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Home My WebLink AboutE2019-0561 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 11 .ta LY�ffYn4��b Job Address: 1022 WEST WIND WAY Bldg: 1 Floor: ,_ Suite: Description of Work: ELEC TEMP POWER POLE Inspector Area: 3 Legal Description: N TR 4224 LOT 184 Owner: LEVINSON RONNI Contractor: Address: 1022 WEST WIND WAY Address: NEWPORT BEACH, CA 92660 Phone: Phone: Con State Lic: Issued Date:08/12/2019 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 200A: 0 $0.00 0-600V over200A: 0 $0.00 0ver600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII II Electrical Permit: E2O19-0561 Project No : 1328-2019 LEWIS R W CONSTRUCTION 1863 BAYPORT WAY NEWPORT BEACH CA 92660 714-321-4126 597309 06/30/2020 BT00021581 03/31/2020 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 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: CALIFORNIA INS CO Policy No: 46864922 Expire : 12111 /2019 -. FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0. 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0. 10 to 50 HP/KW/KVA: 0 $0.00 0 $0. 50 to 100 HP/KW/KVA: 0 $0.00 0 $0. Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0. Plan Check Fee: $0. Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0. Temp Power Pole: 1 $38.00 Issuance Fee: $35. Supplemental Fee: $0. Plan Check Fee : at Permit r 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. ER -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 U all of or U portions of 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). ❑ 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 aonly to an owner of oroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 amexempt from,libensure 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 legally salt 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 Professions Code is Pvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent p LICENSED COATRACTOR'S DECLARATION I hereby,affirm undJr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with '-don 7 00) of Division 3 of the Business an rof ssi fde,and my license is in full force and effect. I icense ,,lass _ License No Date 7- Contractor Signature NORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECI IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY RR TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NDRED THOUSAND DOLLARS 15100,0001, IN ADDITION TO THE ccs,: JI' COMPENEATIO:1, CAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 ZeArmance of the work for which this permit is issued. Policy No. ave 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' compensatior Isura e. carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the perform of the wor ffensation this permit is issued, I shall not employ any person in any manner so as to become subject to a workers' compensation laws of California, and agree lat, if I should become subj ct tot a rke provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi ns. A // signature of Applicant / Dat IECLARATION REGARDING CONSTRU TION LENDING AGENCY hereby affirm under peclalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (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 t y owne behalf. I have read this application and the in formatio 1 have prov ed i c rect. agree to comply with all applicable city and co ordinan as. n state laws relating to building construction. I authorize representatives of this city or county o e er th ab -identified property for inspection purposes. n / ignature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Na a '(„(t5 D.. ACTION DATE ( BY DECLARATION OF COMPLIANCE 141TH CODEOF FEDERAL REGULATIONS PART 61 OFTITL.E40AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD ❑ ASBESTOS N017RCATIONIS NOTAPPUCABL.E TO PROPOSED DEMOLITION, SIGNATURE: FOR OFFICE USE ONyy / PERMIT EXPI RED PERMITCANCELLED PERMITEXTENDED PERMIT FINAL CERTI€ICATE OOF OCCUPANCYfSSUED I I