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Home My WebLink AboutE2020-0235 - PermitsCity of Newport Beach - Building Division *E2020-0235* Electrical Permit: E2020-0235 off. + 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2684-2019 F ". Permit Counter Phone (949)644-3288 9t7 ��3: aA�9. Inspection Requests Phone (949)644-3255 Job Address: DOLPHIN TER Bldg: 1 Floor: Suite: ,® Work: Description of Work: ELEC/TEMP POWER POLE INSP g1 X2019-3888 Eta Inspector Area: 2 Code Edit: 2016 Legal Description: TRACT NO 2334 LOT 12 POR OF LOT Owner: LONG RANDY Contractor: LONGMAN CONSTRUCTION CO INC Worker's Compensation Insurance ...... Address: 1437 DOLPHIN TER Address: 2782 CIRCLE DR Carrier: STATE COMP INS FUND CORONA D AR, CA 625 NEWPORT BEACH CA 92663 Policy No: 9062475 ° P P Phone: Phone: 949-722-7711 Expire: 07/01/2020 Con State Lic: 393881 Issued Date:05/08/ 20 Lic Expire: 08/31/2021 Bus Lic: BT00001921 JmJP Pa P Processed By: Lic Exp Date: 03/31/2021 JC P °C 9J J ppJJPJ P O J ° New Construction Receptacle/Switch/Outlets FEES Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Backrremp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $39.00 Issuance Fee: $0.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $10.00 TOTAL Fee: $49.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : S49.o0 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. INER-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) 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 pena!Iy of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 rrovements 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 legal I 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:/1w .leginfo.ca.gov/calaw.html. nature of Property bpner or Authorized Agent Date ;Fall CO�°IY<ACTOR'S DECLARATION �rebf affirm wnaer%nalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force i A*Art • License No Date Contractor Signature ERS' MMPENSATION DECLARATION : FAILUREOPWCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO T COMPENBATjgN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm y4ft Penalty of perjury one of the following declarations: ve and Hill 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 anceo itheawrk for which this permit is issued. Policy No. e and!Al 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' .a cq;AW%md policy number are: • ... Policv Number Expiration Date 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 California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). ender's Name Lender's Address y 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 to enter the above -identified property for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCEMMTN CODEOF FOROFRCEUSEONLY FEDERAL REGULATIONS PART 61 OF 77TLE40AN➢ AQMORULE 1403. PERMITEXPIRED ❑ I SUBMfTTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQM➢ PERM/TCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATIONIS NOTAPPLICABLETO PROPOSED DEMOLITION. PERMITFINAL 1 D CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED