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Home My WebLink AboutE2020-0698 - PermitsCity of Newport Beach - Building Division i? d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 U, Job Address: 2707 BLUE WATER DR Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE Inspector Area: 6 Legal Description: TR 6385 LOT 43 AND POR OF LOT 42 Owner: LAKE SARAH Contractor: Address: 10601 CALM HILL CIR Address: SANTA ANA CA 92705 Phone: Phone: Con State Lie: Issued Date:12/11/2020 Lie Expire: Bus Lie: Processed By: (� Lie Exp Date: II�IEIIIII�ul0IIIIIII0IIIII0 6IIIII�IIIIII LONGMAN CONSTRUCTION CO INC 2782 CIRCLE DR NEWPORT BEACH CA 92663 949-722-7711 393881 08/31/2021 BT00001921 03/31/2021 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 TOTAL Fee: Electrical Permit: E2020-0698 Project No: 2299-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 > > > > Worker's Compensation Insurance Carder: STATE COMP INS FUND Policy No: 9062475 Expire : 07/01/2021 o>ooa> 0000• > > ao 0 0 0 0 ° o0 000-oo 0 0 0°00 Motorsrrransformers (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 Plan 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: $37.00 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 '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). 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, 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 signaturgpeloy.1 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) 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 k®f¢syons Code, is mailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html. lignatdfe of PIbpgrty Owner or Authorized Agent Date SQEVED CONTRACTOR'S DECLARATION 1-11 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingYRTO ctio 700 of Division 3 of the Business and P essions ed�rran a is in full force Md effect. ••..•• .iclepSe�Class ' License No Dat% Z Contractor Signature VGWERS' C RCNSATION DECLARATION G: IA6AYMFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLORIMINAL PENALTIES AND CIVIL FINES UP TO ONE H RE THOUSAND DOLLARS ($700,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. of perjury one of the following declarations: and 01W diintain 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 is E %V%k for which this permit is issued. Policy No. •..•. 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' compensa carrier and policy number are Number is of Agent Date certify that, in the performance qKfiAork for i this rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' co/npen t, if I should become s bject o ers' ens n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis'or,s. / nature of Applicant Date /57 �f CLARATION REG I CONSTRUCTION LEN G AGENCY .-reby affirm under penalty o perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (S t n 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 the property own s behalf. I have read this application and the information I have pro ide s come I agree to comply with all applicable city and u y or ' a as and s s relating to building construction. I authorize representatives of this city or coun e e bov ied property for inspection purposes. (nature of Property Owner or Authorized Agen Print Property Owner's or Authorized laws of California, and ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFRCE USE ONLY FEDERAL REGULATIONSPART 61OFTITL€46AND AQMD RULET403. PERMITEXPIRED ❑ ISUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITC4NCELLED PERMITFXTENDED PRO ASBESTOS 1101TIONRONISNOT APPLICABLE TO PERMITFINAL Z./I,-Z �-� CERDFICATEOF SIGNATURE. OCCUPANCYISSU€D