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Home My WebLink AboutE2016-0527 - Permitse*'P1bp City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIII II o� 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 6 0 5 2 7 F, Permit Counter Phone (949)644-3288 v n .rr-0n>ttM�' Job Address: 880 IRVINE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC CORONADO APTS SOUTH POOL AREA (2 OUTLETS @ BBQ) Inspector Area: 3 Legal Description: P BK 15 PG 36 PAR 1 Owner: UDR NEWPORT BEACH SOUTH Contractor: RANSCAPES INC Address: 1745 SHEA CENTER #200 Address: P.O, BOX 50580 HIGHLAND RANCH CO 80128 IRVINE CA 92619 Phone: Phone: 866-883-9297 Con State Lic: 949437 Issued Date:08/18/2016 Lic Expire: 06/30/2018 Bus Lic: BT30052837 Processed By:� Lic Exp Date: 10/31/2016 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 2 $2.00 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 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Fee : $11.00 Electrical Permit: E2016-0527 Project No : Inspection Requests Phone (949)644-3255 INSPECTOR Code Edit: 2013 Worker's Compensation Insurance Carrier: TORUS NATIONAL INS Policy No: T10150072 Expire : 09/0812016 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: 0 $0.00 Fee : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Temp Underground: 0 $n.00 Sub Panel: 0 $0.90 0 $0.99 " 0 $0.99 Record Mgmt Fee: $0.00 Plan Check Fee: 50.00 Investigation Fee: $C.00 Issuance Fee: $C.00 Supplemental Fee: $9.00 Fee Due at 1.00 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 lcensure 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). ❑ 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 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). ❑ 1 am exempt from licensure 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 sell 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 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of t slness an Professions Code, a d my license is in full force and effect. \ / License Class License No �,. (O' � O Contrac ignature �[ 2 �} G`Y,�{�lC.1f�1- WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unu6r penalty of perjury one of the following declarations: 0 I hava and will maintain a certificate of consent to self -insure for workers' compensation, issuedbythe Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the �Vprmance of 6he workfor which this permit is issued. Policy No. kaennd 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' ranee carrier and policy number are: Policy Number Date tame 6f Agent _ Phone# 31 certify that, i`n.the ^erformance 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 iat, iY i sho Id becnm s )��ct Jto�th�e/workers' compen ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisl ITS. ,{- ) igoaturp of A cant _.(/I_il/t"1.( .��I'YyU/1 C]yl Date w` 1 O L�l IECLARAT N EGARDING CONSTRUCTION LENDING AGENCY Sereby3ffirm un'icr penalty 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), ender s Name Lender's Address Iy 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 ordinances and state laws relating to building construction. I authorize representatives f th city or county tr./j7n r t e alcove-identifie roperty for inspection purposes. \' 'ignature of Property Owner uthorized Agent I 1 /LLLA� , hvxC Print Property Owner's or AuthorizeQl AAGM's Name 4 4t. ll^L- Ld n-9,q A?, ; ate ACTION DATE BY DECLARATION OF COMPLIANCE LMTN F FOR OFFICE USED LV FEDERAL REGULATIONS PART61OFTITLE4 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL 06/07/ 17 0/" CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED