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Home My WebLink AboutE2019-0750 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive; Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 938 SANDCASTLE DR Bldg: 1 Floor: Suite: Description of Work: ELEC A/C DISCONNECT Inspector Area: 4 Legal Description: N TR 6228 LOT 69 Owner: MAROVIC MARIO Contractor: Address: 938 SANDCASTLE DR Address: CORONA DEL MAR, CA 92626 Phone: Phone: Con State Lic: Issued Date:11/07/2019 Lic Expire: Bus Lic: Processed By: SAAA Lic Exp Date: Ilill1111111111111111111Jill 111111111111p11111Jl111ilElectrical Permit: E2019-0750 E 2 0 1 9 0 7 5 0 Project No : I INI S P E C T 0 111 BASIC AIR INC 1157 SALINAS AVENUE COSTA MESA CA92626 714-469-4542 909834 01/31/2020 BT30045172 1013112020 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: OAK RIVER INS Policy No: BAWCO21077 Expire : 10/22/2020 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: 1 $27.00 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 200A: 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 Backfremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $62.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $62.00 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. 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, priorto 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 (_) 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 reproved 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 pplyto an owner ofproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I cm exempt from licensure under the Contractors' State License Law for the following reason: ly my signature hs'ow 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 nave 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 Ircfessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Poaature of Rroperty Owner or Authorized Agent Date 10E4SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing /TOCRIMINAL on 7000) of Division 3 of the Business and rofessi Code, d my license is in full force v.d ef.ect. icense Class License No Date + Contractor Signature _ VORI:ERS' COMPENSATION DECLARATION IARNING: FAILURL',(. SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYPENALTIES AND CIVIL FINES UP TO O HUNDRED THOUSAND DOLLARS ($100,000), 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: 7 1 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 erjormance 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' compensatio nsu ce carrier and policy number are: Carder Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the perfor nce, of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to)he workers' compensation laws of California, and agree that, if I should become sLebj ct to the workers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis' ns. / 1 Signature of Applicant Dat _ / �// DECLARATION REGAR NG C S CTI ENDING AGENCY I hereby affirm under pe Ity 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 hav provided is correct. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or county t frt eobove-identified property for inspection purposes. Signature of Property Owner or Authorized Agent r' '"�� Print Propert Owners or Authorized Agent's ame I �� r /Date ACT70N DATE If BY DECLARATION OF COMPLIANCE WITH CODE OF / FOROFFICEUSE NLY FEDERAL REGULATIONS PART 61 OFTITL.E40AND AQMD RULE 1403. PERMfT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS N017FICA77ONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE OF OCCUPANCY;SSUED SIGNATURE: