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Home My WebLink AboutE2020-0206 - Permits4��,Irkr City of Newport Beach - Building Division *E2020-0206* 100 Civic Center Drive, Newport Beach, CA 92660 t~ €iro Permit Counter Phone (949)644-3288 Job Address: 3404 QUIET COVE Bldg: 1 Floor: Suite: Description of Work: ELEC TEMP POWER POLE (X2020-0949) Inspector Area: 4 Legal Description: N TR 6228 LOT 40 Owner: FLORIANI FAMILY TRUST Contractor: KRS DEVELOPMENT Address: 1701 PORT MARGATE PL Address: 2941 GRACE LN STE C NEWPORT BEACH CA 92660 COSTA MESA, CA 92626 Phone: Phone: 949-290-6500 Con State Lic: 912477 Issued Date:04/09/2020 Lic Expire: 04/30/2020 Bus Lic: BT30044186 Processed By:� Lic Exp Date: 07/31/2020 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 100oA: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee : $74.00 Electrical Permit: E2020-0206 Project No : 1963-2018 Inspection Requests Phone (949)644-3255 Code Edit: 2019 INSPECTOR Worker's Compensation Insurance Carrier: STATE COMP FUND Policy No: 9129520 Expire : 05/31/2021 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 $39.00 .00 Temp Underground: 0 ; 0.00 Sub Panel: 0 $0.00 0 .00.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit Issuance : 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 1 hereby affirm under penalty of perjurythat 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 ]!censure 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 rot 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 U portions of the work, and the structure is not intended or offered for safe (Section 70", 3usiness 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 mprovements 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 mproved for the purpose of sale). D 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 Ippiy 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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, 1 cannot legal[. tell 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 'rofessiona Code, is available upon request when this application is submitted or at the following Web site:http:l/www-leginfo.ca-gov/calaw.htmi. >ignature 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 a Profession and y license is in full force ind effect License Class License No 4/— �i'-- ZC1 Contractor ature VORKERS' COMPENSATION DECLARATION I* IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE is UNLAWFUL, AND SHALL SUEUECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (SIM000), IN ADDITION TO THE OST OF COMPLN3nl ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm. �ouar penalty of perjury one of the following declarations: 7 1 have and VH maintain a certificate of consent to self4risure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rformance of a,e work 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' carver and Doliov number are: Policy Number of Agem _ _ :ion Date I e— '�-2020 9 (QY9)Z97-1(7 IILJI certify that, in the performance of the work forwhich 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 agre, pthat. if I should become subject to p workerrrs' c ensat� lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. II of M " 1-11WIM cvlNs I KUUTEM-LENDING AGENCY'— hereJy affirm 'uhoer nenaltyof perjury that there is a construction lending agency forthe performance of the work forwhich this permit is issued (Section 3097, Civil Code). ender's Name Lendees 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 Cott �- 1 agree to comply with all applicable city and county ordinanc state laws ating to building construction. I authorize representatives of this cityunty to enterdentifie perty for inspection purposes. DATE - BY DECLARATION OFCOMPUANMWITH CODE OF FEDE) REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE 1403 EXPIRED EM BMITTEO ASBESTOS NOTIFICATION TO CANCELLED UEPA EXTENDED FINAL Q/+1` ASBESTOS NOTIFICATION IS NOTAPPLICAR CERMICA TE OF OCCUPANCYISSUED FDA— TO FOR OFFICE UIE ONLY ul L1-9-ao