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Home My WebLink AboutE2020-0700 - Permitsw City of Newport Beach - Building Division v" 100 Civic Center Drive, Newport Beach, CA 92660 `- Permit Counter Phone (949)644-3288 `�'Tlapttz9�� . Job Address: 710 AVOCADO AVE Bldg: 1 Floor: Suite: Description of Work: ELE-TEMP POWER POLE (X2020-2901) Inspector Area: 0 - Legal Description: N TR 682 LOT 7 Owner: PAINTER ROBERT/DEBORAH Contractor: Address: 730 AVOCADO AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:12/14/2020 Lic Expire: Bus Lic: _tea Processed By: 05 Lic Exp Date: 11uIIIIIIIIIII IIIIII IIIIIIIIIIIIIIIII� 1� Electrical it : E2020-0700IIIIIIIIIProject 6 ENGLISH SCOTT GC 1561 ORCHARD DRIVE NEWPORT BEACH CA 92660 949-355-6228 784484 09/30/2022 BT30056763 1013112021 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire : gc r n _�anm®N� FEES a,- Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 1 $41.00 TOTAL Fee: $78.00 Plan Check Fee: 0431pp�:`�i� � 0 $0.00 f�anel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 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. •e® »ma 90a 9• aaa •• 6 • s c a • ° a e 6 ue as e s o° er ssa 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) ction 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 a civil penalty of more than five hundred dollars ($500). J I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throul nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c0 nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrac 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 or ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.le lignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70bC and effect. / .icense Class License No Da�' G i VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEI :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the )letion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot nderstand that a copy of the applicable law, Section 7044 of the Business and Date )n 3 of the Business an e`er ense is in full force Contractor Signature ) CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Directo' of Industrial Relations as provided for by Section 3700 of the Labor Code, for erformance of the work for which this permit is issued. Policy No. It have 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' compensal Isurance carrier and policy number are: Policy Number of Agent in the performance become subject tgJ of Applicant I shall not employ any person in any ction 3700 of the Labor Code, I shall )reby affirm under penalty of. perjury that there is a construction lending agency for the performance of the work for w 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 !I, correct. I agree to comply with all applicable city and county ordin ces and building construction. I authorize representatives of this city or coun o r6l�rty'for inspection purposes. mature of PrODertv Owner or Authorized ADent� t Print Prooertv Owner's or Date so as to become subject to the workers' compensation la so California, and agre h comply with those provisions. Date 1 this permit is issued (Section 3097, Civil Code). ACRON DA7E BY UCL Atrw I run ur a.ureruxnLc M r n V.� yr rurr UrrrLt vat UvtT FEDERAL PEGULATIONSPART611OF TITL€40AND PERMIT EXPIRED 1196 R f�E 1403 '[] I SULit 7TEgASB5%WS N07FICATiON TO. PERMIT CANCELLED • i 0 *EP0 PERMITFXTENDED • ' ❑•:AQMD• • .•� 13 ASB1;T6S NO RHO PERMIT FINAL % PROPOSEDD€MOLITION TIO�ffi NOT APPLICABLE TO CERTIFICATEOF a• OCCUPANCYISSUED SIGF�I�iH7€o a . o°° o