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Home My WebLink AboutE2018-0760 - Permits0City of Newport Beach - Building Division "E2018-0760• n"r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 C'�$ . Stiff$ Electrical Permit: E2018-0760 Project No: 0806-2018 Inspection Requests Phone (949)644-3255 Job Address: 61 LINDA ISLE Bldg: 1 Floor: Suite: Description of Work: ELEC PIGGY BACK (X2018-1002) FEES Inspector Area: 2 i Code Edit: 2016 a C' T Legal Description: N TR 4003 LOT 61 New Construction Owner: CARDIGAN PATRICK Contractor: G N S CONSTRUCTION Worker's Compensation Insurance Address: 61 LINDA ISLE Address: P 0 BOX 141 Carrier: EVEREST NATIONAL INS CO NEWPORT BEACH, CA 92660 BALBOA ISLAND CA 92662 Policy No: 7600014956 Phone: Phone: 949-370-7200 Expire : 05/31/2019 Con State Lic: 486187 $0.00 Issued Date:11/ 01B Lic Expire: 01/31/2020 " • "••""° "°•a°" a ° Bus Lic: BT30054739 $0.00 Processed By: ef Lic Exp Date: 04/30/2019 ee e 1 to 10 HP/KW/KVA: 0 m a e e °mm • • c O® ° °O° O PERMITS EXPIRE 100 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. FEES " •e•° New Construction Receptacle/Switch/Outlets Motors/Transformers(HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: ° °' go $U.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: o° Q 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 °°Q" $0.56"` Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20oA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 1 $38.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 TOTAL Fee: $73.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $73.00 PERMITS EXPIRE 100 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 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 (_) all of or (_) 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 im roved 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 the Business and Profes 'ons Code, and y license is in full force and effect.• • • • ^ a) n License Class . License No Data ! f " 2 L IL Contractor ignature �ORV( RS' qu%gNSATION DECLARATION 111 EQNTfy: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C6$T O� COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' hertdy affirm upder pprialty of perjury one of the following declarations: J•1 �• D• • Y ave and• eriN 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 thr jji'lLaLrqce or nce of tha wilck for which this permit is issued. Policy No. and Irpl 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 carrier and policy number are: Policy Number Expiration Date n%qf Agent • Phone P I "Afy thatpin4he 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 agre( t, if I should BecBPRe subject to the �woorrryrscompensation pr g isl�ons/offSSection 3700 of the Labor Code, I shall forthwith comply with those provisions. inatur�9pplicant / / ti /J.�/ D e �1 �2 -IV CLARhH9 rA'EGARDINGG STRUCIMN LENDMIG AGENCY sreby affirm under penalty of perjuryth here is a construction lending agency for the performance of the work for which this permit is iss d (Section 3097, Civil Code). idler'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 and state laws relating to building construction. I authorize representatives of this city or county to enter above -identified pr�for inspection purposes. nature of Procertv Owner or Authorized Agent in / - Print Property Owner's or Authorized Agent's Name ACTION DATE ABY UCLLAR i,vIY ur LviwrL,uv. YY/lrI I: cU[ [U!(5l[RtC VJC LIYLI FEDERAL REGULATIONS PART @t OF TtTLE40AND AQMDRULE 1403. P£RMITEXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO. 0 EPA 0 AQMD PERMITCANCELLED P£RMITEXT£NDED ASBESTOS NORRCARONIS NOTAPPLICABL.E TO PROPOSEDDEMOLITION. PERMITFINAL CERTIRCATE OF SIGNATURE: OCCUPANCYISSUED