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Home My WebLink AboutE2021-0167 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIII�IIIIIIIIIIIIII Electrical Permit: E2021-0167 (9) 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 1 6 7 Project No : 1920-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 707 ST JAMES RD Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE Inspector Area: 3 Code Edit: 2019 �' Y Legal Description: N TR 1218 LOT 11 Owner: IRWIN ROBERT & JANELLE Contractor: SPINNAKER DEVELOPMENT LLC Worker's Compensation Insurance Address: 707 SAINT JAMES RD Address: 428 32ND ST Carrier: STATE COMP ' NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92663 Policy No: 9105623 Phone: 714-423-2136 Phone: 949-544-5806 Expire : 07/0112021 Con State Lic: 985114 ; Issued Date:03/03/2021 Lic Expire: 07/31/2021 Bus Lic: BT30029026 ° Processed By: Lic Exp Date: 04/30/2021 New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Plan 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 BackfFemp Power: 0 $0.00 Temp Power Pole: 1 $41.00 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: $37.00 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. 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 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 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 (_) all of or (_) portions of the work, 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 completion, the Owner -Builder will have the burden of proving that it was not built or im 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 �iapply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Pmf3:t ions Ccde. is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Proper; Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION heiauy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Vip Section 7000) of Division 3 of the Business d=ProfessioC de, and my license is in full force and ef.ect..iceres Class License No Date �' Contractor SignaturG WCM; ERS' ({CIMP,ENSATION DECLARATION r1f FN A3: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. I he.eby'affirm tender penalty of perjury one of the following declarations: hcea 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 pp.rfnrmance of thn A ca, 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' rance 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 agree t, if I should becomes su/ylec the wor. ' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prowsli a. nature of Applicant V Date X 3� CLARATION REGAROING-CONSTIRLPTION CENDING AGENCY reby affirm under pekfalty 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). 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 clou',pb ordinances and s t� laws relating to building construction. //� I authorize representatives of this city or count? ent ove-(fie R_^y r^r'^coT cti�urposes. S', i , ri Date �/ 7 nature of Prooertv Owner or Authorized Agent ^ c Print Prooer[v Owner's or Authorized AGent's Name L6 fL IZZ '5 _P � AC77ON DATE BY UtLI-Af(AffUN OF LUMPLIANLt Wf f N LVUt Vt FOR OFFICE USE ONLY ✓ FEDERAL REGULATIONS PART 61 OF TAR-€ 40 AND AQMO RULE 1403. PERMIT EXPIRED ❑ I SUBMITFEDASBESTOS NORFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NORFICARON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL - (, (- 'L( CERTIFICATEOF SIGNATURE: OCCUPANCYfSSUED