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Home My WebLink AboutE2022-0142 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII II r, 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 1 4 2 Permit Counter Phone (949)644-3288 �'AL]yAIAN�x Job Address: 434 VIA LIDO NORD Bldg: 1 Floor: Suite: Description of Work: ELEC/TEMP.POWER POLE Inspector Area: 2 Legal Description: TR 907 LOT 488 SELY 20 FT AND NWLY 10 FT LOT 489 AND POR ABAND ALLEY Owner: NEWKIRK JAMES A Address: 245 CRESCENT BAY DR LAGUNA BEACH, CA 92651 Phone: Issued Date:03/0912'�02,2 Processed By: 2-5 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 over20OA: 0 $0.00 Over 600V or 1000A: 0 $0.00 O/H to U/G 0 $0.00 Contractor: LONGMAN CONSTRUCTION CO INC Address: 2782 CIRCLE DR NEWPORT BEACH CA 92663 Phone: 949-722-7711 Con State Lie: 393881 Lie Expire: 08/31/2023 Bus Lie: BT00001921 Lie Exp Date: 03/31/2022 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 Electrical Permit: E2022-0142 Project No : 1663-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 - Worker's Compensation Insurance - • ' Carrier: STATE COMP INS FUND Policy No: 9062475 Expire : 07/0112022 -- , 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 Check Fee : 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 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. )WNER-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 to 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). 1 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, 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 nproved for the purpose of sale). 1 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 pp,y to an ownnr of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). am exempt from licensure under the Contractors' State License Law for the following reason: .y 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 )egall, ell a structure tout 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 'rofessions CCda, s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date XENSED'C4P'TRACTOR'S DECLARATION Itersby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00 f Division 3 of the Business and Profs �E2, and my license is in full force rc' -Fact. icense Class License No Date Contractor Signature V^F'.l:ERS' COMPENSATION DECLARATION 11" IF 'p AV'VG: FAILUI:E TO SE.:URE 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 DST OF COMPENSAnON, 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: III a 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, forth a of the work for which this permit is issued. Policy No. I 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' compensatiol urance carrier and policy number are: trier P20y Number Expiration Date me of Agent Phone # certify that, in the performanc ork fo Ich th' permit is issued, I shall not employ any person in any manner so as to become subject to the workers' cVe�nin iaws of California, and agret, if I should becomesubje 0 rs' pen on provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDING CONSTRUCTION L G AGENCY )reby affirm under penalty of perjury that there is Tconstruction 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: I am the property owner or authorized to act on 4propertyner's behI have read this application and the information is corrI agree to comply with all applicable city and coan t ws relating to building construction. I authorize representatives of this city or county -Id 1fied property for inspection purposes. nature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name • Date ACTION DATE BY r DECLARATION OFCOMPLIANCE WITH CODEOF FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPI RED PERMITCANCELLED PERMITEXTENDED PERMIT FINAL -�0�2Z p�ti Or- CE4TIRCATEOF OCCUPANCYISSUED