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Home My WebLink AboutE2017-0325 - Permitswr 4, city a __una_lng Division ' 100 Civic Cen:d snva, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 Job Address: 1442 GALAXY DR Bldg: 1 Floor: Suite: Description of Work: ELEC FOR BBQ (S2017-0106) Inspector Area: 3 Legal Description: TR 4224 LOT 75 AND POR OF LOT 74 (P.M. 18-27 PAR A) 11111Jill 11111p111111111p1111111p111111111111111111Electrical Permit: E2017-0325 E 2 0 1 7 0 3 2 5 Project No : 1356-2017 Owner: BROOKS MICHAEL Contractor: STEELE BRET/STEELE POOLS Address: 1442 GALAXY DR Address: 263 NORTH HARWOOD NEWPORT BEACH, CA 92660 ORANGE CA 92866 Phone: 949-533-4817 Phone: 714-496-1427 Con State Lie: 923975 Issued Date:07/20/2017 Lie Expire: 10/3112018 Bus Lie: BT30042152 Processed By: Lie Exp Date: 02/28/2018 New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over600V or1000A: 0 O/H to U/G 0 Inspection Requests Phgn (949)644-3255 Ob fi 'rs Code Edit: 2016 0 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: NO EMPLOYEES Expire: m•••• ®°°® • m mm • m o 0 0 • o• o om m m o 0 m m mm m m m mm o oo•m m m m•omo FEES •••" Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 2 $2.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.900 ° $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: °°°0 d $0.00°, $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 Om m $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $0.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $10.00 TOTAL Fee: $12.00 Plan Check Fee : Fee Due at Permit Issuance: $12.00 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. z.� JNER-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 items) action 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 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 �fessions 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 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 or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 )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 fly 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: 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 legall, 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 ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,html. nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION ereby affirm u 6deryenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti0 7000) f Division 3 of the Business an Pro 'o Co , a d my ' ense is in full force i effect. ....' ecoa Class. License No Date 2C) 7 Contractor Signature )IVERS' tDUPENSATION DECLARATION i14I1,16: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE f7UF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :r * affirm - under penalty of perjury one of the following declarations: Ihave andoIjlj,piaintain 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 th [o5(ilance QfJlgeiprk for which this permit is issued. Policy No. eve and wig 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' compensatioi renp.sarrier and policy number are: �' • • • • �\ —2nlicv N)u116er / Expiration Date J2of Agent . • certify th2t; in the perfWtowork if I should become su Iature of Applicant issued, I shall not employ any person in any manner so as to become subject to the work rs' cggqmpensation laws of California, and agree is of Section 3700 of the Labor Code, I shall forthwith comply with those provisi Ms. y� / D2t/ �/ e hereby affirm under penalty of berjury that there is a construction lending agency for the ender's Name _ Len{ Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on pr arty I have read this application and the info rmati0 I ha I agree to comply with all applicable city an unty nan I authorize representatives of this city or ou t n rthe of the work for which this permit is issued (Section 3097, Civil Code). 3 to building construction. �� I for inspection purposes. n Y/ .%d�fi r.— Name ACTION DATE BY I DECLARATION OFCONSPAR EWITH OE4OAND I FOR OFFICE USE ONLY PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED t SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS U017RCA770NIS NOT APPLICABLE TO PROPOSEDDEMOUTION. SIGNATURE: