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Home My WebLink AboutE2021-0272 - PermitsCity of Newport Beach - Building Division II IIII�IIIII�IIIIIIIIIIIIIIII�IIIIIIIIIIII�IIII III 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 2 7 2 Pennit Counter Phone (949)644-3288 Job Address: 216 SAPPHIRE AVE Bldg: 1 Floor: Suite: Description of Work: ELECITEMP. POWER POLE Inspector Area: 2 Legal Description: BALBOA ISLAND SEC 2 BILK 8 LOT 10 Owner: PERRY DANIEL Contractor: Address: 26073 SHADOW ROCK LN Address: VALENCIA CA 91381 Phone: 818-749-4139 Phone: Con State Lie: Issued Date:04/23/2021 Lie Expire: Bus Lie: Processed By: Lie Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20OA: 0 $0.00 0-600V over20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 WATERPOINTE CUSTOM HOME 3500 E COAST HWY #110 CORONA DEL MAR CA 92625 949-644-8900 947494 05/31/2022 BT30036114 05/31/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee: $0.00 Electrical Permit: E2021-0272 Project No: 0147-2021 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE COMP INS Policy No: 1952335 Expire : 05/01/2021 0 FEES Motors/Transformers (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 Fee Due at 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. ® a e e e• ebe 6 a ••• o o• o b o b o 0 0 o • � 6V o e• e 600 6D0 600 0 J 660 00 )WNER-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 he 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 Lot 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). 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 ipply 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:1Iwww. leginfo.ca.govlcalaw.html. 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 the Business and Professions Code, and my license is in full force Ind effect .icense Class License No Date 23 2 Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 the e ance of the work for which this permit is issued. Policy No. have and will Vibkjain workers' compyosat1ort insurance, as requXed by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Date re of Agent emu- , R! u . li 1 L 4!' Phone # 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 Califomia, and agre t, if I should become �sl/eject two top workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Y Da!e� L-, 2 t 7-1 CLARATION REGA DIN ONSTRUCTION LENDING AGENCY Ireby affirm under natty 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 Lender's Address my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 have provided is correct. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. 1 authorize representatives of this city or count' nter tha bove-identified property for inspection purposes. nature of Property Owner or Authorized Agent G-k • Print Property Owner's or Authorized Agent's Name G �a `S � ly3 AcnGN DATE RY DECLARATION OF COMPLIANCE MTH CODE OF FOROFF11FUSEONLY • • F.EDERAt REGWkATLONSPARTJ'IOFT17LE80AND AQMVR1j.E`I4040 %. : : PERMITEXPIRED • Q ; 9tILJMITTID$SW.ST(3S NMFICATION TO: • ❑ &M • . ❑ AQMD • OSED OD€WOLMND ON IS NOT APPLICABLE i0 ASBESTPERMIT . . . • • e • . • • e . PERMIT CANCELLED PERMITEXTENDED FINAL Z CERT1FIG4TEO€ ,/GAFA E' b OCCDPANCYISSDED o co cco 0 0 00 00� coo