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Home My WebLink AboutE2019-0173 - PermitsI City of Newport Beach - Building Division 7 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 660 HARBOR ISLAND DR Bldg: 1 Floor: Description of Work: ELEC/PIGGY BACK Inspector Area: 2 Legal Description: N TR 3867 LOT 20 Owner: HALCOVICH FRANK & WENDY Contractor: Address: 81161 INDIO BLVD Address: INDIO CA 92201 Suite: OWNER/BLDR AUTH AGENT: BAYME GRANT Phone: 760-343-2704 Phone: Con State Lic: O/B Issued Date:03/21/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0 $0.00 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over 600V or1oo0A: 0 $0.00 O/H to U/G 0 $0.00 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Policy No: 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 III��I ��IV �� II Electrical o Project 0 Permit: r it E2019-0173 Inspection Requests Phone (949)644-3255 Code Edit: 2016 0 $0.00'. Sub Panel: Motors/Transformers (HP/KVA) � � 6p• ® u4� EV 0 to 1 HP/KW/KVA: Worker's Compensation Insurance $0.00 Carrier: f, Policy No: 10 to 50 HP/KW/KVA: Expire $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 FEES 0 $0.00'. Sub Panel: Motors/Transformers (HP/KVA) � � 6p• ® u4� EV 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/remp Power: 1 $38.00 Temp Power Pole: 0 $0.00 Temp Underground: 0 $0.00'. Sub Panel: 0 $0.00 � � 6p• ® u4� EV 0 $0.00' fW p .i l 0 $0.00' Record Mgmt Fee: $0.00' Plan Check Fee: $0.00' Investigation Fee: $0.00' Issuance Fee: $0.00' Supplemental Fee: $10.00', Fee Due at Permit Issuance: $48.00 PERMITS EXPIRE 980 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. O O O•p 4 4• CY.4 8.0 p Ef6 • -'f♦ •• •' i •i 0 E a• � � 6p• ® u4� EV `E 4E Db fW p .i l Bm 444 GOFl O O yyu DWNER-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). ❑ 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 I roved for the purpose of sale). 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 ap�ly 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). V I a exempt from licensure under the Contractors' State License Law for the following reason: By m signature below I acknowledge that, except for my-pe7sonal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally se structure that I have built as an owner -builder if it has not be9Dcona4cted in its entirety by licensed contractors. I understand that a copy of the applicable law, Secti n 7044 of the Business and Professions Code, is available upon request whea 1 ted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent e - LICENSED CONTRACTOR'S DECLARATI N I hereby affirm under penalty of perjury that I am licensed u er provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 under penalty of perjury one of the following declarations: :11 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 IN Derformance of the work for which this permit is issued. Policy No. ❑1 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' compensatior 'nsurance carrier and policy number are: Carrier Policy Number Expiration Date Jame of Agent Phone # ertlfy that, in the pe Ce of ork 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 agreJ :hat, i I should bec t I work s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro isions. Signature of Applicant Da 0-21 DECLARATION RE RDI RUCTION LE NG AGENCY hereby affirm under peva} y o p Jury that there is a co truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 In ovided is correct. AN� N111� I agree to comply with all applicable city and cou o nanc state laws relating to building construction. / 2( I / 1 authorize representatives of this city or county t e t r G entified property for inspection purposes. 2 _ Zim— „re of ornnen,r n,Nnor nr Anfhnrived Anon An Print Pronertv Owners or Authorized ADent's Nam ,_ et J ACTION I DATE PERWOI ExPiREU Z ❑ J EU,90PTTEDASBI§&FPS MQ11CfCAi10111 TO: PERMITCANCELLED • jj�] CEPA PERM7TEXTENDED AQA4fia • pSBEBfios NQ"viseAnaNIS NbT,aPPueAezE TO PERMIT FINAL PROPOSEDDEMODUTION, CERTIFICATE OF _ OCCUPANCYISSUED SIGNAT(JFEy P • • • * i • • • • ` • • 5 ii• •P•