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Home My WebLink AboutE2021-0814 - PermitsCity of Newport Beach - Building Division *E2021-0814" 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 (9) �...+ -� IN a Electrical Permit : E2021-0814 Project No : 1369-2021 Inspection Requests Phone (949)644-3255 Job Address: 3702 PARK LN Bldg: 1 Floor: Suite: ill Description of Work: ELEC TEMP POWER POLE Inspector Area: 1 Code Edit: 2019zl Legal Description: RIVER SECTION BILK 137 LOT 2 C, , Owner: NIJJAR SANJEET Contractor: CLAYTON BUILDERS INC Worker's Compensation Insurancek Address: 2046 SEVILLE AVE Address: 393 LA PERLE PLACE Carrier: EMPLOYEE SVC GROUP- NEWPORT BEACH, CA 92663 COSTA MESA CA 92627 Policy No: C66972147 � Phone: 626-806-6437 Phone: 949-279-5910 Expire : 0810112022 - Con State Lic: 846631 oC� Issued Date:12/01/2021 Lic Expire: Bus Lic: 09/3012022 BT30043010 ,z , _ . Z. U a I. Processed By: Lic Exp Date: 04/30/2022 U O FEES New Construction Receptacle/Switch/Outlets MotorslTransformers (HPIKVA) 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 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $41.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $79.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $79.00 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. )WNER-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 ie 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 (_) 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). 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 pp'y-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 exemp; 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 rofedsions Cuder is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ligrature 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 Profession Cn d�cense is in full force nd e,(fact. - J /pf/'��. icensc Class License No Date / ` 01 ' l Contractor Signatur" VORKERS' C31MPrNSATION DECLARATION 'ARNINU: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,D00), 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 IN erformance of the work for which this permit is issued. Policy No. 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' faace carrier and policy number are: Policy Number of Agent Date I 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 agrer t, if I should become subject too the workers' c i ensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisip�n/� 1 (nature of Applicant t ] f �t C .!i Date h (��b [ /� DECLARATION REGARVING CONSTRUCTION LENDING AGENCY / \ I hereby affirm under perfalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 laws relating to building construction. ��/bV /y / I authorize representatives of this city or coup t etjtTh l'�ie-(den d-property for inspection purposes. �� ,/ ,,(/� , Signature of Property Owner or Authorized Agent //✓v`�� _ Print Property Owner's or Authorized Agent's Name OYLi ! �N Date ACTION DATE BY DECLARATION OFCOMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N077HCA17ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL J CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED