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HomeMy WebLinkAboutE2018-0680 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 M Job Address: 608 BAY FRONT S Bldg: 1 Floor: Suite: Description of Work: ELEC 200 AMP SERVICE UPGRADE Inspector Area: Legal Description: BALBOA ISLAND SEC 2 LOT 5 BLK 1(AND LOT 6 BLK 1 Owner: HANSEN ROBERT Contractor: Address: 841 APOLLO ST #450 Address: EL SEGUNDO, CA 90245 Phone: Phone: Con State Lic: Issued Date:10/15/2018 Lic Expire: Bus Lic Processed y: Lic Exp Date: II�E2 IIIIMIIIII��I0III6 0 II FABERWEST CONSTRUCTION P.O. BOX 10771 NEWPORT BCEACH CA 92658 530-277-7502 592260 02/29/2020 BT30030099 12/31/2018 New Construction 0 oco oeo Receptacle/Switch/Outlets Residential $0.660 0 to 1 HP/KW/KVA: 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 $0.00 Issuance Fee: Low Voltage 0 $0.00 Service $0.00 Signs 0-600V up to 20OA: 1 $43.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: $78.00 Plan Electrical Permit: E2018-0680 Project No : 0068-2018 Inspection Requests Phone (949)644-3255 Code Edit: 2016 6 A } Worker's Compensation Insurance Carrier: STATE FUND Policy No: 905085318 Expire : 04/01/2019 FEES 0 oco oeo Motors/Transformers (HP/KVA) °OG $0.660 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Check Fee: somooe ° . . 0000 e 0 000000 0 0 a o e 0 0 00 0 Fee Due at Permit 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. 0 oco oeo Temp Underground: °OG $0.660 Sub Panel: Q $0,0600 00+00° $0°00 Record Mgmt Fee: c0 °O°°°° $0.80°° Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Fee Due at Permit 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. )WNER-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 applicdble it'em(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 ie 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Wsiness 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 nprovements 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 nproved for the purpose of sale). 11, 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. 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 and Professions Code, d y license is in full force nd effect. st icense Class License No 1 Date�0.. _ Contra lure 1ORKERS' CjTMPBNSATION DECLARATION ARNIN FAILURE TO EEf`URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSANO DOLLARS ($100,000(, IN ADDITION TO THE OST•QFF OMPENSIg(ali, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hhereb�affirm tlDdqtpenalty of perjury one of the following declarations: 101.f Ve 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 th erf�e of the woilk 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' compensatiol .E,}Ii carriera c6policy number are: 9f • • Polic Number Ex iration Date Agent Y thaG+n•t" performance of the work for hould becom@ subject tgthe worke Y P Phone # this permit is issued, I shall not employ any person in any manner so as to becc ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under penalty ofp ry that there is a construction lending agency for the performance of the work for which this permit is Ider's Name Lender's Address 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 ar to laws relating to building construction. I authorize representatives of this city or county r the -identified property for inspection purposes. ACTION DATE / BY IPERMITEXPIRED I I �1 I PERMITCANLEtLED P€RMITEXT€NDED l ,, PERMIT FINAL CERTIFICATEOF OCCUPANCYISSOED AQMD RULE 1803. I SUSMITTEDASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATIONiS NOT APPLICABLE TO PROPOSED DEMOLITION - SIGNATURE. :ct to the workers' compensation laws of California, and agre ovisionsfQ� �� I(Section�Code).