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Home My WebLink AboutE2020-0568 - Permits0wtr,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2020-0568 t d 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 0 0 5 6 s Project No : 0620-2020 Permit Counter Phone (949)644-3288 c,�x�r. fug}., Inspection Requests Phone (949)644-3255 Job Address: 912 OCEAN FRONT E Bldg: 1 Floor: Suite: Description of Work: ELEC/TEMP POWER POLE i �IVB � ■ P E A(lJ' ' T ON R Inspector Area: 1 Code Edit: 2019 Legal Description: BALBOA TR BILK 14 LOT 21 Owner: LIL MORC FAMILY TRUST Contractor: OWNER/BLDR Worker's Compensation Insurance Address: 2791ELINCOLN V Address: Carrier: ' ` ANAHEIM CA 92806 Policy No: Phone: 714-393-6626 Phone: Expire Con State Lic: O/B Issued Rate:10/14/2020 Lic Expire: Bus Lic: Processed! By: Lic Exp Date: ••• 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: 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: 1 $41.00 Issuance Fee: $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $12.00 TOTAL Fee: $53.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $53.00 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. 'NER-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) ;tion 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 'essions 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 R1�ore than five hundred dollars ($500). Y as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness and Professions Code: The Contractors' Slate 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 completion, 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 ly to an owner of property who builds or improves thereon, and who contracts for1ha pw its with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from licensors under the Contractors State License Law h ollowi g reas n: ly my signature below I. acknowledge that, except for my personal res nc whic ust ave resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal]) ell a structure that I have built as an owner -builder if it has not bee cons ucted ' Is 'sty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Bus ess and 'rofessions Code, is available upon request whe I' u itted following Web site:http://www.leginfo.ca.gov/calaw.html. /Q / Z0 signature of Property Owner or Authorized Agent Date .ICENSED CONTRA—_TOR'S DECLARATIO 'i DraS; Tffirm under penalty of perjury that I am Iicens er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. icense Class _. License No Date Contractor Signature ✓ORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE'TO SECLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUMECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST Cr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. boas, 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 the a fui.y.a,tce of the work for which this permit is issued. Policy No. 1[ 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' compensation 'surancH carrier and policy number are: :ar Y -licy Number Expiration Date lame f Agent %1XM4 V Phone # g4z 3 C2 — .� �I c rtify that, in the performance of the 0reforwh' 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 agree tat f I should become subject to eration provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision ignature of Applicant Date IECLARATION REGA NG CTION LENDING AGENCY hereby affirm under p perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: ,G// I am the property owner or authorized to act on the property owner's be �{ / C - /La I have read this application and the information I have provided is co ct. ,`7 I agree to comply with all applicable city and county ordinan s state s relating to building construction. I authorize representatives of this city or county, a-ide , d arty for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's N me L;l® ACTION DATE BY DECLARATION OF COMPLIANCE WTH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART1 OFTITLE40AND AQMO RULE 1403. PERMIT EXPIRED ❑ 1 SU8M1TTED ASBESTOS NOTIFICATION TO; ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIHCAT10N1S NOT APPLICABLE TO PROPOSED DEMOLITION. PERMOTFINAL 1 CERTIFICATEOF SIGNATURE: OCCUPANCYI5SUED