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Home My WebLink AboutE2022-0249 - PermitsCity of Newport Beach - Building Division }� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644,3288 n �'i[iYV1K�a Job Address: 454 CATALINA DR Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE Inspector Area: Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 21 LOT 6 Owner: TJC HOME BUILDERS LLC Contractor: Address: 26940 ALSO VIEJO PKWY STE 100 Address: ALISO VIEJO CA 92656 Phone: Phone: Con State Lic: Issued Date:04/21/2022 Lic Expire: us Lic: Processed By: Lic Exp Date: T J C HOME BUILDERS LLC 26880 ALSO VIEJO PKWY #100 ALSO VIEJO, CA 92656 (949)481-7026 1025507 04/30/2023 BT30059037 05/31/2022 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 TOTAL Electrical Permit : E2022-0249 Project No : 1072-2022 Inspection Requests Phone (949)644-3255 Code Edit: 2019 ; J Worker's Compensation Insurance Carrier: NATIONAL FIRE & MARINE IMS n*" Policy No: 42HB615046601 Expire : 12/31/2023 FEES 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 Check Fee : Temp Underground: 0 $0.00 Sub Panel: 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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit 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. ILDER DECLARA I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reascn(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 1e 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 (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 pu•pose of sale). I, as owner Cie 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 o"i D. nf 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'rom 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 'rofersions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date JCENSED,CONTRACTOR'S DECLARATION hereby affirm unde, penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof sions ode, and my license is in full force I.d rffect. ' icense Class License No Date Contractor Signature :'OriKERS' COMPENSATION DECLARATION >7NING: FAILURE TJ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST 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 th, 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' 'ante 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 agre iat, if I should becomee(yubject to tt/pa workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi i ns. signature of Applicant /\ /� 4 �— Date ` T//22- IECLARATION REG RDI RUCTION rENDING AGENCY hereby affirm under penalty 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). Ender's Name Lender's Address ly 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 o my ordinances and state laws relating to building construction. f I authorize representatives of this city or couniWo entgr t1}e above -identified property for inspection purposes. AC77ON DATE BY Ur�LAf IfUN Ur UUMVUANUt v i I n LUUC Ur FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMfTEKPdRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO., ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS IJ077FICA770N IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIRCATEOE SIGNATURE., OCCUPANCYfSSUED