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Home My WebLink AboutE2019-0471 - PermitsCity of Newport Beach - Building Division +e 100 Civic Center Drive, Newport Beach, CA 92660 q Permit Counter Phone (949)644-3288 - 4r n � Job Address: 34 LINDA ISLE Bldg: 1 Floor: Suite: Description of Work: ELEC/PIGGY BACK X2017-0893 Inspector Area: 2 Legal Description: N TR 4003 LOT 34 Owner: 34 LINDA ISLE LLC Contractor: Address: 34 LINDA ISLE Address: Phone: Issued Date:07/1 Processed By: New Construction Residential Multi -Family: 1-2 Family: 9 0 0 Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or1000A: 0 O/H to U/G 0 TOT CA 92660 Con State Lie: Lie Expire: Bus Lie: Lie Exp Date: IIIII�IIIIIIIIIII�IIIIIIII�IIIIIII�IIIIIIIIIIIIIIIIIIIIIIII Electrical Permit: E2019-0471 Project No : 0642-2016 TONY VALENTINE CONST INC 2435 E COAST HWY #2 CORONA DEL MAR CA 92625 949-723-6449 467553 04/30/2020 BT00021099 02/28/2020 Inspection Requests Phone (949)644-3255 Code Edit: 2016 „ A- Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1794693 Expire: 07/01/2020 FEES Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 50 to 100 HP/KW/KVA: Low Voltage 0 $0.00 0 Signs $0.00 Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee : $0.00 Inspection Requests Phone (949)644-3255 Code Edit: 2016 „ A- Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1794693 Expire: 07/01/2020 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 Backfremp Power: 1 $38.00 Temp Power Pole: 0 $0.00 Fee Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: 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. gimme • o mmoo .mem e m e mOP o m oeooro 0 00 m o 0 � oe c Oe0000 m o me e o e ocoa 0 0 0 0 m e e m c ee o oeeoo m aooco 000000 7 � m O � O oomeco 0 p momo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.00 )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 ish, or it the checany ture, prior io I have issuance also requires the placed next to the applicable item(s) Section 7031.5, Business ssand Professions that he Code: Any city or licensed county that t requires Iires a ourmit to s of the construct, Contracalter. .improve, d Laemoiw (Chapter 9 (commenting with rSe tion 7000) of Division 3 of the Busliness land :he permit to file a sign licant for permit subjects the applicant to a civil penalty of 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 app' P 1 not more than five hundred dollars ($500). ❑I, as owner of the property, or my employees with wages as their sole compensation, will (n r o all of rt w portions of the work, and the structure is not intended or offered for sale (Section,prvided that the Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds a improves the property, p 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' Stale License Law does no ap Iy to an oeyner oiproperty 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 fromicensure under the Contractors' State License Law for the following reason: 199 irfy signaftte 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 4 this permit, I cannot ego sell a structure foal 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 sell a. tractsions Code, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.htmi. Date SigfiAture of PrapertyOwner or Authorized Agent ,l he?dKSED CLind ZACTOR'5 DECLARATION I hereby affirm OVIUeCT of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business wand P/ro�fess��;�Tuuforce .affect. • • ' ' I Z -Z015 Contractor Signature v i 'g."'R Class License No Dat ORKERS' COMPENSATION DECLARATION ARNINB: FAILURE•IV•SEeORE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FINE5 DP TO ONE HUNDRED THOUSAND DOLLARS ($700,000(, IN ADDITION TO THE CO ST•$ FCOMPENSATION,UAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hire ¢ affirm y�fi ftr penalty, of perjury one of the following declarations: a••• 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 t De ce of the work for which this permit is issued. Policy No. h k for which this permit is issued. My workers' compensation and will maintain workers' compensation carrier and policy number are: insurance, as required by Section 3700 of the Labor Code, for the performance oft a wor Policy Number Date ne of Agent 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 and ogre i, if I should become subject to thew rs' compensation provisions of 'dpi 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 Date nature of Applicant CLARATION REGA DI CONSTRU LENDING AGENCY Ireby affirm under pe ally of perjury that there is a construction lending agency for the per Address of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name 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 tinter the-ideDtified p>�t v for insp rposes. /� COC bk s'�'y�r�(a sy(/ ate ,nanvo of Pronertv Owner or Authorized AgenT'7— �i�� Print Property Owner's or Authorized Agent s Namezr-2 ACTION 1 DATE I SUBMITTEDASBESTOS NOTIFICATION TO -- 13 O:13 EPA 0 AQMD ASBESTOS NOTIRCATTONIS NOT APPLICABLE TO FINAL SIGNATURE. OCCUPANCYISSUED