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HomeMy WebLinkAboutE2021-0301 - PermitsCity ofcNewDport Bpea Bh - Building Division IIII��IIIII'2II�0IIIII�III�III�I0ill�llil�lllf I Electrical Permit: E2021-0301 Project No Permit Counter Phone (949)644-3288 I Job Address: 413 CABRILLO TER Bldg: 1 Floor: Suite: Description of Work: ELECT 200 AMP SERVICE UPGRADE Inspector Area: 5 Legal Description: N TR 1237 LOT 71 Owner: BURKE SEAN M Contractor: Address: 413 CABRILLO TER Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Dat /06/2021 Lic Expire: Bus Lic: Processed Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 1 $46.00 0-600V over 20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: LAGUNA ELECTRIC INC 289 WAVE ST #B LAGUNA BEACH CA 92651 949-350-4607 1012135 03/31/2022 BT30070782 01/31/2022 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 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1292272 Expire: 0511612021 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 HPB W/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HPB W/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: $0.00 9 a000 0 0 �aaoa 0 0 o caoo aooaoe © o a a - ao 0 a O J+ a O 60 a a a W O 0 C 0000 o a a oa�ol Temp Underground: 0 ooaaa $0.00 a 1 Sub Panel: Q i3 .0 $&Oc' g ' a 0 000 $OAO I 4 V� O C a 00 •f � $a.00 t> O 0 Record Mgmt Fee: ;a O a 0 0 ra $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance: $83.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7.00 a.m. to 6:30 pm. 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 items)_ (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 U all of or U 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 improved for the purpose' of sale).' ❑ I, as owner of the pro,perty;l am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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 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 legall) sell 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 Professions Code, is availableGupon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.govlcalaw.htmI. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. '� 0 �G��/ Con or Signature/ TC License Class License No WORKERS' GO&E sATIION DECLARATION II II VIARNINGc FAILURE TO SECUREWORKERS' 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 GGS79G °'OMPENSA-F.aN°DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm Imdeh penalty of perjury one of the following declarations: 1 `av6 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 pe forrance ofthe work for which, this permit is issued. Policy No. I are and well main R�rciece tain'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' compensatiol maie` carya:-1d pnucy number are: Ccr<_ier " Policy Number Expiration Date a�Agent certify that, irthe pt~r€o, E, ff 5- E hou d become stub nature of A ant one # rmance 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 jeci to the wol)�ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DING AGENCY Dat t�1c t3 ;reby 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). Ider's Name Lender's Address my signature below, I certify to each of the following: 1 am the property owner lo,rlauthorized to act on the property owner's behalf. I have read this applioation and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. authorize representatives of this city.,or county to enter , bove-identified property for inspection purposes. nature of Property Owner or Authorized t Priiqt Property Owner's or Authorized Age Name it AL t}N DATE BY DECL R4TION OF COMPUANCE WTt1 CODE OF FOR OFRCE USE 0 WY FEDERAL REGULA77ONSPART 61 OF T17LE47 AND AC€1 DRULE 14033 PE: IVITOT11 dED I ❑ I,SU73..WITTED:A S ST P T7FICAT70N TO.- ❑ EPA ❑ AQMD PERA41TCANIC LLED PE: WIFTEKTENDED A , ❑ ASBESTOS a OIIFICA770NIS NOT APPLICABLE TO PROPOSED DE, OL7T10 PERi��{-ggt�pp/'^EINAL f ( r` CLt^e7[i F{Ii ` ` j�' N q p $?:f05' 53 .. �1.5..�A$ aT^^Ep�yYr7p•*p � �q OCC£Ji—.AT.�jC Y�.}SUED