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Home My WebLink AboutE2022-0058 - PermitsCity of Newport Beach -Building Division 1 o0 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 3100 BREAKERS DR Bldg: 1 Floor: Suite: Description of Work: ELEC- TEMP POWER POLE (X2022-0276) Inspector Area: 5 Legal Description: TR 1026 LOT 5 R/S 12-35 Owner: TTDRP LLC Address: 14511 MYFORD RD STE100 TUSTIN CA 92780 Phone: 714-323-6650 issued Date:02/03/2022 Processed By: 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 TOTAL Fee: $79.00 Contractor: R J SCHWINN ASSOCIATES INC Address: 233 VIA MALAGA DRIVE SAN CLEMENTE CA 92673 Phone: 949-683-2889 Con State Lic: 861593 Lic Expire: 07/31/2023 Bus Lic: BT30077817 Lic Exp Date: 01/31/2023 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 Electrical Permit: E2022-0058 Project No : 2702-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9033570 Expire : 11/07/2022 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 Plan Check Fee: $0.00 ` 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: $38.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : $79.00 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. oocoGo 0 0 000 c c o C 0 0 0 c o o G o 0 0 0 G C C G C O O vv O O p t, O .01, O O O C O O O C C O O O a C O C G O O O O O O G C G C O C O C t C C C C C O O G C C C C C C C 1 c: C O G C 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). III ❑ 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 ofsale). ❑ I, 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 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). ❑ 1 am exempt from Ilcensure'under the Contractors' State License Law for the following reason: By my signature below II 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 available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htm1. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I 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. I l License Class ��-sZ License No � � s Date �-.3 � Contractor Signature/ WORKERS' COMPENSATION DECLARATION � WARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: hI have and will maintain I 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 thi D orantfore of the work which this permit is issued. Policy No. va a 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' compensatior su nce carrier and policy number are: carrier Policy Number Expiration Date dame of Agent Phone # :11 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 hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provissions. ;ignature of Applicant DateR-� )ECLARATION REGARDIING�C NSyRLICTION LENDING 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 3y 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 County ordinances and state laws relating to building construction. I authorize representatives of this city or county to e r ab®ove-identified property for inspection purposes. ;ignature of Property Owner or Authorized Agent 1/✓if Print Property Owner's or Authorized Agent's Name _1J > ` Date 07 ACTION "! DATE BY DECLARATION OF COMPLIANCE MTH COD OF ' FEE LREGULAT# KSP RT51OFT1TLE4 AND TOEt�I11€�trSE€)�Itt' PBI WITE PI ED AQMD RULE 1403. ❑ ISUB, IITED:AS STOS d l3FICATIOt TO.. 1' EY'4� e�iil � . ]FG`".-mac i? ail ❑ EPA- - ' PERM IT E!€TEI DED ❑ AQ D PE€WITFINAL (� �i Z ®OAFS STO 077 IIONISNOTAPPLICABLETo CEIdTIF TE E F t = , CaCC TT1II 1C1 fS I E' SIGNATURE- , . ,