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HomeMy WebLinkAboutEL060211_068t0000003ky5IAAQ_ELECTRICAL PERMITCounty of Orange Resources & Development Management Department Main Office 300 N. Flower Street Third Floor Santa Ana, CA 92702 Inspection Office 22921 Triton Way Laguna Hills, CA 92653 For Inspections Call: (714) 796-0407 or (949)472-7922 or Visit us on the web at: http://www.ocplanning.net ELECTRICAL PERMIT Building Permit Number: EL060211 Issue Date: 4/19/06 Description of Work/Use: temp power pole Issued By: John Powers Work Authorized: PB:N ME:N EL:N Gas Meter: Elec Meter:1 Job Address: 22433 Pelicans Dr, Newport Coast Owner: Pridemark Gen. Contracting & Development Additional Address: Address: 54 Tesla Assessor Parcel No: 473-163-01 Irvine,CA 92618 Legal Description: 15346 5 TR Phone: 949-951-3434 Related Permits: Contractor:S R Bray(Applicant)Architect: Address: 1005 N. Edward Court Address: Anaheim, CA 92806 Phone: 800-863-2525 Phone: License#: 523596 Class: License#: Class: By signing below, I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Declarations: I hereby affirm under penalty of perjury that: Licensed Contractor Declaration 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 and effect. License Class: License No.: 523596 Contractor: S R Bray Owner - Builder Declaration I am exempt from the Contractors' State license Law for the following reason (Sec. 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 there from 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 the work and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, 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 he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, 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 such projects with a contractor(s) licensed pursuant to the Contractors' State License Law). I am exempt under Sec. , B & P.C. for this reason Construction Lending Agency I 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 (Sec. 3097, Civ. C.) Lender's Name: None Lender's Address: None Workers Compensation Declaration I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain worker's 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' compensation insurance carrier and policy number are: Carrier: American Home Assurance Policy Number: WC1178790 I 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 agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Warning: failure to secure workers' compensation coverage is unlawful, and shall subject employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in section 3706 of the labor code, interest, and attorney's fees.