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Home My WebLink AboutE2018-0619 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 �'�drrirY.�t Job Address: 61 LINDA ISLE Bldg: 1 Floor: Suite: Description of Work: ELEC/CHANGE OUT (E) SERVICE 400 AMP & 1 NEW SUBPANEL Inspector Area: 2 Legal Description: N TR 4003 LOT 61 IIIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIIII II Electrical Permit: E2018-0619 E 2 8 1 8 0 6 1 9 Project No: 0806-2018 Owner: CARDIGAN PATRICK Contractor: G N S CONSTRUCTION Address: 61 LINDA ISLE Address: P O BOX 141 NEWPORT BEACH, CA 92660 Receptacles/Outlets: BALBOA ISLAND CA 92662 Phone: Phone: 949-370-7200 $0.00 Con State Lic: 486187 Issued Date:09/19/2018 Lic Expire: 01/31/2020 /� / Bus Lic: BT30054739 Processed By: � rY Lic Exp Date: 04/30/2019 New Construction 0 $0.00 Sub Panel: Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 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 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 1 $88.00 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 TOTAL Fee: Inspection Requests Phone (949)644-3255 r*; Code Edit: 2016 Worker's Compensation Insurance Carrier: EVEREST NATIONAL INS CO Policy No: 7600014956'"' Expire : 05/31/2019 FEES 0 $0.00 Sub Panel: 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: Temp Underground: ' 0 $0.00 Sub Panel: 0 $0.00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $0.00 Supplemental Fee: $10.00 Fee Due 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. v o c• eo u v o e � o •° e c �.: c V o 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 L) all of or L) 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 ap ly 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). I 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 cannotlegalh 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 Professions Code, and my li erise is in full force and effect. License Class License No Date Contractor Signature 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 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 th 3erjormance of the work for which this permit is issued. Policy No. have and wilaintain workers'�ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier n policy numb a): Date me of Agent _ �1 \Y7LJ ° ` w U Phone # certify that, in the pertormance 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 I, if I should become subj ct to the wyorl/yrs' compensation provi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t� %r� �, nature of Applicant 7 cl ��Cs'7�� Dat / Y / i ��( CLARATION REGARDING CONSTRU9MN LENDING AGENCY rreby affirm under 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) 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 and state laws relating to building construction. I authorize representatives of this city or county �tolenter the 4e -Identified pro for inspection purposes. nature of Property Owner or Authorized Agent C, �r'i Print Property Owner's or Authorized ACTION DATE BY DECLARATION OFCOMPLIANCEtMTNCODEOF FOR OFFICE USE ONLY FEDERAL IIEGIII 4TIONSFMT fit OF TITLE 40 AND AQMD RL2EsT4 �. . • •: PERmvrEmBED ❑ ISUdW1TEAASQE$TQSAV17FJCdWON-TIA ❑ *WA • • • • • PERMfT CANCELLED ❑ AQMD PERMfTTEXTENDED ❑ ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED,(jEif4Q1JTIW • •.• PERIMITFLNAL —J r CERTIFI• OCCOPANCYlSSOED OCCUPNCYIS SIGNATURE: • ••