Agent ••" certify that, in the pefformance of the work for which this permit is issued, I shall not employ any person in any , if I should becom ubject to the workers�gompensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant V L- ' — CLARATION REGAqDING CONSTRUCTION LENDING AGENCY �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work 1 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and ccUllity ordinances and state laws relating to building construction. I authorize representatives of this city or count o enter the. above- entified property for inspection purposes. mature of Property Owner or Authorized Agent : zzC� Print Property Owner year prior to completion of the improvements covered by this permit, 1 cannot nderstand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business and frofessions Code, and my license is in full force ? Contractor Signature ,LTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date so as to become subject to the i comply with those provisions/ Date �AI/ this permit is issued Name compensation laws of California, and Civil Code). 20 ACTION DATE BY DECLARATIONOFCOMPUANCEtMTHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART61 OF T17LE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUDMITTEDASBESTOS MOTI (-ATION TO:. ❑ EPA ❑ AQMO PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NORFICABON IS NOT APPLICABLE TO PROPOSEDDEMOUTION: PERMIT FINAL CER77FICATEOF SIGNATURE OCCUPANCYISSUED