HomeMy WebLinkAboutE2018-0418 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3268
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Job Address: 422 ORCHID AVE Bldg: 1 Floor: Suite:
Description of Work: ELEC TEMP POWER POLE (X2018-1859)
Inspector Area: 5
Legal Description: CORONA DEL MAR BILK 442 LOT 16
Owner: REKLAW LLC
Contractor:
Address: 418 1/2 ORCHID AVE
Address:
CORONA DEL MAR, CA 92625
0
Phone:
Phone:
0
Con State Lic:
Issued Date:06/19/2018
Lic Expire:
0
Bus Lic:
Processed BV' \ D
Lic Exp Date:
New Construction
Residential
Multi -Family:
1-2 Family:
Service
0-600V up to 20OA: 0
0-600V over20OA: 0
Over 600V or1000A: 0
O/H to U/G 0
WALKER CONSTRUCTION
418 1/2 ORCHID AVE
CORONA DEL MAR CA 92625
949-280-2633
681217
02/28/2019
BT30058987
05/31/2019
Receptacle/Switch/Outlets
Electrical Permit: E2018-0418
Project No: 1454-2018
Inspection Requests Phone (949)644-3255
Code Edit: 2016
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Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire :
Receptacles/Outlets:
0
$0.00
Fixtures:
0
$0.00
Sep Circuits:
0
$0.00
Low Voltage
0
0
Signs
$0.00
$0.00
Branch Circuit:
0
$0.00
Each Add Circuit:
0
$0.00
Time Clocks:
0
$0.00
Additional Fee
$0.00
Electrical Permit: E2018-0418
Project No: 1454-2018
Inspection Requests Phone (949)644-3255
Code Edit: 2016
K' ,( ,1-7�i .
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire :
Plan Check Fee :
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FEES
° o
°p
Temp Underground:
°610°
Motors/Transformers (HP/KVA)
$0.00
0 to 1 HP/KW/KVA:
0
$0.00
$0.00
1 to 10 HP/KW/KVA:
0
$0.00
$0.00
10 to 50 HP/KW/KVA:
0
$0.00
$0.00
50 to 100 HP/KW/KVA:
0
$0.00
Over 100 HP/KW/kVA:
0
$0.00
$0.00
$0.00
Piggy Back1remp Power:
0
$0.00
$0.00
Temp Power Pole:
1
$36.00
$0.00
Plan Check Fee :
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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.
c CC
° o
°p
Temp Underground:
°610°
$Qe66°
Sub Panel:
°0
$0.660'
P°
0
$&.6600,
$&.00
Record Mgmt Fee'.
°°°°°°
$Q.Bb"
Plan Check Fee:
°0
$01881
Investigation Fee:
$0.00
Issuance Fee:
$33.00
Supplemental Fee:
$0.00
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.
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 -
ie 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
Irofessions 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
ot 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(_) 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 offend 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
n roved 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of t Business and Professions Code, d my license is in full force
nd effect. �- h
icense Class License No a % C ntr for ignature � �1/�
VORKERS' COMPENSATION DECLARATION
60
'ARNING: FAILWE 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
OST OF COMPENSPAMN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
barebgy affirm n.tdaRpenalty of perjury one of the following declarations: -
] I;ave an; wilt 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 thf
Brformance of tffe work for which this permit is issued. Policy No.
II leve and*Ml*mVtain 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
i9rj,tadce carrier and policy number are:
Agent
Policy Number Expiration Date
Phone #
the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjeqto the workers' compensation laws of California, and agrer
Dem subject to to �ers',cprpperrpa�lp�isions of Section 3700 of the Labor Code, I shall forthwith comply with those pro isions. 18I ( �
i///"//Y�` uu (, (CJ
MXRATIOR RDING CONSTRUCTION LENDING AGENCY
)reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lenders Address
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 tWss city or county tkVler the above-identi{led pr arty for inspection purposes. y� ,t
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AC770M
DATE BY
DECLARATION OF COMPLIANCEtMTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF 71 TLE 40 AND
AQMD RULE 1403.
PERMITEXPIR€D
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ASBESTOS M071FICA770NIS NOTAPPLICABLE TO
PERMITFINAL
OSEDDEMOLITION
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