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Home My WebLink AboutE2021-0508 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 �. n. Permit Counter Phone (949)644-3288 Job Address: 908 OCEAN FRONT W Bldg: 1 Floor: Suite: Description of Work: ELEC -TEMP POWER POLE (X2021-2278) Inspector Area: 1 Legal Description: N TR 234 BILK 9 LOT 3 Owner: 908 NB PROPERTY MGMT LLC Contractor: Address: 3717 EUCLID AVE Address: DALLAS, TX 75205 Phone: Phone: Con State Lic: Issued Date:08126/2021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII�IIIIII1 III PEctrical Permit: roject No : 0 2s 2021 E2021-0508 PATTERSON CONSTRUCTION 15 CORPORATE PLAZA STEA50 NEWPORT BEACH CA 92660 949-723-1800 802367 0713112022 BT02110534 09130/2021 Inspection Requests Phone (949)644-3255 6gV1WFF_KF_"tr.... Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9065406 Expire : 0810112022 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HPIKVA) 0 $0.00 Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 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 a 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 Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 1 $41.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee: $79.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $79.00 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. 'OWNER -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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portionsof the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7 I44, Business and Professions Code: The Contractors' State License Law does not apply 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 Iicensure under the Contractors' State License Law for the following reason: By 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, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. � understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that Iam licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an rote ions Codehand and; license is in full force and effect. & [[ /��/ License Class License No Date . V �I�l,/,''�,j Contractor Signat �rG�r/ COMPENSATION DECLARATION i 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PI DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Directc e mance of the work for which this permit is issued. Policy No. I aye and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for th su once carrier and policy number are: er Policy Number ame of Agent ]I certify that, in the performance of the�ork for which this permit is issued, I shall not employ any person in any man iat, if I should become subject totmpens lion �sions o tin-396b of the Labor Code, I shall fortt ignature of Applica ECLARATION RE RDING CONSTRUCTION LENDING AGENCY iereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for w :nder'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 ordi ces and state laws relating to building construction. I authorize representatives of this city or county 6 [.tlae.gi'%ve-iderJllfied r pert " spection purposes. gnature of Property Owner or Authorized Agent) �/%%l/,Y� 6 Print Property Owner's or ACRON I DATE � BY PERMITEXPiRED PERMIT FINAL (_ JR, CER77FICATE OF OCCUPANCYISSUED LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agre 1 comply with those provisions. I this permit is issued (Section 3097, Civil Code). FEDERAL REGULATIONSPART 07bF TITL.E40AND AQMDRULE 1403. ❑ 1 SUBMITTED ASBESTOS M077FICATIONTo. ❑ EPA ❑ AQMD, ❑ ASBESTOS NO'RACAnQNISNOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.