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Home My WebLink AboutE2015-0229 - PermitsAgwlY�k City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H v Permit Counter Phone (949)644-3288 V Job Address: 2201 CLIFF DR Bldg: 1 Floor: Suite: Description of Work: ELEC/INSTALL SUB PANEL Inspector Area: 2 Legal Description: TR 919 LOT A SELY 43 FT NELY 150 FT Owner: DOTT CROSSI CLIFF LLC Contractor: Address: 17220 NEWHOPE ST Address: FOUNTAIN VALLEY CA 92708 Phone: PI Issued Date:04/14/2015 Processed New Construction Residential Multi -Family: 0 $0.) 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee : $59.00 Electrical Permit : Project No : 0423-2015 E2015-0229 Inspection Requests Phone (949)644-3255 ��. Code Edit: 2013 a lameo� OC "orkers Compensa' EAUJAME� O�fl o Carrier: Pnli n Red tacle/Switc t s.. ` to ransformers (HP/KVA) Recep(acles s ,$ 0 0 to 1 HP/KW/KVA: � 0 d e ergrou Fixture.;,, ° s 1 to 10 HP/K 'U ub P Sep Circuits ':.,. $0.00 10 to 50 HP/ /K !00 .Low Voltage - 0 $0.00 50 to 100 HP/ A: �O -$0.00 ' Signs `�0r 100 HP/KW/KVA: 0 $0.00 Rep as, Branch Circuit: 0 $0. Each Add Circuit: Piggy Back/femp Power: 0.00 �rSP' Inv ion Fee: Time C s: � .0 e6) Temp Power Pole: 0 $0.0 issuance Fee: S+�giC Supplemental Fee: I OC \� Plan Che ee : $0.0 Fee Due at Permit Issuar PL'Id OR LAST VALID INSPECTION s-- 0 1 0 0 rNER-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 itern(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapte mmencin ith Section 70)0) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section y any applicant fo a permit subjects the applicant to a civil penalty of 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 mess and Professions Code: The Contractors' State License Law does not apply to an owner ,ovements are not intended or offered for sale. If, however, the building or improvement-i d withir roved for the purpose of sale). I, as owner of the property, am exclusively contracting with license rectors to construct the proj ly to an owner of property who builds or improves thereon o,contracts for the pro' with a It J I am exempt from licensure under the Contr: ly my signature below I acknowledge that ell a structure that I have built as er-bui11 'rofessions Code, is avail n request whe Iignature of Property O er or Authorized Ag�ea .ICENSED CONTRA TOR' RXT hereby affirm under pen y of pWrjury that I am nd effect. .icense Class VORKERS'COMPENS rARNING: FAILURE TO SECURE hereby affirm under penalty of X erjury one 7 1 have and will maintain a b rtifi cal erformance of the work for whit his An JI have and will maintain wo isurance carrier and policy nu ne of Agent certify that, in the performance of :, if I should become subject to the nature of Applicant areby affirm under penalty of perjury that ider's Name 1 my signature below, I certify to each of th I am the property owner or authorized to I have read this application and the inforl I agree to comply with all applicable city I authorize representatives of this city or nature of Property Owner or Authorized A for r rElons of the work, and the structure rty who, throuQ�,r\q�♦�yees' or person��ry one ymA rtiDh`oOp1111 ) tsb'ess and Professions C : T pursuant to the Con rs' State tended or offered for sale (Section 7044, s or improves the property, provided that the the burden of proving that it was not built or at least IB�t,pFior to completion of the improve' . understand that a copy of the applicable n,//www.leoinfo.ca.aov/calaw,html. withSecion 7000) of Division 3 of the Business and Contractors' State License Law does not ense Law). s covered by this permit, I cannot legal Section 7044 of the Business and _ DatP.%' h s Code, and my license is in full force `e N Y�.� Date'. Contractor Signature COVERAGE IS U04 A L, � " S L'�pgpgU''BJEpT ANiRL'OVER TO CRIMINAL PENALTIES AND CIVIL`F UPV0 RED THOUS ! DOLLARS (E'100,000), IN ADDITION TO THE iCT1ON OR NTtg�S.ND ATTORNEY 'S FEES. �1.0 rllowide 'rat MMMMMM FF✓✓ \ fit to f-in or workers' compensation, issue y t e ndustri'G�n ras provi by Se do 3700 of the Labor Code, for th YY �d. P o. (� wo(k Surance, as required by 5@ct of the Labo ode, for 'performance of the work 1 hi ermit is ed. My workers' compensatioi Policy Numr Expireti�,� LENDING AGENCY is a construction lam on the to f not employ any 3700 of the LaJx agency for manner so eco )ect to the workers' compensation laws of California, and foUpwrm com those provisions. Date work for which this permit is issued (Section 3097, Civil Code). building construction. inspection purposes. Owner's or Authorized ACTION DATE �x BY FEDERAL Rr F rrr UyLr ATfOS Rr OFTfT F40 AND PERMIT O PIRED AQM9 PULE 1403. �j ❑ 1E1 IBM TIED ASB-ST0.5&JIrFIr'A',1014 TO: PERMITCANCELLED I! EPA PERMIT EXTENDED ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERMIT FINAL PROPOFFO 9F'?OVTION. CERTIFICATEOF SIGNATURE; OCCUPANCYISSUED