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Home My WebLink AboutE2011-0544 - PermitsasN 10 City of Newport Beach Building Division ELECTRICAL Permit No: E2011-0544 V ry PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests[Telephone n'�i1YK1RY�` Job Address: 6 SCENIC BLUFF Bldg: 1 Floor: Suite: Description of Work: ELECTRICAL FOR FOUNTAINS S2011-0091 Inspector Area: 6 Code Edit: 2010 Legal Description: N TR 15818 LOT 13 Owner: SANTORO CHRIS Contractor: TITAN POOLS INC Worker's Compensation Insurance Address: 6 SCENIC BLUFF Address: 5765 SANTA ANA CANYON RD Carrier: STATE COMP ' NEWPORT COAST, CA 92657 ANAHEIM CA 92708 Policy No: 618-0000553 ' Phone: Phone: 714-458-7177 Expire : 03101/2012 Con State Lic: 784874 Issued Date:09/08/2011 Lic Expire: 09/30/2012 Bus Lic: Processed By: Lic Exp Date: FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) $0. 0 Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 Multi -Family: 0 $0.00 Fixtures: 2 $4.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0. 0 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0. 0 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0. 0 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $1. 0 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0. 0 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: $0. 0 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $0. 0 O/H to U/G 0 $0.00 Supplemental Fee: $9. 0 TOTAL Fee: $14.00 _ Plan Check Fee : $0.00 Fee Due at Permit Issuance : $14.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION I[=5 SEP MO 2� BY:-------_ ER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item,(&) (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 Iicensure 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 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 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 Iicensure 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 legalh 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:http://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 00 of Division 3 of the Business and Profes i n Code, my lit ns-ei1sgin full force ct. J, rseCl Contractor Signature �.isense Class License No Date NORKERS' COIPPENSATION DECLARATION 11. PN'N^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. hereby affirm ur.de, penalty of perjury one of the following declarations: 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 th vg�mance of the wurk for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date JI certify that, Ir th= performance the ork forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pen ation laws of California, and agre iat, if I should become subject tot wo pe�r/sI' mpe sati pr isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ignature of Applicant v Date / IECLARATION REGARDINaCONSTRUCTION NDING AGENC hereby affirm under penalty of perjury that there s a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). Ender's Name Lender's Address y 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 or I antes and law elating to building construction. I authorize representatives of this city or county to nt r h bov -identi ied r pert ff r inspection purposes. f--� n _1.c` r., �q (' ignature of Property Owner or Authorized Agent �A , : 1 %'1!' Print Property Owner's or Authorized Agent's Name-,�-w�N Date x l ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T17LE40 AND AQMD, RULE 1403, PERMIT EXPIRED ❑ ISUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED '+ ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLIT ON. PERMIT FINAP CERTIFICATEOF OCCUPANCYfSSUED SIGNATURE: