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Home My WebLink AboutE2021-0316 - PermitsCity of Newport Beach - Building Division p111111111p1111p11111J1JJ1p1p111111111Jil 111 Electrical Permit: E2021-0316 a 100 Civic Center Drive, Newport Beach, CA 92660 II� E 2 0 2 1 0 3 1 6 ProJect No: 2300-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 SEASHOREJob Address: 3807 or. Suite: Description of Work: ELECTEMP POWER POLE Ar��'Ye 5e Inspector Area: 1 ,ON 'Yoe " Cl® Code Edit: 2019 Legal Description: THIRD ADD TO NEWPORT BEACH BLK 38 LOT 4 &1 �_Q Owner: SOLIMAN SAM Contractor: SAILHOUSE HO SC Worker's Compensation Insurance Address: 30700 BRISTOL ST STE 400 Address: 170 NEWPORT CENTER DR #260 Carrier: INSURANCE COMPANY OF THE WEST COSTA MESA CA 92626 NEWPORT BEACKCA 92660 Policy No: WSD505264401 Phone: Phone: 949-281-6045 Expire : 1212912021 Con State Lic: 1007531 Issued Date:05/14/2021 / Lic Expire: 09/30/2021 Bus Lic BT30036603 Processed By: Lic Exp Date: 06/30/2021 ]q New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over600V or10o0A: 0 O/H to U/G 0 TOTAL Fee: FEES'" Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 $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 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy BacklTemp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0" $0.00 Temp Power Pole: 1 $41.00 Issuance Fee: $37.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 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. o 000 ° e°v o e o°° o0 oea 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 applic.-Me iterh(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 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 U all of or U portions of the Mork, 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 completir, the Owner -Builder will 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). LJ I am exempt from licensure under the Contractors' State License Law for the following reason: I By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yea' prior to completion of the improvements covered by this permit, I cannot legally sell a structure that have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unde tand 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.d,a.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divvision 3 of the Business and Professions C der and my license is in full force and effect. S License Class License No Date 1 � Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE11 AND CIVIL FINES UP TO ONE HUNDREPIfZUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑.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 p rmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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 , if I should become subject to the workers' compensoon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of ;reby affirm under penalty of perjury that the�FiSa construction lending agency for the performance of the work for which 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 county t/o enter the abov entified property for inspection purposes. nature of Property Owner or Authorized Age ni\/ Print Property Owner's or Aut Date 5-11 `Zo Z l permit is issue (Section 3097, Civil Code). 3 .> ' ACTION DATE BY DECLARATION OF COMPLIANCE AITH CODE OF I FOR OFFICE USE ONLY FEDERAL REGUL4TIONSPART 59 OF T17LE40 AND AQMID RULE 140? PERMIT EXPIRED • • R • • « • • • • • ' • ❑ f SLiBMRTrED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED • • i • • • • i • • PERMITEXTENDED ❑ ASBESTOS N07IRCA7I0N IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL 6 • e • CERTIFICATEOF a • e o o a• e a e e a OCCOPANCYFSSDEO c c c - c am c c SIGNATURE. '